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Re: PQRI question

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We analyzed our payer mix and determined the increased payment wouldn't

cover the add ional cost of the reporting. Our outpatient clinics are

incorporated as Rehab facilities, not private practices that may have

affected our decision also - we may not have been able to participate - I

can't remember...

Jeff Wheeler PT, GCS

Highline Medical Ctr

Tukwila, WA

PQRI question

We're hearing a lot about the PQRI (Physician Quality Reporting

Initiative), and participation is strongly suggested. Can anyone share

their experience so far regarding this subject? Is participation

possible for an outpatient PT setting?

A. Santoro

Billing Supervisor

Performance Physical Therapy and Fitness

720 Yorklyn Road, Suite 150

Hockessin, DE 19707

ssantoro@...

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We don't participate in the PQRI but a recent article in Rehab Management

indicates providers are frustrated with the current program:

http://www.rehabpub.com/issues/articles/2008-12_10.asp

Fred Valente, PT, MS

Access Rehab Centers

Waterbury, CT

Subject: PQRI question

To: ptmanager

Cc: " Bradley " , " Kafantaris "

, " Steve Rapposelli "

Date: Thursday, December 18, 2008, 1:37 PM

We're hearing a lot about the PQRI (Physician Quality Reporting

Initiative), and participation is strongly suggested. Can anyone share

their experience so far regarding this subject? Is participation

possible for an outpatient PT setting?

A. Santoro

Billing Supervisor

Performance Physical Therapy and Fitness

720 Yorklyn Road, Suite 150

Hockessin, DE 19707

ssantoro@pptandfitn ess.com

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We participate in the PQRI with three separate measures for medicare patients. 

Fall risk(100F/1101F), patient co-development of treatment(G8437), and pain

assessment(G8440) are the codes that we use.  They have to be done and billed

with the evaluation to be eligible for the bonus to be paid next July 2009.  You

have to have these included in 80% of your medicare evaluations to receive a

bonus.  You do not use the GP modifier with these codes or they will be

ineligible.

Laurie

Office Manager

Elite Sports Medicine & Physical Therapy

Kansas City, Missouri 64145

Subject: PQRI question

To: ptmanager

Cc: " Bradley " , " Kafantaris "

, " Steve Rapposelli "

Date: Thursday, December 18, 2008, 12:37 PM

We're hearing a lot about the PQRI (Physician Quality Reporting

Initiative), and participation is strongly suggested. Can anyone share

their experience so far regarding this subject? Is participation

possible for an outpatient PT setting?

A. Santoro

Billing Supervisor

Performance Physical Therapy and Fitness

720 Yorklyn Road, Suite 150

Hockessin, DE 19707

ssantoro@pptandfitn ess.com

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