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 Registry-based reporting One Measures Group for 80 % of applicable Medicare Part B FFS patients of each eligible professional (with a minimum of 15 patients during the reporting period). July 1, 2009 – December 31, 2009 While claims are submitted to CMS on Medicare patients only (for claims-based reporting), the 30 consecutive patients option for registry-based submission for the January 1, 2009 through December 31, 2009 reporting period may include some, but may not be exclusively, non-Medicare patients. We include this limited option to report quality measures results and numerator and denominator data on quality measures that includes non-Medicare patients for registry-based submission because of the desirability of assessing the overall care provided by a professional rather than just that provided to a certain subset of patients, and the benefit of having a larger number of patients on which to assess quality. iii. Registry-Based Submission for Reporting Individual Measures As discussed in the CY 2009 PFS proposed rule (73 FR 38562), section 101(c)(5)(F) of the MIEA-TRHCA, as added by MMSEA and redesignated by the MIPPA as section 1848(m)(5)(F) of the Act, requires us to establish alternative criteria for satisfactorily reporting PQRI quality measures data through medical registries. For 2009, we proposed that eligible professionals would be able 564
CMS-1403-FC to report 2009 PQRI quality measures results and numerator and denominator data on quality measures through a qualified clinical registry by authorizing or instructing the registry to submit quality measures results and numerator and denominator data on quality measures to CMS on their behalf (73 FR 38562). Similar to the 2008 PQRI, we proposed (73 FR 38562) that the data to be submitted for the 2009 PQRI would include the reporting and performance rates on PQRI measures or PQRI measures groups, as well as the numerators and denominators for the reporting rates and performance rates. For the 2009 PQRI, we proposed (73 FR 38562) to continue the PQRI reporting criteria for satisfactorily reporting through registry-based submission of 3 or more individual PQRI quality measures data that are described in the “2008 PQRI: Establishment of Alternative Reporting Periods and Reporting Criteria” document (http://www.cms.hhs.gov/PQRI/Downloads/2008PQRIalterrptperi ods.pdf). That is, we proposed to accept quality measures results and numerator and denominator data on quality measures from registries that qualify as data submission vendors. We proposed that these criteria would be available for each of the two alternative reporting periods. 565
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<strong>CMS</strong>-1403-FC<br />
to report 2009 PQRI quality measures results and numerator<br />
and denominator data on quality measures through a<br />
qualified clinical registry by authorizing or instructing<br />
the registry to submit quality measures results and<br />
numerator and denominator data on quality measures to <strong>CMS</strong><br />
on their behalf (73 FR 38562). Similar to the 2008 PQRI,<br />
we proposed (73 FR 38562) that the data to be <strong>submitted</strong> for<br />
the 2009 PQRI would include the reporting and performance<br />
rates on PQRI measures or PQRI measures groups, as well as<br />
the numerators and denominators for the reporting rates and<br />
performance rates.<br />
For the 2009 PQRI, we proposed (73 FR 38562) to<br />
continue the PQRI reporting criteria for satisfactorily<br />
reporting through registry-based submission of 3 or more<br />
individual PQRI quality measures data that are described in<br />
the “2008 PQRI: Establishment of Alternative Reporting<br />
Periods and Reporting Criteria” <strong>document</strong><br />
(http://www.cms.hhs.gov/PQRI/Downloads/2008PQRIalterrptperi<br />
ods.pdf). That is, we proposed to accept quality measures<br />
results and numerator and denominator data on quality<br />
measures from registries that qualify as data submission<br />
vendors. We proposed that these criteria would be<br />
available for each of the two alternative reporting<br />
periods.<br />
565