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audiologyquality.org

Measures

http://audiologyquality.org/measures

Physician Quality Reporting System. Eligible PQRS Measures for Audiologists. For complete measure specifications, visit the Centers for Medicare and Medicaid Services (CMS) website. Measure #130: Documentation of Current Medications in the Medical Record. Medication must be documented for a minimum of 50% of every eligible Medicare patient visit for hearing, tinnitus, or balance evaluations. 92541, 92542, 92543, 92544, 92545, 92547, 92548, 92557, 92567, 92568, 92570, 92585, 92588, 92626. Patients 12 year...

audiologyquality.org

Step 1: Review Patient Eligibility & Codes for Each Measure

http://audiologyquality.org/reporting-pqrs-measures/step-1

Physician Quality Reporting System. Step 1: Review Patient Eligibility & Codes for Each Measure. Is reportable via the CMS-1500 claim form. Or electronic equivalent) using Current Procedural Terminology (CPT) codes. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes. And codes specific for each measure. Indicate the procedure performed on the patient. Represent the measures’. The eligible patients for a measure) in conjunction with ICD-10-CM codes. Available...

audiologyquality.org

Reporting PQRS Measures

http://audiologyquality.org/reporting-pqrs-measures

Physician Quality Reporting System. Are reportable via the CMS-1500 claim form. Audiologists add Medicare directed codes to the claim form to report the measures to CMS. To report, you’ll need:. To know the CPT codes in the measures. Perform the actions of the measure. Include the appropriate CPT code on the claim form. Steps for Reporting PQRS Measures. The following 3-step reporting guide was developed by the AQC for audiologists:. Step 1: Review the codes for each measure. American Academy of Audiology.

audiologyquality.org

Adjustments/Appeals

http://audiologyquality.org/adjustments-appeals

Physician Quality Reporting System. The Patient Protection and Affordable Care Act. PPACA) transitioned the PQRS program from an incentive-based program to a penalty program for providers who do not participate or meet benchmarks set by the Centers for Medicare and Medicaid Services (CMS). CMS notifies Medicare providers by letter of their penalty status in the fall prior to the application of the 2% penalty which is applied in 2-year cycles. And select “Individual Eligible Professional.”. Enter your Leg...

audiologyquality.org

Resources

http://audiologyquality.org/resources

Physician Quality Reporting System. Several additional resources are available through the Centers for Medicare and Medicaid Services (CMS) website:. CMS-1500 Claim Form Sample. 2015 PQRS Implementation Guide. How to Get Started. PQRS Analysis and Payment – Info from CMS. Centers for Medicare and Medicaid Services (CMS). Physician Quality Reporting System (PQRS) – Info from CMS. Steps for Reporting PQRS Measures. Step 1: Review Patient Eligibility & Codes for Each Measure. Example: Reporting PQRS Measures.

audiologyquality.org

Physician Quality Reporting System

http://audiologyquality.org/about-pqrs

Physician Quality Reporting System. Physician Quality Reporting System. The Physician Quality Reporting System (PQRS) is a program through the Centers for Medicare and Medicaid Services. CMS) designed to improve the quality of care to Medicare beneficiaries by tracking practice patterns. Anywhere audiologists are billing with their individual NPI as the rendering provider of the service on the CMS 1500 claim form. The Group Practice Reporting Option. Physician(s) has enrolled with CMS in the GPRO option.

audiologyquality.org

Step 3: Meet CMS’ Minimum Reporting Requirements

http://audiologyquality.org/reporting-pqrs-measures/step-3

Physician Quality Reporting System. Step 3: Meet CMS’ Minimum Reporting Requirements. Medicare requires that eligible professionals report on at least 9 quality measures in 2016 for at least 50% of eligible patient visits (a professional’s Part B patients for whom the measure applies according to the measure frequency specification). If less than 9 measures are available for reporting, such as is the case for audiologists, Centers for Medicare and Medicaid Services. Steps for Reporting PQRS Measures.

audiologyquality.org

About AQC

http://audiologyquality.org/about-aqc

Physician Quality Reporting System. The Audiology Quality Consortium (AQC) is comprised of representatives from 10 audiology organizations:. American Academy of Audiology. Academy of Doctors of Audiology. Academy of Rehabilitative Audiology. American Academy of Private Practice in Speech Pathology and Audiology. Association of VA Audiologists. Directors of Speech and Hearing Programs in State Health and Welfare Agencies. National Hearing Conservation Association. AQC’s mission is to:. Directors of Speech...

audiologyquality.org

Step 2: Fill Out CMS-1500 Claim Form

http://audiologyquality.org/reporting-pqrs-measures/step-2

Physician Quality Reporting System. Step 2: Fill Out CMS-1500 Claim Form. A sample 1500 claim form. PDF] is available on the Centers for Medicare and Medicaid Services (CMS) website. CMS also has a sample claim form filled out for PQRS in Appendix D of its 2015 PQRS Implementation Guide. ICD-9/10 codes are placed in box 21. CPT codes are placed in box 24D. G-codes are placed in box 24D following the CPT codes of the procedures performed. Steps for Reporting PQRS Measures. Example: Reporting PQRS Measures.

audiologyquality.org

Example: Reporting PQRS Measures

http://audiologyquality.org/reporting-pqrs-measures/example-reporting-pqrs-measures

Physician Quality Reporting System. Example: Reporting PQRS Measures. A patient presents with a referral from internal medicine with a diagnosis of R42 (dizziness and giddiness). The audiologist performs, among other tests, a comprehensive audiology evaluation (92557). Step 1: Review Patient Eligibility Codes for Each Measure. CPT code 92557 is included in:. Measure #130: Documentation and Verification of Current Medications in the Medical Record. In addition to reporting on measure #261, you would also ...