Guest guest Posted January 10, 2010 Report Share Posted January 10, 2010 This has to be submitted by tomorrow. It is a way to submit PQRI and its error free, unlike attached to claims where that has been frought with errors. The ABFM acts as an intermediary here, as a registry. You have to review consecutive patients until you get 30 diabetics and at least 2 have to have traditional Medicare. Those are the only requirements. I started with the beginning of October myself and did it retroactively and had to go into the beginning of November until I hit my 30th diabetic. I easily met the 2 Medicare. You submit just the info being screened for, deidentified but need to keep the originals as 3% of people will be audited for accuracy. You then get a report on how you compared to your peers. The basic questions are Hgb A1C in past year? > 9%? Cholesterol screened in past year? LDL < 100?  BP checked in last year? Latests BP readings Sys < 140? Dias > 90? And a few questions on screening for CKD and use of ACE or ARB. Documentaiton of eye exam. Documentation of foot exam: visual, monofilament and pulses. Done. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Myria Sent: Saturday, January 09, 2010 6:02 PM To: Subject: Re: RE: PQRI I'm lost. Kathy Is this something I can do tomorrow? What, where and how? From: To: Sent: Sat, January 9, 2010 4:28:50 PM Subject: Re: RE: PQRI duh what if you do nothave 30 diabetics? On Sat, Jan 9, 2010 at 4:26 PM, Kathy Saradarian <qualityfphughes (DOT) net> wrote: I never got around to doing it that way and it's very easy through the board. So now 2 days before deadline, I can submit and get my bonus. The other, you have to plan ahead so you remember to send it on 80% of all claims. Kathy Saradarian New Jersey Practice Partner - EMR since 2003 Staff Light - Solo Practice On Jan 9, 2010, Pratt <karen.oaktree@ comcast.net> wrote: Kathy, Why aren’t you reporting the PQRI measures on your claims? I don’t know if your EMR will allow you to “link†the PQRI codes to the diagnosis codes (which is what we do). It took Steve about an hour to set it up in our system 2 years ago. Now every time he sees a patient that has a dx that has a PQRI code attached to it, the code goes on the claim and we get paid automatically from Medicare (separate check) when they make PQRI payments. We only got $200 for 2008, but just over $600 for 2009. It just takes him a couple extra “clicks†during the visit note to capture those charges. Food for thought… Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd. info Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimprovement 1yahoogroups (DOT) com] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 4:44 AM To: 'Practice Management Issues' Cc: Practiceimprovement 1yahoogroups (DOT) com Subject: [Practiceimprovemen t1] PQRI Last night I did my PQRI reporting through the module at the ABFM. They only have diabetes, although I thought I had been told there were other modules. You just have to report 30 consecutively seen diabetic patients for any time period in 2009. It took me about 3 hours. It would have been shorter if I didn’t have to be fancy and use the PDF form from the website. I kept accidentally overwriting my previous patient, losing count and having to go back and do it again. Once I got my routine down, it was pretty smooth. I might get me only about $600. But if you do more Medicare, it might be more worth the effort. Also, it is up from 2% this year to 3% I think. Kathy Saradarian, MD Branchville, NJ -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2010 Report Share Posted January 10, 2010 , My EMR can do it fine. I just heard a lot of people were submitting all those codes on the claims and would be denied for one reason or another for missing data, etc. NO record of their reporting, things like that. So I didn’t bother doing it. But then I heard of this free registry available through the Board, which you can then turn into a Part IV project, and figured it was well worth the couple of hours it took me to try to get paid a couple of hundred bucks. From: [mailto: ] On Behalf Of Pratt Sent: Saturday, January 09, 2010 4:45 PM To: Subject: RE: RE: PQRI Gotcha. We just do it on all claims automatically. Sometimes the expensive EMR is worth it J Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 1:27 PM To: Subject: Re: RE: PQRI I never got around to doing it that way and it's very easy through the board. So now 2 days before deadline, I can submit and get my bonus. The other, you have to plan ahead so you remember to send it on 80% of all claims. Kathy Saradarian New Jersey Practice Partner - EMR since 2003 Staff Light - Solo Practice On Jan 9, 2010, Pratt wrote: Kathy, Why aren’t you reporting the PQRI measures on your claims? I don’t know if your EMR will allow you to “link” the PQRI codes to the diagnosis codes (which is what we do). It took Steve about an hour to set it up in our system 2 years ago. Now every time he sees a patient that has a dx that has a PQRI code attached to it, the code goes on the