CMS' Physician Quality Reporting Initiative (Webcast)
Strategies for Success
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Product Description:
WEBCAST ON CD
Sponsored by HCPro’s Medicare Boot Camp: Physician Services Version
presented on May 22, 2007
Did you know you can earn a payment incentive from the government for taking extra steps to report good clinical data in your claims?
CMS is doing outreach to provide education about its physician quality reporting initiative (PQRI), an effort designed to improve the quality of documentation physicians use to report data on administrative claims. This optional program is a lead-in for a much larger initiative—pay-for-performance programs that are sure to appear in the future, especially in the commercial market.
PQRI is a quality reporting initiative that includes a payment component. By participating in this program, you’ll learn how to review and analyze your data, track improvement, report performance rates. And the bonus is the additional payment incentive.
Listen to this intermediate-level program, and learn what it takes to be a PQRI participant. In addition to detailing the program, our speakers also discuss what the American Academy of Family Physicians (AAFP) did to promote the program, develop tools, and assist their members in order to improve processes and information flow in their offices.
NOTE:
Purchasers may gain the most benefit from this Webcast if they review the information on CMS’s physician quality reporting initiative Web page along with the program. You can access the page at http://www.cms.hhs.gov/pqri/.
TAKE A LOOK AT OUR AGENDA
- CMS’ initiative and progress toward pay for performance: The details of the PQRI program and how it works
- How and why PQRI was created
- Implementation goals
- Design considerations, e.g., reporting and bonus payments
- Quality measures: What they are and how to report them
- Planning for 2008
- Case study: How one organization has worked with the PQRI program
- Changes in the office organization: Process and flow issues, such as prospective vs. retrospective chart review
- Sample tools for maximizing efficiency
- Helpful resources on the CMS Web site
- Suggestions for improvement and doing your own tracking and analysis
A question and answer session follows the presentation.
At the end of the Webcast, you will be able to:
- Discuss how to be successful in the program
- Demonstrate what to do in your office to maximize efficiency with PQRI
- Indicate where the PQRI program might be headed in 2008—and beyond
- Illustrate how to the minimize the burden within practice-based care delivery
MEET THE SPEAKERS
Thomas B. Valuck, MD, MHSA, JD, Medical Officer and Senior Advisor to Herb Kuhn, Acting Deputy Administrator of the Centers for Medicare & Medicaid Services (CMS). Dr. Valuck advises Mr. Kuhn on clinical and policy issues related to Medicare's payment systems and quality initiatives, particularly pay for performance. He was recently named director of CMS' new special program office of value-based purchasing, which is responsible for the implementation of Medicare physician and hospital pay-for-performance initiatives.
Bruce Bagley, MD, is the Medical Director for Quality Improvement for the American Academy of Family Physicians (AAFP) and is responsible for liaison work with other national organizations in the quality arena and active participation in the development, deployment and implementation of performance measures. He provides clinical oversight for quality improvement programs and products developed by the AAFP. Dr. Bagley has spoken extensively on the topics of performance measurement, office redesign, electronic health records and leadership.
WHO SHOULD LISTEN?
Billing office managers; patient financial services directors and managers; revenue cycle directors and managers; HIM directors, managers, and coders; and corporate compliance directors and managers in physician practices and affiliated hospitals, critical access hospitals, and ambulatory surgery centers. Note: CMS will only be able to accept quality codes that are submitted to carriers/Medicare Administrative Contractors (MACs).
Purchase a CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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