• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Pqrs question

EMACHORRO

Networker
Messages
31
Best answers
0
HELP...

When they say: " This measure is to be reported a minimum of once per reporting period for patients seen during the reporting period". Does this mean we can only report it once per reporting period? or more than once? :confused:

Thanks
 

cblack712

Guest
Messages
109
Best answers
0
It means that if you enroll in that measure you must use it at least once.... however if you want to get paid for it (the incentive payment) you MUST put it on every medicare patient that qualifies under the measure.
 

ReginaR

Guest
Messages
39
Best answers
0
Hi. I starting doing PQRS in 2011. I am anxiously awaiting the 2011 payment. Has anyone gotten payment? Does anyone know of a way to check out within Medicare if the submitted claims were done properly?
 

maddismom

Guru
Messages
180
Best answers
0
It means that if you enroll in that measure you must use it at least once.... however if you want to get paid for it (the incentive payment) you MUST put it on every medicare patient that qualifies under the measure.
If that is so, where/when does the 50% reporting requirement come into play? It was my understanding you had to report on at least 50% of qualifying patients for reimbursement, not all. I'm just trying to clarify because it will make a difference on what we choose to report.
 

cblack712

Guest
Messages
109
Best answers
0
What it means is that if you choose to report you must do so accurately more than 50% of the time. In other words, if your doctor elects to participate in measure 10 for the stroke / stroke rehab (radiology) and reads 20 CT Head (70450) scans in a hospital setting (we will say that they are all CT Head w/o contrast - but they can do any qualifying cpt listed in the measure worksheet), and all 20 patients had a stroke or are experience stroke symptoms (again determined by the qualifying ICD-9 as listed on the worksheet) the coder would have to assign the appropriate PQRS code on a minimum of 11 of the patients for the physician to be considered accurately reporting.
Since CMS doesn't have a "form" to use to enroll in they consider a physician participating in a PQRS measure if they report a minimum of 1 qualifying patient with the appropriate measure codes.
Hope that makes sense - if not, let me know and I will try to explain it a little better
 

maddismom

Guru
Messages
180
Best answers
0
Thank you! I actually had investigated further and it actually started to make sense. Thanks again for your help!
 
Top