Audiologists Achieve PQRI Success Audiologists participating in the Medicare Physician Quality Reporting Initiative (PQRI) correctly reported codes in 95% of submissions in the first quarter of 2010, the third-highest rate among all participating specialties. Audiologists are reporting on five codes in 2010, the first year of eligibility. The Centers for Medicare and Medicaid Services ... Policy Analysis
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Policy Analysis  |   October 01, 2010
Audiologists Achieve PQRI Success
Author Notes
  • Kate Romanow, JD, director of health care regulatory advocacy, can be reached at kromanow@asha.org.
    Kate Romanow, JD, director of health care regulatory advocacy, can be reached at kromanow@asha.org.×
Article Information
Regulatory, Legislative & Advocacy / Policy Analysis
Policy Analysis   |   October 01, 2010
Audiologists Achieve PQRI Success
The ASHA Leader, October 2010, Vol. 15, 3. doi:10.1044/leader.PA2.15122010.3
The ASHA Leader, October 2010, Vol. 15, 3. doi:10.1044/leader.PA2.15122010.3
Audiologists participating in the Medicare Physician Quality Reporting Initiative (PQRI) correctly reported codes in 95% of submissions in the first quarter of 2010, the third-highest rate among all participating specialties.
Audiologists are reporting on five codes in 2010, the first year of eligibility.
The Centers for Medicare and Medicaid Services (CMS) recently released the data in its quarterly report on data code submission error rates [PDF].
The report examines the codes that correlate to a PQRI measure submitted on a claim form by a professional specialty; how many times the specialty submitted the codes correctly; and some of the errors made in submitting codes.
From January through March 2010, audiologists submitted PQRI codes 4,563 times. Only radiology (97%) and nuclear medicine (96%) posted higher rates of correct code reporting.
PQRI reports include two components. The numerator describes the action required by the measure. A denominator describes all the eligible patients for a measure. The denominators are codes designated by Current Procedural Terminology (CPT, © American Medical Association) and/or the International Classification of Diseases, Ninth Revision (ICD-9).
Audiologists’ errors included reporting the wrong denominator (CPT or ICD-9 code), therefore failing to meet the measure eligibility specifications; failing to include a qualifying denominator CPT code when required; and failing to include both codes (CPT and ICD-9) when required in the denominator.
Audiologists are eligible to report on five measures:
  • Referral for otologic evaluation for patients with history of active drainage from the ear within the previous 90 days.

  • Referral for otologic evaluation for patients with a history of sudden or rapidly progressive hearing loss.

  • Referral for otologic evaluation for patients with congenital or traumatic deformity of the ear (no audiologists reported on this measure in the first quarter of 2010).

  • Health information technology (HIT): Adoption/use of electronic health records.

  • Documentation and verification of current medications in the medical record.

Speech-language pathologists also may report on the fourth and fifth measures (HIT and current medications).
More information on audiologists’ participation in PQRI is available from the Audiology Quality Consortium or CMS’s website.
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October 2010
Volume 15, Issue 12