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Featured Question from
one of my Readers!

For Claims-based:

Do we also have to
report for 2013 PQRS
Reporting for
patients who are
Medicare Managed
Care or the Medicare
HMO? What about if
Medicare is
Secondary payor?
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The Question is:
For Claims-Based Submission - Do we also have to report for 2013
PQRS Reporting for patients who are Medicare Managed Care or the
Medicare HMO? What about if Medicare is Secondary payor?

Answer:
"20 Patient Sample Method via claims – 12-month reporting
period only:

For claims-based submissions, a participating eligible
professional must report on all applicable measures within the
selected measures group when billing measure-eligible claims
for a minimum sample of 20 unique Medicare Part B FFS patients
who meet patient sample criteria for the measures group (

include
Medicare Secondary Payer claims and claims for
Railroad Retirement beneficiaries; exclude Medicare Advantage
beneficiaries )."
~~~ Per Medicare 2013 PQRS Measures Groups Specifications
Manual (see below)
See Image Below:
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