Apr 1st, 2013
By Penny Osmon Bahr, BA, CPC, CPC-I, CHC, PCS The 2013 Medicare Physician Fee Schedule (MPFS) final rule makes several changes to the Physician Quality Reporting System (PQRS). Providers who begin reporting now in accordance with these changes stand to gain incentive payments, while those who don’t will soon suffer economic consequences. Incentives: The Good, ...
In ICD-10
Sep 12th, 2012
Diabetes mellitus is a condition characterized by high blood sugars, either because the person does not produce enough insulin, or because the cells do not respond to the insulin that is produced. There are three main types of diabetes mellitus (DM). Type I DM occurs when the body fails to produce enough insulin, and as ...
Feb 1st, 2011
Big changes to PQRI in 2011 put pay for performance in the spotlight. By Penny Osmon, BA, CPC, CPCI, CHC, PCS Updates to the Physician Quality Reporting Initiative (PQRI) signal that the shift from pay for reporting to pay-for-performance has begun. The 2011 Physician Fee Schedule final rule, issued Nov. 2, 2010 by the Centers ...
May 1st, 2010
By Laura Smith, CPC, CPC-I In 1997, Congress passed the Balanced Budget Act (BBA), which mandated risk adjustment methods to improve payment accuracy. Where previously CPT® codes drove payment, diagnosis codes and accurate documentation became the determining factors. As such, it became even more important for providers to sharpen their documentation proficiency and coders to ...
Apr 1st, 2010
By Julie Orton Van, CPC, CPC-P, CEMC, CGSC, COBGC Each year, the Centers for Medicare & Medicaid Services (CMS) implements the Physicians Quality Reporting Initiative (PQRI) through a rulemaking process published in the Federal Register. In general, CMS has responded positively to provider feedback and continues to provide educational opportunities and implementation resources to encourage ...