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 are listed in section II.O1.d.v. of this final rule with comment period. We proposed (73 FR 38561) establishing three options for satisfactorily reporting measures groups using claims-based reporting and three options for satisfactorily reporting measures groups using registry-based submission for the 2009 PQRI. We proposed two basic criteria for satisfactory reporting of measures groups for both claims- based submission and registry-based submission. For claims-based reporting, the two criteria were: (1) the reporting of quality data for 30 consecutive Medicare Part B FFS patients for one measures group for which the measures group is applicable during a full-year reporting period; or (2) the reporting of quality data for at least 80 percent of Medicare Part B FFS patients for whom the measures group is applicable (with a minimum number of patients commensurate with the reporting period duration). For registry-based submission, the two criteria were: (1) the reporting of quality measures results and numerator and denominator data for 30 consecutive patients for one measures group for which the measures group is applicable during a full-year reporting period; or (2) the reporting of quality measures results and numerator and denominator data for at least 80 percent of patients for whom the 552
CMS-1403-FC measures group is applicable (with a minimum number of patients commensurate with the reporting period duration). We proposed that the 30 consecutive patients reporting criteria apply only to the entire year (January 1, 2009 through December 31, 2009) reporting period, but would apply to both claims-based submission and registry-based submission mechanisms. We proposed that the alternative criteria for measures groups based on reporting on 80 percent of patients for which one measures group would be applicable for the January 1, 2009 through December 31, 2009 reporting period (with a minimum of 30 patients) and to the July 1, 2009 through December 31, 2009 reporting periods (with a minimum of 15 patients). These alternative criteria would also be applicable for either claims-based or registry-based reporting of measures groups. In the CY 2009 PFS proposed rule (73 FR 38561), we requested comments on the proposed use of the consecutive patient reporting criteria and on the use of 30 consecutive patients (for claims-based reporting, the consecutive patients must all be Medicare FFS patients) as the required minimum sample under these criteria during the full-year 2009 reporting period. 553
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<strong>CMS</strong>-1403-FC<br />
are listed in section II.O1.d.v. of this final rule with<br />
comment period.<br />
We proposed (73 FR 38561) establishing three options<br />
for satisfactorily reporting measures groups using<br />
claims-based reporting and three options for satisfactorily<br />
reporting measures groups using registry-based submission<br />
for the 2009 PQRI. We proposed two basic criteria for<br />
satisfactory reporting of measures groups for both claims-<br />
based submission and registry-based submission. For<br />
claims-based reporting, the two criteria were: (1) the<br />
reporting of quality data for 30 consecutive Medicare Part<br />
B FFS patients for one measures group for which the<br />
measures group is applicable during a full-year reporting<br />
period; or (2) the reporting of quality data for at least<br />
80 percent of Medicare Part B FFS patients for whom the<br />
measures group is applicable (with a minimum number of<br />
patients commensurate with the reporting period duration).<br />
For registry-based submission, the two criteria were: (1)<br />
the reporting of quality measures results and numerator and<br />
denominator data for 30 consecutive patients for one<br />
measures group for which the measures group is applicable<br />
during a full-year reporting period; or (2) the reporting<br />
of quality measures results and numerator and denominator<br />
data for at least 80 percent of patients for whom the<br />
552