1 / 35

PQRI Participation Options

PQRI Participation Options . Simple Steps to Collect and Report Quality Data to Earn a Medicare Bonus Payment July 15, 2008. 1. Basic Concept . Select quality measures that are important to your practice and patients

admon
Download Presentation

PQRI Participation Options

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PQRI Participation Options Simple Steps to Collect and Report Quality Data to Earn a Medicare Bonus Payment July 15, 2008 1

  2. Basic Concept • Select quality measures that are important to your practice and patients • Establish processes to systematically report the quality measures for each eligible patients • Reporting mainly done by including a quality code on claim • Receive feedback on extent to which patient got the recommended care described in the quality measure • Receive modest payment for effort • Use process to facilitate practice and patient care improvements 2

  3. PQRI Background; 2007 Program • Federal law enacted in December 2006 established PQRI • PQRI 2007 pays physicians 1.5% bonus for reporting quality measures July 1 – December 31, 2007 • Select up to three measures applicable to practice from a list of 74 and report on 80% of eligible encounters for each measure selected; internists generally have to report three measures • Report against measures on standard CMS claim form • CMS determines who reported successfully and pays bonus and provides reporting/performance score feedback in mid-2008 3

  4. Sample PQRI Quality Measure • Quality measure: LDL-C level in control (less than 100mg/dl) • Codes to report measure: • CPT II 3048F: Most recent LDL-C < 100 mg/dL; • CPT II 3049F: Most recent LDL-C 100-129 mg/dL; or • CPT II 3050F: Most recent LDL-C ≥ 130 mg/dL. • Can append modifier to indicate LDL not performed • Measure applies to beneficiaries with ICD-9 code indicating diabetes • Encounters on which to report measure are office, nursing facility, home, and domiciliary services • Reporting score is number of eligible patients/encounters divided by number of times reported measure 4

  5. Update on PQRI 2007 Status • Incentive payments for successful 2007 reporting issued mid-late July 2008 • Payments issued to Tax ID Number (TIN) for all associated physicians who earned bonus • Feedback reports available mid-late July that provide reporting/performance score for each individual, for group, and national averages for comparison • Individual physician or designated staff person needs to register with secure system to access confidential reports • CMS has mechanisms to help physicians with registration and receipt of reports 5

  6. PQRI 2008 Program • Congress passed December 2007 law continuing PQRI for 2008 • Includes many features of the 2007 PQRI program • Report codes for individual quality measures • Report on up to three individual measures for at least 80% of eligible encounters • Earn a 1.5% bonus • Additional changes/enhancements for 2008 PQRI • Expansion from 74 to 119 measures • Addition of two “structural measures” • Additional reporting options 6

  7. Why Participate in PQRI 2008 • Increase your ability to track patients with common conditions, e.g. through practice management systems, use of patient registries • Promote team care and identify team member roles and responsibilities • Collect clinical information at the point of care, as opposed to retrospective chart review • Reporting quality codes on claims involves minimal burden when systems in place 7

  8. Why Participate in PQRI 2008 • Learn about ability to routinely provide evidence-based care relevant to your patients • Receive modest payment • Gain experience in reporting and measuring against quality measures • Programs likely to continue, and even grow, for Medicare and private payers • PQRI experience to inform and be a component of broader quality improvement strategy 8

  9. Quality Reporting and the PCMH • ACP is a proponent of the Patient Centered Medical Home delivery model • Quality reporting and measurement is a component of the PCMH • Medicare and private payers are developing tests of the PCMH • Practice transformation is to be supported by enhanced payment • Potential for broader availability of incentives that could enable internists to pursue PCMH recognition 9

  10. 2008 Reporting Options Overview • Alternate reporting periods and criteria significantly increases participation/reporting options • January 1 - December 31, 2008 (12 months) • July 1 - December 31, 2008 (6 months) • Total of 9 PQRI reporting methods • 3 claims-based • 6 registry-based • Presentation focuses on claims-based options as most accessible to internists 10

