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 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
- 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 and 536: CMS-1403-FC professionals who did n
- Page 537 and 538: CMS-1403-FC base the incentive paym
- 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: CMS-1403-FC December 31, 2009 and J
- 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
- Page 587 and 588: CMS-1403-FC Comment: One commenter
- Page 589 and 590: CMS-1403-FC additional 2.0 percent
- Page 591 and 592: CMS-1403-FC EHRs in 2009. The measu
- Page 593 and 594: CMS-1403-FC i. Overview and Summary
- Page 595 and 596: CMS-1403-FC voluntary consensus sta
- Page 597 and 598: CMS-1403-FC Comment: Several commen
<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