1 / 7

CAP Audio Conference on the CMS 2008 Physician Quality Reporting Initiative

CAP Audio Conference on the CMS 2008 Physician Quality Reporting Initiative. David Witte, MD PHD, FCAP College of American Pathologists. Overview. Background on the development of pathology measures CMS Physicians Quality Reporting Initiative Q & A. Goals.

melangell-aerona
Download Presentation

CAP Audio Conference on the CMS 2008 Physician Quality Reporting Initiative

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CAP Audio Conference on the CMS 2008 Physician Quality Reporting Initiative David Witte, MD PHD, FCAP College of American Pathologists

  2. Overview • Background on the development of pathology measures • CMS Physicians Quality Reporting Initiative • Q & A

  3. Goals • Understanding of Pathology Measures and Measures Development Process • Basics of CMS’s Physician Quality Reporting Initiative (PQRI) • Preparing for participation in PQRI in order to be eligible for bonus

  4. Measures Development Process • CAP pathology measures development process began in June 2006 • Requirements: • Developed through a consensus-based process by a multi-stakeholder organization; and • Adopted or endorsed by a consensus organization

  5. CAP/AMA Pathology Performance Measures • The breast cancer resection pathology report includes the pT, pN, and histologic grade. • The colorectal cancer resection pathology report includes includes the pT, pN, and histologic grade.

  6. Measure #1: Breast Cancer Resection Pathology Reporting Numerator: Reports that include the pT category, the pN category and the histologic grade Denominator (Eligible Population): All breast cancer resection pathology reports (excluding biopsies) ICD-9 diagnosis codes: 174.0, 174.1, 174.2, 174.3, 174.4, 174.5, 174.6, 174.7, 174.8, 174.9, 175.0, 175.9 AND CPT service codes: 88307, 88309 Proposed CPT Category II Code: 3260 (-1P)

  7. Measure #2: Colorectal Cancer Resection Pathology Reporting Numerator: Reports that include the pT category, the pN category and the histologic grade Denominator (Eligible Population): All colon and rectum cancer resection pathology reports (excluding biopsies) ICD-9 diagnosis codes: 153.0, 153.1, 153.2, 153.3, 153.4, 153.5, 153.6, 153.7, 153.8, 153.9, 154.0, 154.1, 154.8  AND  CPT service codes: 88309 Proposed CPT Category II Code: 3260 (-1P)

More Related