  11. Claims-Based Options • Reporting period: January 1, 2008 – December 31, 2008 • Option 1 – Report individual quality measures; internists report on three quality measures for 80% of eligible patients • Reporting period: July 1, 2008 – December 31, 2008 • Option 2 – Report a measure group for 15 consecutive eligible patients • Option 3 – Report a measure group for 80% of eligible patients over the six month period 11

  12. Reporting Individual Quality Measures • If have reported on three individual quality measures through claims for the first half of 2008, continue to do so • If reported in 2007, use CMS reporting/performance feedback from that year to assess whether to adjust 2008 participation • CMS/AMA measure-specific “PQRI Data Collection Worksheets” are available at: http://www.ama-assn.org/ama/pub/category/17493.html • ACP coding tool template with seven measures common to general internal medicine available at: http://www.acponline.org/running_practice/quality_improvement/performance_measurement/pqri/coding_tool.htm • Bonus payment for full-year successful reporting is 1.5% of Medicare allowed charges over the 12 month reporting period 12

  13. Reporting Individual Quality Measures • It’s not to late to start reporting individual quality measures and hit the 80% threshold of eligible cases • Over 30 measures common to internal medicine practice need to be reported only once in the 12 month reporting period, including: diabetes; coronary heart disease; and some geriatrics measures • Requires a systematic way to identify those patients when they come in to the office • Could pick three diabetes measures, e.g. Hb A1c, LDL, blood pressure, or three screening measures, e.g. flu vaccine, pneumonia vaccine, and tobacco use inquiry • Assess whether patients eligible for selected measures have been seen in the office in the first six months of year/are likely to be seen in second half of the year 13

  14. Claims Options Available July 1; Measure Group Reporting • A measure group is a group of individual measures covering patients with a particular condition or preventive services • Report applicable measures in a measure group for 15 consecutive eligible beneficiaries; OR • Report applicable measures in a measure group for 80% of eligible beneficiaries during six-month reporting period • Can earn bonus even if failed to report on 15 consecutive beneficiaries • Provides a potentially more straightforward reporting method • Bonus payment for successful reporting is 1.5% of Medicare allowed charges over the six month reporting period 14

  15. Measure Groups • Four measure groups, with number of individual measure number in parentheses, are: • Diabetes Mellitus (5) • End Stage Renal Disease (4) • Chronic Kidney Disease (4) • Preventive Care (9) • A single set of codes (CPT and/or ICD-9) as well as specific age ranges make up the denominator for each measures group 15

  16. Reporting Measure Groups • Need to submit the measures group specific G-code, e.g. G8485 for diabetes group, to signal intent to report group • Submit measure group code on claim for first of 15 consecutive patients • Submit measure group code even if you plan to use the 80% of eligible measures group cases option • The appropriate quality measure code must be submitted for each individual measure in the group that applies to each eligible patient 16

  17. Determining if a Patient Fits a Group • Step 1 – Does the measure group apply? • Does the patient have the required denominator codes (CPT and/or ICD-9 codes) on the claim? • Does the patient fit into the listed age range? • Step 2 – Does the individual measure apply? • If the patient fits into the group but an individual measure does not apply due to age, gender, or diagnosis, you can choose not to report the measure OR report the measure with an exclusion modifier 17

  18. Diabetes Measure Group DM group includes quality measures, with CMS-assigned number on list of 119 measures in parentheses • Hb A1c Poor Control (1) • LDL Control (2) • High Blood Pressure Control (3) • Dilated Eye Exam (117) • Urine Screening for Microalbumin (119) All 5 measures apply to any patient who meets the denominator criteria—patient age 18-75 with a diagnosis of diabetes who comes in for an office visit 18

  19. Diabetes Measure Group 19

  20. Reporting Diabetes Measure Group • Report measure group specific G-code G8485 on first patient to signal intent to report a measures group 20

  21. Reporting Diabetes Measure Group • Uniformity of denominator criteria—age, diagnosis, and office encounter—make diabetes measure group an attractive option • ACP developing coding tool for diabetes measure group 21

