By Mario Fucinari DC, CCSP, MCS-P, and Michael Vocu, CCCPC (ChiroCode Institute)
CMS recently changed a portion of the coding system for the Physician Quality Reporting System (PQRS). These changes were released after the 2012 ChiroCode DeskBook went to press. They relate to pages B-50 and B-51 of the book.
Physician Quality Reporting System (PQRS)
CMS has announced changes in the Physician Quality Reporting System, effective immediately. It is recommended that each provider participate in the program for all of their Medicare patients under active care. You must have the required documentation, with the use of each of these codes to qualify for the incentive payments scheduled for 2012.
Pain Assessment Prior to Initiation of Patient Therapy and Follow-Up
G8440 Provider assessed patient for pain and also documented a follow up plan which included a time to reassess the pain DELETED December 31, 2011
G8441 Provider did not assess the patient for pain and provided no reason why not DELETED December 31, 2011
G8730 Pain is assessed and follow-up plan is documented ADDED January 1, 2012
G8731 Pain assessment is documented as negative ADDED January 1, 2012
G8442 Patient is not eligible for pain assessment for documented reasons
G8732 Pain assessment not documented, reason not specified ADDED January 1, 2012
Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR)
G8447 Patient encounter documented with Certified EHR system that has been certified by an Authorized Testing and Certification Body (ATCB)
G8448 Patient encounter documented using a PQRS Qualified EHR system
Functional Outcomes Assessment in Chiropractic Care
G8539 Documentation of a current functional outcome assessment using a standardized tool AND documentation of a care plan based on the identified deficiencies
G8542 Documentation of a current functional outcome assessment using a standardized tool; no functional deficiencies identified, care plan not required
G8540 Documentation that the patient is not eligible for a functional outcome assessment using a standardized tool
G8541 NO documentation of a current functional outcome assessment using a standardized tool, reason not specified
G8543 Documentation of a current functional outcome assessment using a standardized tool; NO documentation of a care plan, reason not specified
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