ACA Tool Kit on the Medicare Physician Quality Reporting Initiative: Helping Doctors of Chiropractic Improve Quality Patient Care
The Centers for Medicare and Medicaid Services’ (CMS) Physician Quality Reporting Initiative (PQRI) will continue in 2009. Beginning January 1, 2009, physicians and other providers who report certain quality measures may be eligible for a 2.0% payment increase, to be paid in the third quarter of 2009. To assist doctors of chiropractic who may elect to participate in this program, ACA has compiled useful information developed by the ACA, the American Medical Association (AMA), as well as CMS, to help familiarize the chiropractic profession with the measures relevant to their practice and facilitate the data collection required to successfully report clinical performance data.
Chiropractic office participation in the PQRI is critical, as it demonstrates to CMS and the rest of medicine that the chiropractic community is serious about quality care improvement. It is through the enhancement of quality patient care that the chiropractic profession will enhance its involvement in our nation’s health care delivery system.
For 2009, ACA has identified three PQRI measures and one measures group applicable to chiropractic practices. The measures include: pain assessment prior to initiation of treatment, functional outcome assessment in chiropractic care, and health information technology adoption/use (electronic health records). The one measures group on which chiropractors will be eligible to report is the back pain measures group. A complete list of all 153 quality measures and 7 measures groups can be found at www.cms.hhs.gov/pqri.
WHAT DOCTORS OF CHIROPRACTIC NEED TO KNOW
Chiropractic Specific FAQ on 2009 PQRI – A list of specific questions and answers related to chiropractic participation in the 2009 CMS PQRI. The answers are based upon available information from CMS.
Basic Preparation and Participation Strategies for Chiropractic Practices – Practical tips for how to successfully play a part in the 2009 PQRI.
2009 QUALITY MEASURES APPLICABLE TO DOCTORS OF CHIROPRACTIC
Below outlines the measures specification and data collection tools for the three measures applicable to Doctors of Chiropractic. Please click on the three links listed below each measure title to view the following:
1. Measure Description – This document contains additional descriptive information regarding the measure and should help users determine if it is a measure on which they would like to report. In particular, the document describes what type of information is required to report on the measure and how frequently reporting is required.
2. Data Collection Sheet – A step-by-step tool for clinical use and office/billing staff use. It allows the physician or other eligible professional to record the clinical information required for the measure by checking the appropriate box, and the coder to subsequently select the corresponding billing code.
3. Coding Specifications – Includes a complete list of ICD-9 and CPT codes to identify patients eligible for the measure. A list of the quality codes for each measure is also included. The coding specifications document is to be used in conjunction with the data collection sheet to determine the appropriate code or combination of codes to be reported.
#124. Adoption/use of health information technology
Measure Description
Data Collection Sheet
Coding Specifications
#131. Pain assessment prior to initiation of patient treatment
Measure Description
Data Collection Sheet
Coding Specifications
#182. Functional Outcome Assessment in Chiropractic Care
Measure Description
Data Collection Sheet
Coding Specifications
Back Pain Measures Group (Measures #148-151)
Measures Group Description
Data Collection Sheet
HIGHLIGHTED RESOURCES FROM CMS
• Handbook for PQRI Participation – A handbook that delineates coding and reporting principles, as well as provides implementation guidelines for how to successfully report measures using clinical scenarios. (Coming soon!)
• PQRI Specifications List – Complete specifications for the 153 measures and 7 measures groups that make up the 2009 PQRI.
To access all available PQRI educational resources, visit www.cms.hhs.gov/PQRI on the CMS Web site and click on the Educational Resources tab.
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