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07 Am09 Presentations Hamburger & Lawson
1. Code for Documentation! Audit for Compliance! Richard J Hamburger MD Professor Emeritus of Medicine Indiana University Indianapolis IN Debra H. Lawson, CPC, PCS Nephrology Billing & Management Services, LLC Rogersville, TN
103. 2009 Nephrology Specific PQRI Measures MEASURE NUMBER MEASURE DESCRIPTION REPORTING OPTIONS END STAGE RENAL DISEASE (ESRD) 79 Influenza Immunization in Patients with ESRD Claims, Registry 81 Plan of Care for Inadequate Hemodialysis Registry 82 Plan of care for Inadequate Peritoneal Dialysis Registry CHRONIC KIDNEY DISEASE (CKD) 121 Laboratory Testing (calcium, phosphorus, intact parathyroid hormone (iPTH) and lipid profile) Claims, measures group (MG), and Registry 122 Blood Pressure Management Claims, MG, and Registry 123 Plan of Care for Elevated Hemoglobin for Patients Receiving ESA Therapy Claims, MG, and Registry 135 Influenza Immunization in Patients with CKD Claims, MG, and Registry 153 Referral for AV Fistula Claims, MG, and Registry
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105. 03 17 09 03 17 09 11 99213 1 50 00 123456789 03 17 09 03 17 09 11 3278F 1 0 00 123456789 585.5 03 17 09 03 17 09 11 3281F 1 0 00 123456789 Make sure that diagnosis is included in the PQRI measure specifications Each PQRI measure must have individual NPI # PQRI claims MUST contain a service (CPT) code that is included in the PQRI measure denominator 03 17 09 03 17 09 11 4171F 1 0 00 123456789 03 17 09 03 17 09 11 4037F 1 0 00 123456789
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108. BILLING FOR ERYTHROPOIETIC STIMULATING AGENTS