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March 27, 2018

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More Than 30 Registries Qualify for 2008 PQRI Reporting

September 23, 2008:

Providers should determine which of 32 registries recently approved for quality reporting meets their specific needs.

The Centers for Medicare and Medicaid Services recently announced it has qualified the registries to submit quality data on behalf of their participants for the 2008 Physician Quality Reporting Initiative (PQRI) registry submission option. A list of each registry and its website is available at http://www.cms.hhs.gov/pqri. Once at the website, click on Reporting on the left-hand side of the page for the downloadable document.

To be approved, each of the registries had to undergo a thorough vetting process that included investigating their capabilities, reviewing a sample measure flow (this checks to see whether the registry calculates the measure’s reporting and performance rates correctly), and transmitting the required information in the requested file format. Providers should contact the registries on the list to determine to which registry they should report.

Practices currently submitting paper Medicare claims continue to submit the denominator codes as they currently do. All ICD-9-CM denominators are indicated in field 21, service codes in field 24D, and numerator codes in field 24D.

Practices submitting electronic claims using the 837p should verify that the numerator code, either a CPT category II or HCPCS level II G code, is placed in the SV101-2, Product/Service Line loop.

The service denominator is identified in the SV101-1 loop within the “Professional Services” segment of the claim. Diagnosis denominators are submitted in loop 2300 at the HI01 level; if there are multiple diagnoses, the denominators are entered in levels HI02–HI08 as necessary.


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