Guest guest Posted January 5, 2012 Report Share Posted January 5, 2012 Our office has been very successful in doing these exact measures for all of our patients for several years, fall codes for anyone 55 yrs and older; and pain/medications for anyone 18 and over; (and yes, getting paid the incentive payments by MC). I have a cheat sheet that our therapists use, and would be happy to fax it to you if you would like. Our patient intake form has most info for the patients to complete (not pain level), and our therapists document the pain, fall info, and medications in the IE's as indicated. All of the codes for the measures were added to our billing software (PTOS); and the therapists do the coding at the time of the evaluations. We have added many fall/balance measures, to support the use of some of the codes. These measures are only done on IE's (billed 97001 and 97003) there may be others, but those are the ones used in our office. I did research in detail a couple of years ago, and went to a MC course in Jax, FL for PQRI measures, but I don't have the MC website location for these measures off hand anymore. I am sure it is still well documented on MC website, www.fcso.com; so just to CYA, I would say that would be my main resource. I am a little disappointed others don't respond to your questions, but realize it is hard to put clinic info out there to be scrutinized, again CYA. Another thing, we do NOT use a clearing house, all claims are entered in house, submitted electronically. With this, we enter Zero as the charge amount for the above codes and remove units from the claim line, but all other info like dx, is kept on the claim line. I have heard for clearinghouse billing you must enter a billed amount (like $1.00), so as not to generate an auto-delete of the claim line. I think clearinghouse issues are why others have not done these measures. Please forward your fax#, and I will send our cheat sheet and you can see if it helps you get started. Please feel free to contact me with any questions. Lynda Geril Office Manager Geril Therapy, Ocala FL Quote Link to comment Share on other sites More sharing options...
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