claim and we get paid automatically from Medicare (separate check) when they make PQRI payments. We only got $200 for 2008, but just over $600 for 2009. It just takes him a couple extra “clicks” during the visit note to capture those charges. Food for thought… Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 4:44 AM To: 'Practice Management Issues' Cc: Subject: PQRI Last night I did my PQRI reporting through the module at the ABFM. They only have diabetes, although I thought I had been told there were other modules. You just have to report 30 consecutively seen diabetic patients for any time period in 2009. It took me about 3 hours. It would have been shorter if I didn’t have to be fancy and use the PDF form from the website. I kept accidentally overwriting my previous patient, losing count and having to go back and do it again. Once I got my routine down, it was pretty smooth. I might get me only about $600. But if you do more Medicare, it might be more worth the effort. Also, it is up from 2% this year to 3% I think. Kathy Saradarian, MD Branchville, NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2010 Report Share Posted January 10, 2010 This method of reporting is not time based. It’s 30 patients. The don’t submit the data if it’s not “completed”. From: [mailto: ] On Behalf Of Pratt Sent: Saturday, January 09, 2010 4:46 PM To: Subject: RE: RE: PQRI If you have at least 15, then you report only for the last 6 months of the year and you can still qualify. If you don’t have 15 diabetics, then I guess you are out of luck L Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Jean Antonucci Sent: Saturday, January 09, 2010 1:29 PM To: Subject: Re: RE: PQRI duh what if you do nothave 30 diabetics? On Sat, Jan 9, 2010 at 4:26 PM, Kathy Saradarian wrote: I never got around to doing it that way and it's very easy through the board. So now 2 days before deadline, I can submit and get my bonus. The other, you have to plan ahead so you remember to send it on 80% of all claims. Kathy Saradarian New Jersey Practice Partner - EMR since 2003 Staff Light - Solo Practice On Jan 9, 2010, Pratt wrote: Kathy, Why aren’t you reporting the PQRI measures on your claims? I don’t know if your EMR will allow you to “link” the PQRI codes to the diagnosis codes (which is what we do). It took Steve about an hour to set it up in our system 2 years ago. Now every time he sees a patient that has a dx that has a PQRI code attached to it, the code goes on the claim and we get paid automatically from Medicare (separate check) when they make PQRI payments. We only got $200 for 2008, but just over $600 for 2009. It just takes him a couple extra “clicks” during the visit note to capture those charges. Food for thought… Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 4:44 AM To: 'Practice Management Issues' Cc: Subject: PQRI Last night I did my PQRI reporting through the module at the ABFM. They only have diabetes, although I thought I had been told there were other modules. You just have to report 30 consecutively seen diabetic patients for any time period in 2009. It took me about 3 hours. It would have been shorter if I didn’t have to be fancy and use the PDF form from the website. I kept accidentally overwriting my previous patient, losing count and having to go back and do it again. Once I got my routine down, it was pretty smooth. I might get me only about $600. But if you do more Medicare, it might be more worth the effort. Also, it is up from 2% this year to 3% I think. Kathy Saradarian, MD Branchville, NJ -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2010 Report Share Posted January 11, 2010 We haven’t had any trouble with reporting them on claims. We only report on Medicare and HMO patients, though. We do have to put in a $1 charge on our HMO patients because their system can’t handle a $0.00 invoice amount for a CPT. Then we have to write it off. We’re only reporting on the HMO Medicare patients, thought, so not too many. Steve is IM, so we’re not ABFM members – ACP instead. J Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 4:47 PM To: Subject: RE: RE: PQRI , My EMR can do it fine. I just heard a lot of people were submitting all those codes on the claims and would be denied for one reason or another for missing data, etc. NO record of their reporting, things like that. So I didn’t bother doing it. But then I heard of this free registry available through the Board, which you can then turn into a Part IV project, and figured it was well worth the couple of hours it took me to try to get paid a couple of hundred bucks. From: [mailto: ] On Behalf Of Pratt Sent: Saturday, January 09, 2010 4:45 PM To: Subject: RE: RE: PQRI Gotcha. We just do it on all claims automatically. Sometimes the expensive EMR is worth it J Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 1:27 PM To: Subject: Re: RE: PQRI I never got around to doing it that way and it's very easy through the board. So now 2 days before deadline, I can submit and get my bonus. The other, you have to plan ahead