This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: What is a physician quality reporting system (PQRS), and who created ... (Read 15 times)

misspop

  • Hero Member
  • *****
  • Posts: 540
on: Jul 12, 2018
What is a physician quality reporting system (PQRS), and who created it?

Question 2

Distinguish between the two basic approaches to utilization management: prospective review/precertification and retrospective review.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nixon_s

  • Sr. Member
  • ****
  • Posts: 359
Reply #1 on: Jul 12, 2018
Answer to Question 1

The physician quality reporting system is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible providers. The PQRS was established by the Centers for Medicare and Medicaid Services.

Answer to Question 2

In prospective review/precertification the service is examined before it is provided. Data are collected from the patient and the physician to compare the data to appropriate criteria. If the standards are met, the service can be provided. If the standards are not met, a physician advisor may be asked to review the case and make a determination. In retrospective review, care is looked at after it is given. Data are collected from a sample of medical records, and the information from the record is compared to the appropriate standards. Feedback then is given to the caregiver regarding inappropriate care provided.


misspop

  • Member
  • Posts: 540
Reply 2 on: Jul 12, 2018
:D TYSM

scottmt

  • Member
  • Posts: 322
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

The Sun is the star at the center of the Solar System. The Sun is the star at the center of the Solar System.
Can We Improve the Tsunami Warning System Can We Improve the Tsunami Warning System
Nine labels used to identify hazardous materials in the Global Harmonization System (GHS). Top row: ... Nine labels used to identify hazardous materials in the Global Harmonization System (GHS). Top row: ...
Female Reproductive System Female Reproductive System
Components of the lymphatic system Components of the lymphatic system
Some of the major nerves of the human nervous system Some of the major nerves of the human nervous system
Video: Adolescent Diabetes

For a complete list of videos, visit our video library