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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

<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

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