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Ever Changing Landscape

 


CMS Physician Quality Reporting Initiative (PQRI) - Bonus for Voluntary Quality Reporting System. "Eligible professionals who successfully report a designated set of quality measures on claims may earn a bonus payment, subject to a cap, of 1.5% of total allowed charges for covered Medicare physician fee schedule services." (CMS)
 
 - http://www.cms.hhs.gov/PQRI/

Learn How RSVP Consulting Can Help your practice implement the PQRI Initiative and maximize collections. Did you know PQRI is part of CMS moving landscape to Pay For Performance. Our medical practice automation solutions make it easy to collect additional reimbursements.




Overview of CMS Adult Immunization

Overview of CMS Preventitive Services



Official Government Site for
 People with Medicare




Looking for new revenue streams? Try implementing Medicare Preventive Services into your practice to gain in the baby boom market share.

Medicare Learning Network - Preventive Services 

The Medicare Learning Network(MLN) resources listed on this web page give Medicare fee-for-service health care professionals information on coverage, coding, billing, reimbursement, and claim filing procedures for the following Medicare-covered preventive services and screenings (subject to certain eligibility and other limitations):

  • Abdominal Aortic Aneurysm Screening
  • Adult Immunizations
  • Bone Mass Measurements
  • Cancer Screenings
  • Cardiovascular Screening
  • Diabetes Screening
  • Diabetes Supplies
  • Diabetes Self-Management Training
  • Medical Nutrition Therapy (for Medicare beneficiaries with diabetes or renal disease)
  • Glaucoma Screening
  • Initial Preventive Physical Exam ("Welcome to Medicare" Physical Exam)
  • Smoking and Tobacco-Use Cessation Counseling

In addition to the preventive services educational resources listed on this web page, CMS has also created a prevention website that provides general information about the preventive benefits listed above. (CMS)




RSVP Learning Network



CMS Outreach & Education



CMS Hospital Compare - The new web site helps patients shop for hospital care based on quality and price.
 
To access the Hospital Compare Web site, please visit: www.hospitalcompare.hhs.gov. Other provider compare Web sites are available through www.medicare.gov or directly at www.medicare.gov/NHCompare for nursing home information, www.medicare.gov/HHCompare for information about home health agencies, and www.medicare.gov/Dialysis for information about End Stage Renal Disease facilities. CMS also provides comparative resources about Medicare Advantage (www.medicare.gov/MPPF) and Medicare prescription drug plans (www.medicare.gov/MPDPF).
   

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