so you remember to send it on 80% of all claims. Kathy Saradarian New Jersey Practice Partner - EMR since 2003 Staff Light - Solo Practice On Jan 9, 2010, Pratt <karen.oaktreecomcast (DOT) net> wrote: Kathy, Why aren’t you reporting the PQRI measures on your claims? I don’t know if your EMR will allow you to “link” the PQRI codes to the diagnosis codes (which is what we do). It took Steve about an hour to set it up in our system 2 years ago. Now every time he sees a patient that has a dx that has a PQRI code attached to it, the code goes on the claim and we get paid automatically from Medicare (separate check) when they make PQRI payments. We only got $200 for 2008, but just over $600 for 2009. It just takes him a couple extra “clicks” during the visit note to capture those charges. Food for thought… Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Kathy Saradarian Sent: Saturday, January 09, 2010 4:44 AM To: 'Practice Management Issues' Cc: Subject: PQRI Last night I did my PQRI reporting through the module at the ABFM. They only have diabetes, although I thought I had been told there were other modules. You just have to report 30 consecutively seen diabetic patients for any time period in 2009. It took me about 3 hours. It would have been shorter if I didn’t have to be fancy and use the PDF form from the website. I kept accidentally overwriting my previous patient, losing count and having to go back and do it again. Once I got my routine down, it was pretty smooth. I might get me only about $600. But if you do more Medicare, it might be more worth the effort. Also, it is up from 2% this year to 3% I think. Kathy Saradarian, MD Branchville, NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2010 Report Share Posted January 11, 2010 We were paid in October or November (Medicare’s fiscal year ends 9/30) by submitting on claims. It was over $600. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Dr Levin Sent: Saturday, January 09, 2010 6:34 PM To: Subject: Re: RE: PQRI Let us know if you get paid? Can this be done for 2010? Matt in Western PA PQRI Last night I did my PQRI reporting through the module at the ABFM. They only have diabetes, although I thought I had been told there were other modules. You just have to report 30 consecutively seen diabetic patients for any time period in 2009. It took me about 3 hours. It would have been shorter if I didn’t have to be fancy and use the PDF form from the website. I kept accidentally overwriting my previous patient, losing count and having to go back and do it again. Once I got my routine down, it was pretty smooth. I might get me only about $600. But if you do more Medicare, it might be more worth the effort. Also, it is up from 2% this year to 3% I think. Kathy Saradarian, MD Branchville, NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 Also, is it straight Medicare patients or including private Medicare plans???? What if I have only 20 diabetics with straight Medicare, is it worth it to do the filing? Will I be paid? J. Conner, M.D. 211 West s St s, N.C. 28105 From: [mailto: ] On Behalf Of Sent: Tuesday, January 12, 2010 10:23 AM To: Subject: Re: Re: PQRI ok so maybe I have to think bout this Kathy and what is the difference between abfm and docSite besides money? Has anyone looked at both please ? If ABFM is free but takes lots more hours then 250-350 is worth it IF docSite is more global than that makes it worth it If ABFM does appreciably the same then ABFM makes more sense Who knows? I am completley in the dark about PQRI I am only interested as ARRA comes along- and it could be that my EMR is going to offer up some way to submit also My impression was that docSite offered a registry- which to me translates into lots and lots of time inputtin data thanks Jean On Tue, Jan 12, 2010 at 10:17 AM, Kathy Saradarian <qualityfphughes (DOT) net> wrote: It’s the ABFM and it’s free unless you are using it for Part IV criteria for your Board requirements and then there is a fee. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Will Conner Sent: Tuesday, January 12, 2010 9:56 AM To: Subject: RE: Re: PQRI Can we do this without paying a fee when we use the AAFP or AFM web-site? J. Conner, M.D. 211 West s St s, N.C. 28105 Note: Privileged/confidential information may be contained in this message and may be subject to legal privilege. Access to this e-mail by anyone other than the intended is unauthorised. If you are not the intended recipient (or responsible for delivery of the message to such person), you may not use, copy, distribute or deliver to anyone this message (or any part of its contents ) or take any action in reliance on it. In such case, you should destroy this message, and notify us immediately. If you have received this e-mail in error, please notify us immediately by e-mail or telephone and delete the e-mail from any computer. From: [mailto: ] On Behalf Of Sent: Tuesday, January 12, 2010 8:55 AM To: Subject: Re: Re: PQRI thanks I am working my way up to this . I remember Gordon tried to introduce the