tci Part B Insider - 2007 Issue 14

PQRI: Be Alert--You Won't Know If You're Meeting PQRI Requirements

Look for instances of your doctors providing care outside their specialtiesIt's confusing and over-complicated , but your practice's financial health may depend on it. The Physician Quality Reporting Initiative (PQRI) starts in just over a month, and you-ll need to know how to bill enough category II quality codes to receive the 1.5 percent bonus from Medicare. Here are some more PQRI tips that CMS officials spilled during a recent physician open door forum and a PQRI conference call in April: - When matching claims with quality reporting codes, look at both primary and secondary ICD-9 diagnosis codes, CMS...

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