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 We anticipate continuing these education and outreach activities as we implement the 2009 PQRI. Information about these CMS-sponsored calls, including information about upcoming calls, can be found on the PQRI section of the CMS Web site at http://www.cms.hhs.gov/PQRI. The Web site itself also serves as a useful resource for obtaining the most up to date information on the PQRI. For example, the PQRI Tool Kit found on the PQRI section of the CMS Web site at http://www.cms.hhs.gov/PQRI/31_PQRIToolKit.asp#TopOfPage contains valuable resources to help eligible professionals in the successful integration of PQRI into their practices. We encourage eligible professionals to visit this Web site and to review the frequently asked questions found on this Web site. Comment: Many commenters stated they were pleased the Congress extended PQRI and authorized a 2.0 percent incentive payment for 2009, but others noted that the incentive payment was not enough to outweigh the burden of participating or noted concern about the number of “quality and efficiency” measures imposed on physicians without evidence of improved health outcomes, health status, and reduced system costs. One commenter recommended that we 536
CMS-1403-FC base the incentive payment on RVUs rather than the amount billed to Medicare. Response: We do not have the authority to change the basis for calculation of the incentive payment. Section 1848(m)(1) of the Act, as redesignated and amended by the MIPPA, authorizes us to make incentive payments for satisfactorily reporting data on quality measures for covered professional services furnished by eligible professionals during the 2009 PQRI reporting period equal to 2.0 percent of the estimated total allowed charges for all covered professional services furnished during the reporting period that are submitted no later than 2 months after the end of the reporting period. However, we are committed to exploring and supporting practical, effective mechanisms for quality-of-care data submission that promote efficiency by streamlining participants’ and our data collection and handling. As such, and as described below in this section of the final rule with comment period, we have developed and are implementing options for registry- based submission of quality measures data and plan to implement options for EHR-based submission of quality measures data after some additional testing. In addition, we have increased the number of measures groups and individual PQRI quality measures available for 537
- Page 485 and 486: CMS-1403-FC supplier” to encompas
- Page 487 and 488: CMS-1403-FC to continue to provide
- Page 489 and 490: CMS-1403-FC requirements of the Alt
- Page 491 and 492: CMS-1403-FC supervised in the offic
- Page 493 and 494: CMS-1403-FC reducing access to care
- Page 495 and 496: CMS-1403-FC commenter supported ado
- Page 497 and 498: CMS-1403-FC “outside supplier,”
- Page 499 and 500: CMS-1403-FC group could recover onl
- Page 501 and 502: CMS-1403-FC incurred, thereby compe
- Page 503 and 504: CMS-1403-FC needed to provide the t
- Page 505 and 506: CMS-1403-FC performing supplier for
- Page 507 and 508: CMS-1403-FC providers, the services
- Page 509 and 510: CMS-1403-FC commenter also expresse
- Page 511 and 512: CMS-1403-FC overutilization of in-o
- Page 513 and 514: CMS-1403-FC provisions for single-s
- Page 515 and 516: CMS-1403-FC we did not propose such
- Page 517 and 518: CMS-1403-FC and PCs supervised or p
- Page 519 and 520: CMS-1403-FC provisions will not app
- Page 521 and 522: CMS-1403-FC (Pub. L. 110-173) (MMSE
- Page 523 and 524: CMS-1403-FC reporting data on quali
- Page 525 and 526: CMS-1403-FC PQRI and a more detaile
- Page 527 and 528: CMS-1403-FC and our responses to th
- Page 529 and 530: CMS-1403-FC provisions of the Priva
- Page 531 and 532: CMS-1403-FC reducing eligible profe
- Page 533 and 534: CMS-1403-FC administrative or judic
- Page 535: CMS-1403-FC professionals who did n
- Page 539 and 540: CMS-1403-FC A few commenters noted
- Page 541 and 542: CMS-1403-FC administrative burden t
- Page 543 and 544: CMS-1403-FC requested that more det
- Page 545 and 546: CMS-1403-FC incentive payments for
- Page 547 and 548: CMS-1403-FC December 31, 2009 and J
- Page 549 and 550: CMS-1403-FC the reporting period fo
- Page 551 and 552: CMS-1403-FC proposed to carry forwa
- Page 553 and 554: CMS-1403-FC measures group is appli
- Page 555 and 556: CMS-1403-FC measures results and nu
- Page 557 and 558: CMS-1403-FC (Delmarva Foundation fo
- Page 559 and 560: CMS-1403-FC registries to report on
- Page 561 and 562: CMS-1403-FC reporting options for r
- Page 563 and 564: CMS-1403-FC incentive payment for P
- Page 565 and 566: CMS-1403-FC to report 2009 PQRI qua
- Page 567 and 568: CMS-1403-FC Comment: We received nu
- Page 569 and 570: CMS-1403-FC Comment: One comment su
- Page 571 and 572: CMS-1403-FC quality measures result
- Page 573 and 574: CMS-1403-FC requirements listed on
- Page 575 and 576: CMS-1403-FC a data submission vendo
- Page 577 and 578: CMS-1403-FC As we stated in the CY
- Page 579 and 580: CMS-1403-FC whether eligible profes
- Page 581 and 582: CMS-1403-FC ● Agree that the regi
- Page 583 and 584: CMS-1403-FC soon thereafter as is t
- Page 585 and 586: CMS-1403-FC Comment: We received ma
<strong>CMS</strong>-1403-FC<br />
We anticipate continuing these education and outreach<br />
activities as we implement the 2009 PQRI.<br />
Information about these <strong>CMS</strong>-sponsored calls, including<br />
information about upcoming calls, can be found on the PQRI<br />
section of the <strong>CMS</strong> Web site at http://www.cms.hhs.gov/PQRI.<br />
The Web site itself also serves as a useful resource for<br />
obtaining the most up to date information on the PQRI. For<br />
example, the PQRI Tool Kit found on the PQRI section of the<br />
<strong>CMS</strong> Web site at<br />
http://www.cms.hhs.gov/PQRI/31_PQRIToolKit.asp#TopOfPage<br />
contains valuable resources to help eligible professionals<br />
in the successful integration of PQRI into their practices.<br />
We encourage eligible professionals to visit this Web site<br />
and to review the frequently asked questions found on this<br />
Web site.<br />
Comment: Many commenters stated they were pleased the<br />
Congress extended PQRI and authorized a 2.0 percent<br />
incentive payment for 2009, but others noted that the<br />
incentive payment was not enough to outweigh the burden of<br />
participating or noted concern about the number of “quality<br />
and efficiency” measures imposed on physicians without<br />
evidence of improved health outcomes, health status, and<br />
reduced system costs. One commenter recommended that we<br />
536