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pqri

  1. #1
    Location
    Melbourne, Florida
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    124
    Default pqri
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    Can any one tell me how to report PQRI measurement codes to Medicare? Are you entering them on a claim form? I know they are not considered for reimbursement..but must be reported. HOw is this done and also, is anyone submitting to the Medicare Replacement Plans?

    Thanks for any feedback!

    Denise
    Denise Gilrane-Pillow, CPB

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
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    Quote Originally Posted by Pillow1 View Post
    Can any one tell me how to report PQRI measurement codes to Medicare? Are you entering them on a claim form? I know they are not considered for reimbursement..but must be reported. HOw is this done and also, is anyone submitting to the Medicare Replacement Plans?

    Thanks for any feedback!

    Denise
    Yes they are submitted on a claim form. The measures must relate to a specific patient and the services they were receiving on that date of service.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default
    PQRI (S) is for straight Medicare. They do go on a claim form and they should be listed at the bottom of the claim.

    You have a couple of choices for how to report them.
    We are doing the one where you have to meet at least 3 measures.
    Our first year doing this we chose 3 of the easiest measures and sent them to all of our doctors, 10 radiologist and 3 interventional radiologist (Bone scans, Mammos, and PICCs)! It was not until we received our check we realized that we made a mistake because only 3 of our doctors placed PICCs so the other 10 doctors only reprted 2 measures all year. Don't make this mistake! It does go by each doctor!

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