first IMPs to doc Site. Does doc site provide Valium? Will you need extra visits with RAmona when I complain? AH this could be good for Ramona if I do PQRI! Jean On Tue, Jan 12, 2010 at 8:50 AM, Haughton MD, MS <jhaughtondocsite> wrote: is right – it appears that PQRI (and its ability to report structured clinical data – either directly or as numerator / denominator info is a key part of health reform / payment reform – paying based on quality, cost [ risk adjusted expected vs observed gainsharing on top of fee for service? ] and patient satisfaction – which should put the IMP practices in good stead (vs current system of paying fully for volume of service). Regarding my offer for PQRI @ $250 a user and trust and is it worth it: 1) Ramona Seidel is my physician 2) I’ve been working with Gordon and others for about a dozen years, trying to make scalable quality healthcare a reality 3) Some IMPs have used docSite’s old system – its registry (which is a core, core part of our current and ongoing offering that can augment an EMR/ EHR or act as an EMR/EHR for meaningful use payments) Regarding is PQRI worth it – If you don’t have about $50,000 of medicare billing, it really may not be worth the hassle. BUT, whether through AAFP (for Diabetes) or DocSite (for prevention or diabetes or other) or another program (there are about 70 options out there this year) --- it should take about 2 or 3 hours to accomplish the activities associated with collecting, and submitting data on 30 consecutive patients. In 2008, we had many primary care physicians who received as much as a few thousand $. Many received $800-$1500. Some surgeons received as much as $15K or $20K. In short if you are doing Diabetes – use the AAFP site. If you are doing prevention and want to use a system run by a physician who cares about quality, feel free to use the discount code I put in the last e-mail ThankYou08 to make the cost $250 instead of $350. Thanks – Haughton MD, MS Chair / CMO office: mobile: fax: Raleigh | polis www.docsite.com Don’t miss the opportunity to earn a bonus payment of up to 2% of your total allowed Medicare charges from 2009! DocSite PQRI makes it simple – click here to learn more. -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 I would recommend claims-based reporting for 2010, since we’re at the beginning of the year. It takes very little time to add the codes to your outbound claims and is FREE. Steve has a cheat sheet on his desk with about 20 or 30 codes on it; he simply adds the code at the end of the visit and it goes out on the claim for that visit. I’d estimate it takes him less than 30 seconds per patient to do this. That’s a maximum amount of time spent of 15 minutes per 30 patients. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Will Conner Sent: Tuesday, January 12, 2010 6:56 AM To: Subject: RE: Re: PQRI Can we do this without paying a fee when we use the AAFP or AFM web-site? J. Conner, M.D. 211 West s St s, N.C. 28105 Note: Privileged/confidential information may be contained in this message and may be subject to legal privilege. Access to this e-mail by anyone other than the intended is unauthorised. If you are not the intended recipient (or responsible for delivery of the message to such person), you may not use, copy, distribute or deliver to anyone this message (or any part of its contents ) or take any action in reliance on it. In such case, you should destroy this message, and notify us immediately. If you have received this e-mail in error, please notify us immediately by e-mail or telephone and delete the e-mail from any computer. From: [mailto: ] On Behalf Of Sent: Tuesday, January 12, 2010 8:55 AM To: Subject: Re: Re: PQRI thanks I am working my way up to this . I remember Gordon tried to introduce the first IMPs to doc Site. Does doc site provide Valium? Will you need extra visits with RAmona when I complain? AH this could be good for Ramona if I do PQRI! Jean On Tue, Jan 12, 2010 at 8:50 AM, Haughton MD, MS <jhaughtondocsite> wrote: is right – it appears that PQRI (and its ability to report structured clinical data – either directly or as numerator / denominator info is a key part of health reform / payment reform – paying based on quality, cost [ risk adjusted expected vs observed gainsharing on top of fee for service? ] and patient satisfaction – which should put the IMP practices in good stead (vs current system of paying fully for volume of service). Regarding my offer for PQRI @ $250 a user and trust and is it worth it: 1) Ramona Seidel is my physician 2) I’ve been working with Gordon and others for about a dozen years, trying to make scalable quality healthcare a reality 3) Some IMPs have used docSite’s old system – its registry (which is a core, core part of our current and ongoing offering that can augment an EMR/ EHR or act as an EMR/EHR for meaningful use payments) Regarding is PQRI worth it – If you don’t have about $50,000 of medicare billing, it really may not be worth the hassle. BUT, whether through AAFP (for Diabetes) or DocSite (for