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 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 1072
CMS-1403-FC e-prescribing measure identified in section II.O2. of this final rule with comment period. We anticipate that the cost impact of the E- Prescribing Incentive Program on the Medicare program would be minimal since the program consists of only 1 quality measure. 1073 Participation in the E-Prescribing Incentive Program by eligible professionals is voluntary and eligible professionals may have different processes for integrating the E-Prescribing Incentive Program into their practices’ work flows. Therefore, it is not possible to estimate with any degree of accuracy the impact of the E-Prescribing Incentive Program on eligible professionals. Similar to claims-based reporting for the PQRI, one factor in the cost to eligible professionals 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 Incentive 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
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<strong>CMS</strong>-1403-FC<br />
e-prescribing measure identified in section II.O2. of this<br />
final rule with comment period.<br />
We anticipate that the cost impact of the E-<br />
Prescribing Incentive Program on the Medicare program would<br />
be minimal since the program consists of only 1 quality<br />
measure.<br />
1073<br />
Participation in the E-Prescribing Incentive Program by<br />
eligible professionals is voluntary and eligible<br />
professionals may have different processes for integrating<br />
the E-Prescribing Incentive Program into their practices’<br />
work flows. Therefore, it is not possible to estimate with<br />
any degree of accuracy the impact of the E-Prescribing<br />
Incentive Program on eligible professionals. Similar to<br />
claims-based reporting for the PQRI, one factor in the cost<br />
to eligible professionals is the time and effort associated<br />
with eligible professionals determining whether the quality<br />
measure is applicable to them, gathering the required<br />
information, selecting the appropriate quality data codes,<br />
and including the appropriate quality data codes on the<br />
claims they submit for payment. Since the E-Prescribing<br />
Incentive 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