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CMS-1403-FC
The cost of implementing claims-based reporting of
PQRI quality measures data also varies with the volume of
claims on which quality data is reported. Preliminary
results from the 2007 PQRI indicate that eligible
professionals reported on 1 to 3,331 eligible instances per
measure. For all 2007 PQRI measures, the median number of
eligible instances reported on per measure was less than
60. On average, the median number of eligible instances
reported on per measure was about 9. Therefore, for this
analysis, we estimate that for each measure, an eligible
professional reports the quality data on 9 cases.
Thus, we estimate the cost to each eligible
professional associated with claims-based reporting of PQRI
quality data codes to range from $155.67 [($0.21 per
measure X 3 measures X 9 cases per measure) + $150] to
$421.62 [($10.06 per measure X 3 measure X 9 cases per
measure) + $150].
M2. Electronic Prescribing (E-Prescribing) Incentive
Program
Section II.O2. of this final rule with comment period
describes a new incentive program for eligible
professionals who are considered successful electronic
prescribers. To be considered a successful electronic
prescriber, an eligible professional must report on the
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