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CMS-1403-FC
O1. Physician Quality Reporting Initiative (PQRI)
a. Program Background and Statutory Authority
i. Division B of the Tax Relief and Health Care Act of
2006 – Medicare Improvements and Extension Act of 2006
(MIEA-TRHCA) and the Medicare, Medicaid, and SCHIP
Extension Act of 2007 (MMSEA): Requirements for the PQRI
Program Prior to Enactment of the Medicare Improvements for
Patients and Providers Act of 2008 (MIPPA)
Section 101(b) of the MIEA-TRHCA (Pub. L. 109-432)
amended section 1848 of the Act by adding subsection (k).
Section 1848(k)(1) of the Act requires the Secretary to
implement a system for the reporting by eligible
professionals of data on quality measures as described in
section 1848(k)(2) of the Act. Section 1848(k)(1) of the
Act authorizes the Secretary to specify the form and manner
for data submission by program instruction or otherwise
which may include submission of such data on Part B claims.
Section 1848(k)(3)(B) of the Act specifies that for the
purpose of the quality reporting system, eligible
professionals include physicians, other practitioners as
described in section 1842(b)(18)(C) of the Act, physical
and occupational therapists, and qualified speech-language
pathologists. Section 101(c) of the MIEA-TRHCA, as amended
by the Medicare, Medicaid, and SCHIP Extension Act of 2007
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