Frequently Asked Questions

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FAQ

What simple steps can I take to submit Physician Quality Reporting System (PQRI) quality measures data on claims?

Take the following steps to begin claims-based reporting for Physician Quality Reporting: 1). Use the measure specifications to identify measures applicable for professional services you routinely provide. 2). Select those measures that make sense based upon prevalence and volume in your practice as well as your individual or practice performance analysis and improvement priorities. 3). Review the measures that you have selected to become familiar with how to apply and correctly code the measures. 4). Refer to the Physician Quality Reporting System Implementation Guide for more detailed information and reporting tips at http://www.cms.gov/PQRS/15_MeasuresCodes.asp. 5). Access data collection worksheets on the American Medical Association's (AMA) website (http://www.ama-assn.org/ama) to help you implement Physician Quality Reporting in your practice. 6) Ensure that your billing software and clearinghouse can correctly submit Physician Quality Reporting quality-data codes (QDCs) on your behalf to the carrier. 7) Regularly review the Remittance Advice Notice you receive from the Carrier/Medicare Administrative Contractor (MAC) to ensure the denial remark code N365 is listed for each QDC submitted.

Reference: http://www.cms.gov/PQRS/30_EducationalResources.asp
(FAQ2235)

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