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CMS-1403-FC
As discussed in section II.O1.b.ii. of this final rule
with comment period, we are also establishing the three
reporting options for registry-based submission of quality
measures results and numerator and denominator data on PQRI
measures groups summarized in Table 12.
To report quality measures results and numerator and
denominator data on quality measures or measures group
through registries, eligible professionals will need to
enter into and maintain an appropriate legal arrangement
with an eligible clinical registry. As we described in the
CY 2009 PFS proposed rule (73 FR 38562), such arrangements
will provide for the registry’s receipt of patient-specific
data from the eligible professional and the registry’s
disclosure of quality measures results and numerator and
denominator data on behalf of the eligible professional to
CMS for the PQRI. Thus, the registry would act as a Health
Insurance Portability and Accountability Act of 1996
(Pub. L. 104-191) (HIPAA) Business Associate and agent of
the eligible professional. Such agents are referred to as
“data submission vendors.” Such “data submission vendors”
would have the requisite legal authority to provide
clinical registry data on behalf of the eligible
professional to the Quality Reporting System developed in
accordance with the statute. The registry, acting as such
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