What is the reporting infrastructure associated with PQRS?
It is important to contact your coding and billing professionals and assure that your group is prepared to report PQRI measures. Physicians will report on these measures through a defined set of newly developed CPT II codes and modifiers (1P, 2P, 3P and 8P) or five digit HCPCS codes (called “G-Codes”) that are to be submitted on the usual CMS 1500 physician claim form in field 24D. Quality codes under CPT Category II may be reported concurrently with other service codes on either paper-based CMS 1500 claims or electronic 837-P claims, and should be reported with a charge amount of $0.00 or $0.01.
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