PQRS

Each measure has different G Codes for reporting – each G code documents either eligibility for the measure or qualifies that chiropractic visit as ineligible. i. For the Pain Assessment measure, the following G codes are applicable: G8730, G8731, G8939, G8442, G8732, and G8509. For greater detail on chiropractic billing codes, decision making tool (which […]

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Medicare evaluates these measurements for any Medicare chiropractic  patient seen who is 18+ years of age. In order to be considered successful in reporting measures for 2013, Medicare requires 50% compliance with submitting the G codes for the measures for all Medicare chiropractic visits for patients 18+. Medicare provides numerators/denominators for each measure. For example, […]

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For 2013, there are 2 applicable PQRS measures for Chiropractors to perform: #131 Pain Assessment and Follow-up and #182 Functional Outcome Assessment. The ACA provides fantastic information guides on each of these measures and are currently available at these links: http://www.acatoday.org/pdf/2013Toolkit1.pdf http://www.acatoday.org/pdf/2013Toolkit2.pdf.  If you had been reporting in 2012, please note that measure #124 for […]

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There are different reasons why a chiropractor may decide to submit PQRS measure information. Medicare points out specific financial bonuses and penalties associated with a chiropractor participating or not participating. I do not recommend a chiropractor participating in PQRS solely because of financial reasons, because the cost a typical office would see for the additional work […]

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PQRS stands for Physician Quality Reporting System. According to Medicare.gov, it is a “…voluntary program that allows physicians (includes chiropractors) and healthcare professionals to report information to Medicare about the quality of care (chiropractic adjustements) they provide to Medicare who have certain medical conditions (chiropractic subluxations). The 2006 Tax Relief and Health Care Act required the establishment […]

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There are two ways Medicare has provided for a chiropractor receiving information on PQRS measure success: i. Providers may call their Medicare carrier to obtain PQRS feedback reports. A nationwide listing of Medicare contact centers is available at the link below: http://www.cms.hhs.gov/MLNProducts/Downloads/CallCenterTollNumDirectory.zip ii. Providers may use a web-based PQRS portal to access feedback reports: https://www.qualitynet.org/portal/server.pt/community/pqri_home/212

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