  22. Preventive Care Measure Group Group includes quality measures, with CMS-assigned number on list of 119 measures in parentheses (numbers exceed 119 as CMS did not delete retired measure numbers) • Screening/Therapy for Osteoporosis in Women 65+ (39) • Assessment of Urinary Incontinence in Women aged 65+ (48) • Influenza Vaccination for Patients > 50 years old (110) • Pneumonia Vaccination for Patients 65 Years and Older (111) • Screening Mammography (112) • Colorectal Cancer Screening (113) • Inquiry Regarding Tobacco Use (114) • Advising Smokers to Quit (115) • Weight Screening and Follow-up (128) 22

  23. Preventive Care Measure Group 23

  24. Reporting Preventive Care Measure Group • Report measure group specific G-code G8486 on first patient to signal intent to report measures group • No diagnosis code limitation may make it easier to report consecutive patients • Number of applicable measures in the nine measure group varies by patient gender and age, for example: • Five measures apply to male patients 65-80 years old • Nine measures apply to female patients 65-69 • Eight measures apply to female patients 70-80 24

  25. Reporting Preventive Care Measure Group • For individual measures in the measures group that do not apply to a particular patient due to age or gender requirements, you do not have to report the measure (you will not be penalized for reporting it with an exclusion modifier) • ACP developing coding tool for preventive care measure group 25

  26. Additional Measure Group Info • The complete specifications for the four measure groups can be viewed on the CMS PQRI website at www.cms.hhs.gov/pqri. Click on the Measures/Codes tab on the left side of the page. 26

  27. Registry-Based Options • CMS will accept quality information reported from a clinical registry on behalf of physicians • Registries collect physician-submitted data, typically related to a clinical condition or specialty • Registry data can be used a number of ways to earn a PQRI bonus payment • Registry data for up to three individual measures for 80% of eligible encounters over the full year or last six months • It can be used for a measure group for 30 or 15 consecutive patient or 80% of measure group eligible cases • Nature and duration of reporting determines if bonus payment is equal to allowed charges for 12 or 6 months 27

  28. Which Registries Can Report Quality Data • CMS has asked existing registries to self nominate • CMS will announce registries it selects on its website by August 31 • CMS tested receiving quality data from registries such as: • National Cardiovascular Data Registry • American Osteopathic Association • Wisconsin Collaborative for Healthcare Quality • While CMS has yet to announce the registries that qualify, the testing provides an idea of the type of registries that will be able to report data • Relatively small number of internists likely have access to registry reporting option 28

  29. If You Submit Quality Data to a Registry • Contact the registry you use to see if it self-nominated to participate (deadline was May 31) • Inquire as to whether the registry believes it can meet the technical requirements to report to CMS • Express your interest in having your data submitted for purpose of PQRI 29

  30. Steps in Reporting Process • Select the measures/measure option you will use • Enlist team and assign roles and responsibilities • Put systems in place to facilitate reporting/quality improvement, e.g. registries, reminders, standing orders • Use a coding tool/worksheet • Attach a copy of the coding tool/worksheet to the super-bill to alert coder to enter appropriate quality codes • Coder verify patient eligibility, pertinent encounter, and correct quality codes 30

  31. Steps in Reporting Process • Include the NPI for each physician on claim • Keep a log of information for QI • Analyze your own data to improve as CMS unable to provide feedback until mid-2009 • Use experience to establish/refine systems aimed at improvement • Look for other opportunities and bonus payments in your market • Cultivate a positive environment for quality improvement 31

  32. ACP PQRI Resources to Aid Participation • Coding Tools 32

  33. ACP PQRI Resources to Aid Participation • Evidence behind measures through PIER decision support 33

  34. Internist Reporting Experience • At least one ACP member will discuss PQRI participation experience 34

  35. Questions/Feedback • Conference call question & answer period • Send questions after the forum to pqri@acponline.org • Provide feedback on the PQRI and this conference call forum at http://www.acponline.org/running_practice/practice_management/payment_coding/pqri.htm 35

More Related