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CMS-1403-FC We received a few comments on the proposed reporting period and criteria for satisfactorily submitting quality data through claims for reporting individual measures, as discussed below. Comment: A few commenters encouraged CMS to establish alternative reporting periods for claims-based submission of individual quality measures. One commenter specifically requested us to extend the alternative reporting period of July 1, 2009 through December 31, 2009 to eligible professionals participating in PQRI through claims-based reporting of individual quality measures. The commenter stated that measures groups and/or registries are not always an option for eligible professionals. Response: We appreciate the commenter’s suggestions, which are intended to enhance the claims-based reporting of individual measures by providing greater flexibility. However, as discussed above and in section III. of this final rule with comment period, the MIPPA defines the reporting period for the 2009 PQRI to be the entire year and, as discussed in section II.O1.a.i. above, the MMSEA authorizes the Secretary to establish alternative reporting periods for registry-based reporting and for reporting on measures groups only. We note, however, that for years after 2009, the MIPPA authorizes the Secretary to revise 548

CMS-1403-FC the reporting period for claims-based submission of quality measures data if it is determined that such revision is appropriate, produces valid results on measures reported, and is consistent with the goals of maximizing scientific validity and reducing administrative burden. Additionally, there are registries currently participating in the 2008 PQRI that report or are able to report all of the PQRI quality measures. Alternative reporting periods are available for registry-based submission of quality measures data, which enables all eligible professionals who wish to participate in PQRI to do so through a registry. For the 2008 PQRI, there are 32 registries “qualified” to submit quality measure results and numerator and denominator data on quality measures on behalf of eligible professionals. Based on our review of this comment, we are retaining the reporting option for claims-based submission of data on individual quality measures as summarized in Table 11. That is an eligible professional can meet the criteria for satisfactorily reporting quality data by reporting at least three applicable measures (or one to two measures if fewer than three measures apply) for at least 80 percent of the cases in which each measure is reportable, during January 1, 2009 through December 31, 2009. 549

<strong>CMS</strong>-1403-FC<br />

We received a few comments on the proposed reporting<br />

period and criteria for satisfactorily submitting quality<br />

data through claims for reporting individual measures, as<br />

discussed below.<br />

Comment: A few commenters encouraged <strong>CMS</strong> to establish<br />

alternative reporting periods for claims-based submission<br />

of individual quality measures. One commenter specifically<br />

requested us to extend the alternative reporting period of<br />

July 1, 2009 through December 31, 2009 to eligible<br />

professionals participating in PQRI through claims-based<br />

reporting of individual quality measures. The commenter<br />

stated that measures groups and/or registries are not<br />

always an option for eligible professionals.<br />

Response: We appreciate the commenter’s suggestions,<br />

which are intended to enhance the claims-based reporting of<br />

individual measures by providing greater flexibility.<br />

However, as discussed above and in section III. of this<br />

final rule with comment period, the MIPPA defines the<br />

reporting period for the 2009 PQRI to be the entire year<br />

and, as discussed in section II.O1.a.i. above, the MMSEA<br />

authorizes the Secretary to establish alternative reporting<br />

periods for registry-based reporting and for reporting on<br />

measures groups only. We note, however, that for years<br />

after 2009, the MIPPA authorizes the Secretary to revise<br />

548

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