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19.02.2013 Views

CMS-1403-FC temporary/transient transmission failures. As we discussed previously in this final rule, we decided against imposing either of those alternatives in light of the advantage of the momentum that will be built by the e-prescribing incentive program under MIPPA, and affording the industry an additional 3 years from the effective date of this final rule to move toward true e-prescribing. J. CORF issues The revisions to the CORF regulations discussed in section II.L. of this final rule with comment period updates the regulations for consistency with the PFS payment rules and make additional changes to the conditions of participation to reflect industry standards. These revisions will help to clarify payment and operational requirements for CORF services and are expected to have minimal impact on Medicare expenditures. K. Therapy Issues The revisions to the therapy regulations discussed in section II.M. of this final rule with comment period make technical corrections and update the regulations and are expected to have minimal impact on Medicare expenditures. L. Physician Self-referral Provisions We anticipate that the provisions in section II.N. of this final rule with comment period concerning the 1068

CMS-1403-FC anti-markup provisions in §414.50 will result in savings to the program by reducing overutilization and anti-competitive business arrangements. We cannot gauge with any certainty the extent of these savings to the Medicare program. M1. Physician Quality Reporting Initiative (PQRI) As discussed section II.O1. of this final rule with comment period, the final 2009 PQRI measures satisfy the requirement of section 1848(k)(2)(B)(iii) of the Act that the Secretary publish in the Federal Register by November 15, 2008 a final set of quality measures that the Secretary determines would be appropriate for eligible professionals to use to submit data to the Secretary in 2009. As discussed in section II.O1. of this final rule with comment period, we are also offering options in 2009 for reporting some of the 2009 PQRI measures via submission of data to a clinical registry and options for reporting on measures groups rather than individual measures. Although there may be some cost incurred for maintaining the measures used in the PQRI and their associated code sets, and for expanding an existing clinical data warehouse to accommodate registry-based data submission for the PQRI, we do not anticipate a significant cost impact on the Medicare program. 1069

<strong>CMS</strong>-1403-FC<br />

temporary/transient transmission failures. As we discussed<br />

previously in this final rule, we decided against imposing<br />

either of those alternatives in light of the advantage of<br />

the momentum that will be built by the e-prescribing<br />

incentive program under MIPPA, and affording the industry<br />

an additional 3 years from the effective date of this final<br />

rule to move toward true e-prescribing.<br />

J. CORF issues<br />

The revisions to the CORF regulations discussed in<br />

section II.L. of this final rule with comment period<br />

updates the regulations for consistency with the PFS<br />

payment rules and make additional changes to the conditions<br />

of participation to reflect industry standards. These<br />

revisions will help to clarify payment and operational<br />

requirements for CORF services and are expected to have<br />

minimal impact on Medicare expenditures.<br />

K. Therapy Issues<br />

The revisions to the therapy regulations discussed in<br />

section II.M. of this final rule with comment period make<br />

technical corrections and update the regulations and are<br />

expected to have minimal impact on Medicare expenditures.<br />

L. Physician Self-referral Provisions<br />

We anticipate that the provisions in section II.N. of<br />

this final rule with comment period concerning the<br />

1068

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