Oncology Coding Article – Outpatient Prospective Payment System (OPPS)

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Medical Oncology Code Changes

ACOA’s Coding Corner – July 2007

Physician Quality Reporting Initiative (PQRI)

The Physician Quality Reporting Initiative (PQRI) establishes a financial incentive for eligible physicians and other healthcare professionals to participate in a voluntary quality reporting program. Eligible professionals who successfully report a designated set of quality measures on claims for dates of service from July 1 to December 31, 2007, may earn a bonus payment, subject to a cap, of 1.5% of total allowed charges for covered Medicare physician fee schedule services. The CMS PQRI webpage is located at:

http://www.cms.hhs.gov/PQRI/01_Overview.asp#TopOfPage

The PQRI codes will include a combination of Level II HCPCS ‘G’ codes developed by CMS and listed on the PQRI website and Category II CPT codes available from the AMA website:

 http://www.ama-assn.org/ama/pub/category/10616.html

This Coding and Reimbursement Update was prepared by:
Cindy C. Parman, CPC, CPC-H
Coding Strategies, Inc.

Phone: (877) 6CODING

Fax: (770) 445-0407

[email protected]
www.codingstrategies.com

Cindy C. Parman, CPC, CPC-Hcparman-9825877
principal and co-founder of Coding Strategies, Inc. in Atlanta, GA. Cindy is a current member of the Advisory Board for the American Academy of Professional Coders (AAPC) and a faculty instructor for AMA Solutions, a subsidiary of the American Medical Association.  She serves as the Consulting Editor of the Radiology Coding Alert and is on the Editorial Advisory Board of General Surgery Coding Alert and Pain Management Coding Alert.  

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