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 they submit to CMS on behalf of their eligible professionals. As we gain more experience with registry submission, we would expect to further specify through rulemaking qualification requirements for registries that may include more comprehensive validation requirements. As we evaluate our policies, we plan to continue a dialogue with stakeholders to discuss opportunities for program efficiency and flexibility. Comment: One commenter requested that the registry record layout and requirements be published by December 31, 2008. Similarly, many commenters requested that the registry record layout and requirements be published in this final rule with comment period. Response: We intend to have the requirements posted on the PQRI section of the CMS Web site at http://www.cms.hhs.gov/pqri by November 15, 2008. However, the technical specifications (that is, specifications for the XML file format that registries would need to use to submit PQRI quality measures results and numerator and denominator data on quality measures to CMS) are not finalized and will be made available to a registry after the registry passes an initial qualification process. This will prevent registries that cannot satisfy the 572
CMS-1403-FC requirements listed on the Web site from expending resources trying to meet the technical specifications. Meeting only the technical specifications would not in and of itself qualify the registry to participate. Comment: A commenter requested that CMS work with standards development organizations to align our measures and specifications for registries and EHRs with the standards development organizations’ standards. Response: We agree with the commenter’s suggestion and do actively interact with standards development organizations. We desire to use such standards when available and to promote the adoption and use of such standards. Based on the comments received, the 2009 reporting options for registry-based submission of at least three individual PQRI measures are finalized as proposed and are listed in Table 13. Reporting Mechanism Registry-based reporting Registry-based reporting TABLE 13: Final 2009 PQRI Registry-Based Submission Reporting Options for Individual Measures Reporting Criteria Reporting Period At least 3 PQRI measures for 80% of applicable Medicare Part B FFS patients of each eligible professional. At least 3 PQRI measures for 80% of applicable Medicare Part B FFS patients of each eligible professional. January 1, 2009 – December 31, 2009 July 1, 2009 – December 31, 2009 573
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<strong>CMS</strong>-1403-FC<br />
they submit to <strong>CMS</strong> on behalf of their eligible<br />
professionals.<br />
As we gain more experience with registry submission,<br />
we would expect to further specify through rulemaking<br />
qualification requirements for registries that may include<br />
more comprehensive validation requirements. As we evaluate<br />
our policies, we plan to continue a dialogue with<br />
stakeholders to discuss opportunities for program<br />
efficiency and flexibility.<br />
Comment: One commenter requested that the registry<br />
record layout and requirements be published by December 31,<br />
2008. Similarly, many commenters requested that the<br />
registry record layout and requirements be published in<br />
this final rule with comment period.<br />
Response: We intend to have the requirements posted on<br />
the PQRI section of the <strong>CMS</strong> Web site at<br />
http://www.cms.hhs.gov/pqri by November 15, 2008. However,<br />
the technical specifications (that is, specifications for<br />
the XML file format that registries would need to use to<br />
submit PQRI quality measures results and numerator and<br />
denominator data on quality measures to <strong>CMS</strong>) are not<br />
finalized and will be made available to a registry after<br />
the registry passes an initial qualification process. <strong>This</strong><br />
will prevent registries that cannot satisfy the<br />
572