New in Iridium Suite – Automated PQRI

3/30/2009CMS created the Physician Quality Reporting Initiative (PQRI) in 2007, which establishes a financial incentive for eligible professionals to participate in a voluntary quality-reporting program. The program was renewed in 2008 and the program is expected to be continued beyond. Physicians that qualify and properly report their PQRI data will earn an incentive payment of 1.5 percent of their total allowed charges for Physician Fee Schedule (PFS) covered professional services furnished during that same period.

3/30/2009CMS created the Physician Quality Reporting Initiative (PQRI) in 2007, which establishes a financial incentive for eligible professionals to participate in a voluntary quality-reporting program. The program was renewed in 2008 and the program is expected to be continued beyond. Physicians that qualify and properly report their PQRI data will earn an incentive payment of 1.5 percent of their total allowed charges for Physician Fee Schedule (PFS) covered professional services furnished during that same period.

Properly, is the key word. To this point providers have had a consistently difficult time successfully reporting their PQRI measures. The reporting requirements are fairly difficult to meet because they are very time sensitive and the PQRI numerator codes need to be billed in a very specific manner which many billing systems are not capable of. Some of these requirements include the need to be billed in conjunction with the denominator service lines that trigger the measure and the need to bill them as zero dollar charges. Most billing software systems are not able to report PQRI charges requiring the providers to manually bill them. The billing systems that are able to report them still require a lot of work to get the codes billed properly.

To put it simply, manually billing PQRI measures correctly is very difficult to get right. In response to these difficulties, Medical Business Systems has produced an automated PQRI implementation in the Iridium Suite that simplifies PQRI billing.

For more information, call our sales team.

Revenue Cycle Management: Accomplished.

START BILLING BETTER WITH SHAVARA

Revenue Cycle Management: Accomplished.

START BILLING BETTER WITH SHAVARA

by Shavara

Shavara has the accumulated 'experience capital', the market know-how, the intricacies of coding, billing and connectivity that we have 'learned'. It is the basis of the work we do in Catalysis - Shavara's Professional Services Engagements.

ThinkCatalysis
Revenue Cycle Management: solved.

What is Catalysis?

To "catalyze" is to rapidly advance by applying powerful tools and industry expertise. Catalysis becomes the process to gain access to the power, apply it to solve gaps and vulnerabilities - then rapidly advance. Shavara possesses the tools to apply Catalysis via collaborative engagements. Our infinite targets are the enterprise organizations: Hospitals, clearinghouse processors, Insurance companies (payers), and large physician practices, peppered throughout the Healthcare system that all share equally the challenges, pitfalls, inefficiencies, ineffectiveness, and the deliberate speed-bumps placed there by bureaucrats to slow down the revenue cycle.

What are the costs of these speed-bumps to the Healthcare system? The costs are in the billions.

Inefficiencies / ineffectiveness / inaccuracies in coding and billing mean:

a higher cost of money due to extended A/Rs
a higher cost of operating due to the number of additional staff required to research and chase down A/Rs
a decline in the quality and calibre of care - care outcomes due to the necessity of placing so much cost on the administrative and operational side of the equation

Therefore, solving this eliminates and holds the potential to improve organizational effectiveness, reduce the cost of healthcare and improve healthcare outcomes.

So, who is Shavara? What is that old lamp on the corner of the desk?

That lamp holds wisdom. The cumulative potential of that wisdom holds the potential to dramatically impact operational effectiveness and improve healthcare outcomes.

For Information on Catalysis contact Shavara's Services Division