PQRs measure 113 Preventative Care and screening: Colorectal Cancer screening 3017F Colorectal cancer screening results documented and reviewed 3017F-1P Colorectal cancer screening not performed for medical reasons 3017F-8P Colorectal cancer screening results not documented and reviewed, reason not specified ExAMPLE 1 Colorectal cancer screening performed as a preventive care service: ExAMPLE 2 Blood pressure status 3074F . . . . . . . . Performed systolic BP <130 mm Hg. 3075F. . . . . . . . Performed systolic BP = 130- 139mm Hg. 3077F . . . . . . . . Performed systolic BP >= 140 mm Hg. 3078F. . . . . . . . Performed diastolic BP < 80 mm Hg. 3079F. . . . . . . . Performed diastolic BP = 80 - 89 mm Hg. 3080F. . . . . . . . Performed diastolic BP >= 90 mm Hg. either a positive or negative payment adjustment to a practice, depending on the results reported through the Physician Quality Reporting system (PQRs). such payments will occur in 2015. PCmH payment opportunities vary by health plan and by state. most payors limit eligibility for such payments to primary care practices, but some specialists have argued that they are able to serve as medical homes. additionally, specific requirements are variable; they may simply be limited to showing the receipt of PCmH recognition by a certification organization, or they may require quality measure results reporting, participation in an DID YOU KNOW? If you became a member of HBMA today, you could have a new client by next month. Don’t miss being part of HBMA’s new Professional Billing Service Locator Program. We will submit a list of HBMA medical billing organizations for providers to contact – one could be you! Fill out the Request for Information (RFI) form NOW. But you have to be a member! Renew right now TODAY to receive unlimited online education for SIX MONTHS starting now! + www.hbma.org/renew Or toll free 877.640.4262 or info@hbma.org THe jOuRnal OF THe HealTHCaRe BIllIng anD managemenT assOCIaTIOn 17
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