- 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 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 [...]
- 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 [...]
- 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 [...]
- P Modifier Rescues Those 'Not Quite' PQRI Encounters - (Jan 19, 2010)
Medicare will still accept these patients toward PQRI total. Your gastroenterologist performs a service for a patient with hepatitis C that might qualify for the physician quality reporting initiative (PQRI). However, the patient refuses the proscribed PQRI treatment, saying they [...]
- Use P Modifiers When Measure Is Not Met - (Jan 07, 2010)
Medicare will still accept these patients toward PQRI total. Your ED performs a measure that might qualify for the physician quality reporting initiative (PQRI): however, the patient refuses the described PQRI treatment for religious reasons. What to do: Report the [...]
- Never Surrender: Use P Modifier When PQRI Measure Is Not Met - (Jan 01, 2010)
Remember, noncompliant patients are PQRI people, too. Your family physician (FP) performs a measure that might qualify for the physician quality reporting initiative (PQRI): however, the patient refuses the described PQRI treatment for religious reasons. Action: Report the measure as [...]
- PQRI: Save Time -- Home In on Cardiology Specific Measures - (Mar 03, 2009)
Is Medicare the secondary payer? Watch for this common mistake. Pay-for-performance is not going away, and PQRI is an opportunity to establish a data capture plan now so your future transitions will be even easier. Thats the word from a [...]
- PQRI Update: Share in Bonus Payment With 3 New Ophthalmic Measures - (Jan 27, 2009)
When you don't meet the measure, P modifier ensures compliance. Optometrists who want to recoup a bonus from Medicare can choose to participate in the Physician Quality Reporting Initiative (PQRI) again -- this time with a higher rate of return. The [...]
- You Be the Coder: PQRI and P Modifiers - (Jul 26, 2008)
Question: Our ED is reporting for the Physician Quality Reporting Initiative (PQRI). One of the measures we are coding for is No. 28: Aspirin at Arrival for Acute Myocardial Infarction (AMI). Recently one of our physicians provided 46 minutes of [...]