- Putting MIPS to the Test - (May 17, 2017)
We’ve provided these 6 ENT-specific measures that your practice can utilize to keep in compliance with MIPS requirements: #398: Optimal Asthma Control – Composite measure of the percentage of pediatric and adult patients whose asthma is well-controlled as demonstrated by [...]
- Reader Questions: Catch the Correct PQRS Codes for Cataract Surgery - (Apr 17, 2015)
Question: What will be the correct PQRS codes (Measure #193) for cataract surgery using MAC anesthesia that we report with code 00142? Kansas Subscriber Answer: You’ll need at least two codes on the claim whenever you report measure 193, except when [...]
- IOLs: Coding for AC/PC IOLs Read This First - (Aug 07, 2014)
You’ve got a little more work to do if your cataract patient wants more than the typical intraocular lens implant. As we noted in a previous issue (see “Simple Solutions for Complex Cataract Coding” in Ophthalmology Coding Alert Vol. 17, [...]
- Reader Question: Base Use of Exclusion Modifiers on the Encounter - (Apr 21, 2014)
Question: My physician is treating a patient for services where we are able to use the Physician Quality Reporting System (PQRS) ICD-9 code trigger. Which performance measure exclusion modifier do I use if the physician withholds aspirin from the patient due [...]
- Check Out This PQRS Pathology Summary - (Sep 09, 2013)
And see how to do your measure calculation. Pathologists have five possible measures they can report in 2013 for the Physician Quality Reporting System (PQRS). If you perform these services, failing to participate in PQRS can cost you, as you [...]
- Quality Measures: Get the Lowdown on Reporting Perioperative Temperature Management - (Feb 14, 2013)
If you don’t have documentation of criteria, turn to special modifiers. Perioperative temperature management is an important PQRI reporting option for anesthesia providers. Ensure that you’ve mastered the basics so you know when to report 4250F versus 4255F, or when [...]
- IOLs: V2632 Is Just the Start -- Look to V2787 and V2788 for Multifocal IOLs - (Mar 02, 2012)
Also: Expecting extra pay for new-technology intraocular lenses? Read this first. Cataract surgeries are a routine part of most ophthalmologic surgery practices, and intraocular lens (IOL) insertion is a routine part of most cataract surgeries. But a new generation of [...]
- Rely On P Modifiers to Earn PQRI Credit When No Data Is Collected - (Feb 01, 2011)
Here are 4 ways to avoid missing out on reporting measures. Your internist spots a patient measure that might Your internist spots a patient measure that might Your internist spots a patient measure that might Your internist spots a patient [...]
- Crack Your Ob-Gyn PQRI Measures With This Advice - (Oct 12, 2010)
Experts warn that learning modifiers might be the trickiest part If your ob-gyn If your ob-gyn practice wants to participate in the Physician Quality Reporting Initiative (PQRI), you-ll need to know what category II codes to report -- and when. [...]
- Reader Questions: Check Descriptors on Tough P Mod Calls - (Mar 26, 2010)
Question: A patient is brought to the ED via ambulance with acute myocardial infarction (AMI). The ED physician talks to the emergency medical technician (EMT), who reports that the patient "flat-out refused" any aspirin, but the patient could not catch [...]