National
Quality Measures – Updates 2014-15
·
Asthma: the contractor establishes and maintains
a register of patients with asthma, excluding patients with asthma who have
been prescribed no asthma-related drugs in the preceding 12 months.
·
Asthma: the percentage of patients with asthma
aged 14 or over and who have not attained the age of 20, on the register, in
whom there is a record of smoking status in the preceding 12 months.
·
Asthma: the percentage of patients with asthma,
on the register, who have had an asthma review in the preceding 12 months that
includes an assessment of asthma control using the 3 RCP questions.
·
Diabetes mellitus: the percentage of patients
newly diagnosed with diabetes, on the register, in the preceding 1 April to 31
March who have a record of being referred to a structured education program within
9 months after entry on to the diabetes register.
·
Diabetes mellitus: the percentage of patients
with diabetes, on the register, in whom the last blood pressure reading
(measured in the preceding 12 months) is 150/90 mmHg or less.
Are you prepared for the changes/updates to the :
·
PQRS
·
HEDIS
·
NQM –
National Quality Measures
Have your reviewed your Local Medical Policy (LCD) [
Local Coverage Determination ] ?
Here is the solution to all those questions :
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Reimbursement
With the HEDIS
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:
·
Capture what is needed to qualify the Measure
·
See the Medical Record Requirement
·
Use the Correct Codes ( CPT CAT II ) to bill for
the Measure
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