prevention or diabetes or other) or another program (there are about 70 options out there this year) --- it should take about 2 or 3 hours to accomplish the activities associated with collecting, and submitting data on 30 consecutive patients. In 2008, we had many primary care physicians who received as much as a few thousand $. Many received $800-$1500. Some surgeons received as much as $15K or $20K. In short if you are doing Diabetes – use the AAFP site. If you are doing prevention and want to use a system run by a physician who cares about quality, feel free to use the discount code I put in the last e-mail ThankYou08 to make the cost $250 instead of $350. Thanks – Haughton MD, MS Chair / CMO office: mobile: fax: Raleigh | polis www.docsite.com Don’t miss the opportunity to earn a bonus payment of up to 2% of your total allowed Medicare charges from 2009! DocSite PQRI makes it simple – click here to learn more. -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 My understanding is that if you do it claims-based, that is report on each claim that you submit, and you report on at least 15 patients in the last 6 months of the year, then you will qualify. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Will Conner Sent: Tuesday, January 12, 2010 9:32 AM To: Subject: RE: Re: PQRI Also, is it straight Medicare patients or including private Medicare plans???? What if I have only 20 diabetics with straight Medicare, is it worth it to do the filing? Will I be paid? J. Conner, M.D. 211 West s St s, N.C. 28105 From: [mailto: ] On Behalf Of Sent: Tuesday, January 12, 2010 10:23 AM To: Subject: Re: Re: PQRI ok so maybe I have to think bout this Kathy and what is the difference between abfm and docSite besides money? Has anyone looked at both please ? If ABFM is free but takes lots more hours then 250-350 is worth it IF docSite is more global than that makes it worth it If ABFM does appreciably the same then ABFM makes more sense Who knows? I am completley in the dark about PQRI I am only interested as ARRA comes along- and it could be that my EMR is going to offer up some way to submit also My impression was that docSite offered a registry- which to me translates into lots and lots of time inputtin data thanks Jean On Tue, Jan 12, 2010 at 10:17 AM, Kathy Saradarian <qualityfphughes (DOT) net> wrote: It’s the ABFM and it’s free unless you are using it for Part IV criteria for your Board requirements and then there is a fee. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Will Conner Sent: Tuesday, January 12, 2010 9:56 AM To: Subject: RE: Re: PQRI Can we do this without paying a fee when we use the AAFP or AFM web-site? J. Conner, M.D. 211 West s St s, N.C. 28105 Note: Privileged/confidential information may be contained in this message and may be subject to legal privilege. Access to this e-mail by anyone other than the intended is unauthorised. If you are not the intended recipient (or responsible for delivery of the message to such person), you may not use, copy, distribute or deliver to anyone this message (or any part of its contents ) or take any action in reliance on it. In such case, you should destroy this message, and notify us immediately. If you have received this e-mail in error, please notify us immediately by e-mail or telephone and delete the e-mail from any computer. From: [mailto: ] On Behalf Of Sent: Tuesday, January 12, 2010 8:55 AM To: Subject: Re: Re: PQRI thanks I am working my way up to this . I remember Gordon tried to introduce the first IMPs to doc Site. Does doc site provide Valium? Will you need extra visits with RAmona when I complain? AH this could be good for Ramona if I do PQRI! Jean On Tue, Jan 12, 2010 at 8:50 AM, Haughton MD, MS <jhaughtondocsite> wrote: is right – it appears that PQRI (and its ability to report structured clinical data – either directly or as numerator / denominator info is a key part of health reform / payment reform – paying based on quality, cost [ risk adjusted expected vs observed gainsharing on top of fee for service? ] and patient satisfaction – which should put the IMP practices in good stead (vs current system of paying fully for volume of service). Regarding my offer for PQRI @ $250 a user and trust and is it worth it: 1) Ramona Seidel is my physician 2) I’ve been working with Gordon and others for about a dozen years, trying to make scalable quality healthcare a reality 3) Some IMPs have used docSite’s old system – its registry (which is a core, core part of our current and ongoing offering that can augment an EMR/ EHR or act as an EMR/EHR for meaningful use payments) Regarding is PQRI worth it – If you don’t have about $50,000 of medicare billing, it really may not be worth the hassle. BUT, whether through AAFP (for Diabetes) or DocSite (for prevention or diabetes or other) or another program (there are about 70 options out there this year) --- it should take about 2 or 3 hours to accomplish the activities associated with collecting, and submitting data on 30 consecutive patients. In 2008, we had many