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 ...

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CMS-1403-FC Register no later than November 15, 2008, we expect to publish detailed specifications shortly after that date. Detailed measure specifications for measures new or revised for 2009 PQRI will be posted on the Measures/Codes tab of the PQRI section of the CMS Web site at http://www.cms.hhs.gov/pqri. These detailed specifications will include instructions for reporting and identifying the circumstances in which each measure is applicable. The detailed technical specifications for measures in the final listing for the 2009 PQRI remain potentially subject to corrections until the start of the 2009 reporting period, as we stated in the proposed rule. In addition, the 2009 PQRI quality measure specifications for any given quality measure may be different from specifications for the same quality measure used for 2008. Specifications for all 2009 PQRI quality measures, whether or not included in the 2008 PQRI program, must be obtained from the specifications document for 2009 PQRI quality measures. Since its inception, the PQRI program has expanded rapidly in terms of the number of measures included in the PQRI. This rapid growth was necessary in order to meet a primary objective of having a sufficient number of measures to allow broad participation by eligible professionals who cover a broad scope of services provided to Medicare 606

CMS-1403-FC beneficiaries. We now have a broad range of measures and expect to rely more on the test measures program to introduce new measures. In this way, by the time they may be proposed for inclusion in a set of measures for a particular year, the measures specifications will be published, established, and utilized by eligible professionals for test submission. Comment: Numerous commenters suggested quality measures in addition to the quality measures we had proposed in Tables 11 through 14 of the CY 2009 PFS proposed rule (73 FR 38567 through 38572) for the 2009 PQRI. Response: We have not included in final 2009 PQRI quality measures any quality measures that were not identified in the CY 2009 PFS proposed rule as proposed 2009 PQRI measures. As discussed above in this rule, we are obligated by section 1848(k)(2)(B)(ii) of the Act to publish and provide opportunity for public comment on proposed 2009 PQRI quality measures. Measures recommended for selection via comments on the proposed rule that were not included in the proposed rule have not been placed before the public as part of notice and comment rulemaking process. Thus, such additional measures recommended via comments on the proposed rule cannot be included in the 607

<strong>CMS</strong>-1403-FC<br />

beneficiaries. We now have a broad range of measures and<br />

expect to rely more on the test measures program to<br />

introduce new measures. In this way, by the time they may<br />

be proposed for inclusion in a set of measures for a<br />

particular year, the measures specifications will be<br />

published, established, and utilized by eligible<br />

professionals for test submission.<br />

Comment: Numerous commenters suggested quality<br />

measures in addition to the quality measures we had<br />

proposed in Tables 11 through 14 of the CY 2009 PFS<br />

proposed rule (73 FR 38567 through 38572) for the 2009<br />

PQRI.<br />

Response: We have not included in final 2009 PQRI<br />

quality measures any quality measures that were not<br />

identified in the CY 2009 PFS proposed rule as proposed<br />

2009 PQRI measures. As discussed above in this rule, we<br />

are obligated by section 1848(k)(2)(B)(ii) of the Act to<br />

publish and provide opportunity for public comment on<br />

proposed 2009 PQRI quality measures. Measures recommended<br />

for selection via comments on the proposed rule that were<br />

not included in the proposed rule have not <strong>been</strong> placed<br />

before the public as part of notice and comment rulemaking<br />

process. Thus, such additional measures recommended via<br />

comments on the proposed rule cannot be included in the<br />

607

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