Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC information on how eligible professionals can qualify to be considered a successful electronic prescriber in 2009 in order to earn an incentive payment. Similar to the PQRI, the e-prescribing incentive program is a voluntary initiative. Eligible professionals may choose whether to participate and, to the extent they meet (1) certain thresholds with respect to the volume of covered professional services furnished and (2) the criteria to be considered a successful electronic prescriber described in section II.O2. of this final rule with comment period, they can qualify to receive an incentive payment. Similar to claims-based reporting for the PQRI, we estimate the burden associated with the requirements of this new incentive program is the time and effort associated with eligible professionals determining whether the quality measure is applicable to them, gathering the required information, selecting the appropriate quality data codes, and including the appropriate quality data codes on the claims they submit for payment. Since the e- prescribing program consists of only 1 quality measure, we will assign 1 hour as the amount of time needed for eligible professionals to review the e-prescribing measure and incorporate the use of quality data codes into the office work flows. At an average cost of approximately $50 1026
CMS-1403-FC per hour, we estimate the total cost to eligible professionals for reviewing the e-prescribing measure and incorporating the use of quality data codes into the office work flows to be approximately $50 ($50 per hour X 1 hour). The quality-data codes will be collected as additional (optional) line items on the existing HIPAA transaction 837-P and/or CMS Form 1500. We do not anticipate any new forms and no modifications to the existing transaction or form. We also do not anticipate changes to the 837-P or CMS Form 1500 for CY 2009. Based on our experience with the PVRP described above, we estimate that the time needed to perform all the steps necessary to report the e- prescribing measure to be 1.75 minutes. We also estimate the cost to perform all the steps necessary to report the e-prescribing measure to be $0.90 based on the experience with the PVRP described above. The total estimated annual burden for this requirement will also vary along with the volume of claims on which quality data is reported. Based on preliminary results from the 2007 PQRI described above and the fact that the measure’s denominator consists of only billing codes for professional services, we estimate that each eligible professional reports the quality data on 60 cases for the e-prescribing measure. 1027
- Page 975 and 976: CMS-1403-FC year to the entire year
- Page 977 and 978: CMS-1403-FC the CF. Therefore, this
- Page 979 and 980: CMS-1403-FC estimate that CY 2009 R
- Page 981 and 982: CMS-1403-FC Table 44: Calculation o
- Page 983 and 984: CMS-1403-FC XI. Payment for Certain
- Page 985 and 986: CMS-1403-FC In the Competitive Acqu
- Page 987 and 988: CMS-1403-FC glasses, hand magnifier
- Page 989 and 990: CMS-1403-FC Our interpretation of t
- Page 991 and 992: CMS-1403-FC Response: We understand
- Page 993 and 994: CMS-1403-FC defines “eyeglass”
- Page 995 and 996: CMS-1403-FC this statutory exclusio
- Page 997 and 998: CMS-1403-FC advances in the use of
- Page 999 and 1000: CMS-1403-FC is paid for his or her
- Page 1001 and 1002: CMS-1403-FC XII. Provisions of the
- Page 1003 and 1004: CMS-1403-FC these RUC recommendatio
- Page 1005 and 1006: CMS-1403-FC services. We believe a
- Page 1007 and 1008: CMS-1403-FC Section 144(b) of the M
- Page 1009 and 1010: CMS-1403-FC rulemaking with respect
- Page 1011 and 1012: CMS-1403-FC (respectively) of this
- Page 1013 and 1014: CMS-1403-FC completing and submitti
- Page 1015 and 1016: CMS-1403-FC §424.516(d)(1). Additi
- Page 1017 and 1018: CMS-1403-FC to several associated i
- Page 1019 and 1020: CMS-1403-FC incentive payment for 2
- Page 1021 and 1022: CMS-1403-FC year of PQRI reporting)
- Page 1023 and 1024: CMS-1403-FC Based on the assumption
- Page 1025: CMS-1403-FC these activities for th
- Page 1029 and 1030: CMS-1403-FC Because of the large nu
- Page 1031 and 1032: CMS-1403-FC threshold, and hence al
- Page 1033 and 1034: CMS-1403-FC shoes, the regulation i
- Page 1035 and 1036: CMS-1403-FC with comment period for
- Page 1037 and 1038: CMS-1403-FC substance of State laws
- Page 1039 and 1040: CMS-1403-FC $20 million from what e
- Page 1041 and 1042: CMS-1403-FC ● Impact of Work RVU
- Page 1043 and 1044: CMS-1403-FC imaging services from t
- Page 1045 and 1046: CMS-1403-FC ● Impact of section 1
- Page 1047 and 1048: CMS-1403-FC management, could have
- Page 1049 and 1050: CMS-1403-FC Table 50 illustrates, f
- Page 1051 and 1052: CMS-1403-FC CPT/ HCPCS Mod Descript
- Page 1053 and 1054: CMS-1403-FC impact associated with
- Page 1055 and 1056: CMS-1403-FC The fourth column shows
- Page 1057 and 1058: CMS-1403-FC the CY 2007 claims. The
- Page 1059 and 1060: CMS-1403-FC 1059 4/This column show
- Page 1061 and 1062: CMS-1403-FC requirements is to allo
- Page 1063 and 1064: CMS-1403-FC This amendment of the e
- Page 1065 and 1066: CMS-1403-FC 4 minutes per call, lab
- Page 1067 and 1068: CMS-1403-FC e-prescribing and who m
- Page 1069 and 1070: CMS-1403-FC anti-markup provisions
- Page 1071 and 1072: CMS-1403-FC approximately $50 per h
- Page 1073 and 1074: CMS-1403-FC e-prescribing measure i
- Page 1075 and 1076: CMS-1403-FC we estimate that each e
<strong>CMS</strong>-1403-FC<br />
information on how eligible professionals can qualify to be<br />
considered a successful electronic prescriber in 2009 in<br />
order to earn an incentive payment. Similar to the PQRI,<br />
the e-prescribing incentive program is a voluntary<br />
initiative. Eligible professionals may choose whether to<br />
participate and, to the extent they meet (1) certain<br />
thresholds with respect to the volume of covered<br />
professional services furnished and (2) the criteria to be<br />
considered a successful electronic prescriber described in<br />
section II.O2. of this final rule with comment period, they<br />
can qualify to receive an incentive payment.<br />
Similar to claims-based reporting for the PQRI, we<br />
estimate the burden associated with the requirements of<br />
this new incentive program is the time and effort<br />
associated with eligible professionals determining whether<br />
the quality measure is applicable to them, gathering the<br />
required information, selecting the appropriate quality<br />
data codes, and including the appropriate quality data<br />
codes on the claims they submit for payment. Since the e-<br />
prescribing program consists of only 1 quality measure, we<br />
will assign 1 hour as the amount of time needed for<br />
eligible professionals to review the e-prescribing measure<br />
and incorporate the use of quality data codes into the<br />
office work flows. At an average cost of approximately $50<br />
1026