primary care physicians who received as much as a few thousand $. Many received $800-$1500. Some surgeons received as much as $15K or $20K. In short if you are doing Diabetes – use the AAFP site. If you are doing prevention and want to use a system run by a physician who cares about quality, feel free to use the discount code I put in the last e-mail ThankYou08 to make the cost $250 instead of $350. Thanks – Haughton MD, MS Chair / CMO office: mobile: fax: Raleigh | polis www.docsite.com Don’t miss the opportunity to earn a bonus payment of up to 2% of your total allowed Medicare charges from 2009! DocSite PQRI makes it simple – click here to learn more. -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 With the PQRI through the ABFM, you need 30 diabetics, period. Only 2 have to be on Medicare and not Medicare Advantage. Other registries I don’t know. I am assuming these rules are universal to the method of reporting, not the who of reporting but I hate to assume. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Will Conner Sent: Tuesday, January 12, 2010 12:32 PM To: Subject: RE: Re: PQRI Also, is it straight Medicare patients or including private Medicare plans???? What if I have only 20 diabetics with straight Medicare, is it worth it to do the filing? Will I be paid? J. Conner, M.D. 211 West s St s, N.C. 28105 From: [mailto: ] On Behalf Of Jean Antonucci Sent: Tuesday, January 12, 2010 10:23 AM To: Subject: Re: Re: PQRI ok so maybe I have to think bout this Kathy and what is the difference between abfm and docSite besides money? Has anyone looked at both please ? If ABFM is free but takes lots more hours then 250-350 is worth it IF docSite is more global than that makes it worth it If ABFM does appreciably the same then ABFM makes more sense Who knows? I am completley in the dark about PQRI I am only interested as ARRA comes along- and it could be that my EMR is going to offer up some way to submit also My impression was that docSite offered a registry- which to me translates into lots and lots of time inputtin data thanks Jean On Tue, Jan 12, 2010 at 10:17 AM, Kathy Saradarian wrote: It’s the ABFM and it’s free unless you are using it for Part IV criteria for your Board requirements and then there is a fee. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Will Conner Sent: Tuesday, January 12, 2010 9:56 AM To: Subject: RE: Re: PQRI Can we do this without paying a fee when we use the AAFP or AFM web-site? J. Conner, M.D. 211 West s St s, N.C. 28105 Note: Privileged/confidential information may be contained in this message and may be subject to legal privilege. Access to this e-mail by anyone other than the intended is unauthorised. If you are not the intended recipient (or responsible for delivery of the message to such person), you may not use, copy, distribute or deliver to anyone this message (or any part of its contents ) or take any action in reliance on it. In such case, you should destroy this message, and notify us immediately. If you have received this e-mail in error, please notify us immediately by e-mail or telephone and delete the e-mail from any computer. From: [mailto: ] On Behalf Of Sent: Tuesday, January 12, 2010 8:55 AM To: Subject: Re: Re: PQRI thanks I am working my way up to this . I remember Gordon tried to introduce the first IMPs to doc Site. Does doc site provide Valium? Will you need extra visits with RAmona when I complain? AH this could be good for Ramona if I do PQRI! Jean On Tue, Jan 12, 2010 at 8:50 AM, Haughton MD, MS wrote: is right – it appears that PQRI (and its ability to report structured clinical data – either directly or as numerator / denominator info is a key part of health reform / payment reform – paying based on quality, cost [ risk adjusted expected vs observed gainsharing on top of fee for service? ] and patient satisfaction – which should put the IMP practices in good stead (vs current system of paying fully for volume of service). Regarding my offer for PQRI @ $250 a user and trust and is it worth it: 1) Ramona Seidel is my physician 2) I’ve been working with Gordon and others for about a dozen years, trying to make scalable quality healthcare a reality 3) Some IMPs have used docSite’s old system – its registry (which is a core, core part of our current and ongoing offering that can augment an EMR/ EHR or act as an EMR/EHR for meaningful use payments) Regarding is PQRI worth it – If you don’t have about $50,000 of medicare billing, it really may not be worth the hassle. BUT, whether through AAFP (for Diabetes) or DocSite (for prevention or diabetes or other) or another program (there are about 70 options out there this year) --- it should take about 2 or 3 hours to accomplish the activities associated with collecting, and submitting data on 30 consecutive patients. In 2008, we had many primary care physicians who received as much as a few thousand $. Many received $800-$1500. Some surgeons received as much as $15K or $20K. In short if you are doing Diabetes – use the AAFP site. If you are doing prevention and want to use a system run by a physician who cares about quality, feel free to use the discount code I put in the last e-mail ThankYou08 to make the cost $250 instead of $350. Thanks – Haughton MD, MS Chair / CMO office: mobile: fax: Raleigh | polis www.docsite.com Don’t miss the opportunity to earn a bonus payment of up to 2% of your total allowed Medicare charges from 2009! DocSite PQRI makes it simple – click here to learn more. -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org -- PATIENTS,please remember email may not be entirely secure and that Email is part of the medical record and is placed into the chart ( be careful what you say!) Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2010 Report Share Posted January 13, 2010 Is that $15K in allowable charges? Or payments? If it’s payments, then your allowable is going to be higher, which is what the payments are based upon. Even if it is your allowable amount, if your EMR was qualifying, you could receive ARRA money in 2012 of $11,250. Not sure what your PQRI would be. Our allowable last year was about 30% more than that, and we got over $600 for not much work. But again, it depends on your EMR system and how easy it is for you personally to report on the measures. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Dr Levin Sent: Tuesday, January 12, 2010 6:21 PM To: Subject: Re: Re: PQRI Sorry, was $15K Medicare Re: PQRI is right – it appears that PQRI (and its ability to report structured clinical data – either directly or as numerator / denominator info is a key part of health reform / payment reform – paying based on quality, cost [ risk adjusted expected vs observed gainsharing on top of fee for service? ] and patient satisfaction – which should put the IMP practices in good stead (vs current system of paying fully for volume of service). Regarding my offer for PQRI @ $250 a user and trust and is it worth it: 1) Ramona Seidel is my physician 2) I’ve been working with Gordon and others for about a dozen years, trying to make scalable quality healthcare a reality 3) Some IMPs have used docSite’s old system – its registry (which is a core, core part of our current and ongoing offering that can augment an EMR/ EHR or act as an EMR/EHR for meaningful use payments) Regarding is PQRI worth it – If you don’t have about $50,000 of medicare billing, it really may not be worth the hassle. BUT, whether through AAFP (for Diabetes) or DocSite (for prevention or diabetes or other) or another program (there are about 70 options out there this year) --- it should take about 2 or 3 hours to accomplish the activities associated with collecting, and submitting data on 30 consecutive patients. In 2008, we had many primary care physicians who received as much as a few thousand $. Many received $800-$1500. Some surgeons received as much as $15K or $20K. In short if you are doing Diabetes – use the AAFP site. If you are doing prevention and want to use a system run by a physician who cares about quality, feel free to use the discount code I put in the last e-mail ThankYou08 to make the cost $250 instead of $350. Thanks – Haughton MD, MS Chair / CMO office: mobile: fax: Raleigh | polis www.docsite.com Don’t miss the opportunity to earn a bonus payment of up to 2% of your total allowed Medicare charges from 2009! DocSite PQRI makes it simple – click here to learn more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2010 Report Share Posted January 14, 2010 i have been trying to do the pqri but i guess since i am claim based then i cannot resubmit paid claims with pqri in it. i dont know if anybody knows about whether i can still do 2009 in another registry. i am not with aafp > > > > is right - it appears that PQRI (and its ability to report structured > clinical data - either directly or as numerator / denominator info is a key > part of health reform / payment reform - paying based on quality, cost [ > risk adjusted expected vs observed gainsharing on top of fee for service? ] > and patient satisfaction - which should put the IMP practices in good stead > (vs current system of paying fully for volume of service). > > > > Regarding my offer for PQRI @ $250 a user and trust and is it worth it: > > 1) Ramona Seidel is my physician > > 2) I've been working with Gordon and others for about a dozen years, > trying to make scalable quality healthcare a reality > > 3) Some IMPs have used docSite's old system - its registry (which is a > core, core part of our current and ongoing offering that can augment an EMR/ > EHR or act as an EMR/EHR for meaningful use payments) > > > > Regarding is PQRI worth it - If you don't have about $50,000 of medicare > billing, it really may not be worth the hassle. BUT, whether through AAFP > (for Diabetes) or DocSite (for prevention or diabetes or other) or another > program (there are about 70 options out there this year) --- it should take > about 2 or 3 hours to accomplish the activities associated with collecting, > and submitting data on 30 consecutive patients. In 2008, we had many > primary care physicians who received as much as a few thousand $. Many > received $800-$1500. Some surgeons received as much as $15K or $20K. > > > > In short if you are doing Diabetes - use the AAFP site. If you are doing > prevention and want to use a system run by a physician who cares about > quality, feel free to use the discount code I put in the last e-mail > ThankYou08 to make the cost $250 instead of $350. > > > > Thanks - > > > > > > > > Haughton MD, MS > Chair / CMO > > office: > > mobile: > > fax: > > Raleigh | polis > > www.docsite. <http://www.docsite.com> com > > > > Don't miss the opportunity to earn a bonus payment of up to 2% of your total > allowed Medicare charges from 2009! > > DocSite PQRI makes it simple - <http://www.docsite.com/products/pqri/> > click here to learn more. > > > > > > > -- > PATIENTS,please remember email may not be entirely secure and that Email is > part of the medical record and is placed into the chart ( be careful what > you say!) > Email is best used for appointment making and brief questions > Email replies can be expected within 24 hours-Please CALL if the matter is > more urgent . > > > MD > > > ph fax > impcenter.org > > > > > -- > PATIENTS,please remember email may not be entirely secure and that Email is > part of the medical record and is placed into the chart ( be careful what > you say!) > Email is best used for appointment making and brief questions > Email replies can be expected within 24 hours-Please CALL if the matter is > more urgent . > > > MD > > > ph fax > impcenter.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2010 Report Share Posted January 15, 2010 all those WITH EMR: do you do ALL the measures? or are you driven crazy by doing everything? or are you just doing specific disease states? grace > > > > > > > > is right - it appears that PQRI (and its ability to report structured > > clinical data - either directly or as numerator / denominator info is a key > > part of health reform / payment reform - paying based on quality, cost [ > > risk adjusted expected vs observed gainsharing on top of fee for service? ] > > and patient satisfaction - which should put the IMP practices in good stead > > (vs current system of paying fully for volume of service). > > > > > > > > Regarding my offer for PQRI @ $250 a user and trust and is it worth it: > > > > 1) Ramona Seidel is my physician > > > > 2) I've been working with Gordon and others for about a dozen years, > > trying to make scalable quality healthcare a reality > > > > 3) Some IMPs have used docSite's old system - its registry (which is a > > core, core part of our current and ongoing offering that can augment an EMR/ > > EHR or act as an EMR/EHR for meaningful use payments) > > > > > > > > Regarding is PQRI worth it - If you don't have about $50,000 of medicare > > billing, it really may not be worth the hassle. BUT, whether through AAFP > > (for Diabetes) or DocSite (for prevention or diabetes or other) or another > > program (there are about 70 options out there this year) --- it should take > > about 2 or 3 hours to accomplish the activities associated with collecting, > > and submitting data on 30 consecutive patients. In 2008, we had many > > primary care physicians who received as much as a few thousand $. Many > > received $800-$1500. Some surgeons received as much as $15K or $20K. > > > > > > > > In short if you are doing Diabetes - use the AAFP site. If you are doing > > prevention and want to use a system run by a physician who cares about > > quality, feel free to use the discount code I put in the last e-mail > > ThankYou08 to make the cost $250 instead of $350. > > > > > > > > Thanks - > > > > > > > > > > > > > > > > Haughton MD, MS > > Chair / CMO > > > > office: > > > > mobile: > > > > fax: > > > > Raleigh | polis > > > > www.docsite. <http://www.docsite.com> com > > > > > > > > Don't miss the opportunity to earn a bonus payment of up to 2% of your total > > allowed Medicare charges from 2009! > > > > DocSite PQRI makes it simple - <http://www.docsite.com/products/pqri/> > > click here to learn more. > > > > > > > > > > > > > > -- > > PATIENTS,please remember email may not be entirely secure and that Email is > > part of the medical record and is placed into the chart ( be careful what > > you say!) > > Email is best used for appointment making and brief questions > > Email replies can be expected within 24 hours-Please CALL if the matter is > > more urgent . > > > > > > MD > > > > > > ph fax > > impcenter.org > > > > > > > > > > -- > > PATIENTS,please remember email may not be entirely secure and that Email is > > part of the medical record and is placed into the chart ( be careful what > > you say!) > > Email is best used for appointment making and brief questions > > Email replies can be expected within 24 hours-Please CALL if the matter is > > more urgent . > > > > > > MD > > > > > > ph fax > > impcenter.org > > > Quote Link to comment Share on other sites More sharing options...
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