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CMS-1403-FC ● Measure #113 Preventive Care and Screening: Colorectal Cancer Screening ● Measure #114 Preventive Care and Screening: Inquiry Regarding Tobacco Use ● Measure #115 Preventive Care and Screening: Advising Smokers to Quit ● Measure #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up We also received several comments specifically suggesting that Measure 73 Cancer: Plan for Chemotherapy Documented be removed from the 2009 PQRI quality measures for failure to achieve NQF endorsement. Response: Table 15 shows that 101 of 111 proposed 2008 PQRI quality measures have been finalized for the 2009 PQRI. All of the measures specifically supported by commenters are included in Table 15. As suggested by commenters Measure #73 Cancer: Plan for Chemotherapy Documented has been removed from the 2009 PQRI quality measures set because the measure was considered and specifically declined for endorsement by NQF on or before August 31, 2008. Comment: With respect to the two proposed structural measures (Measure #124 and Measure #125), we received 2 comments suggesting that we allow a practice or an eligible 620
CMS-1403-FC professional to simply attest to the use of an EHR or electronic prescribing in their office rather than report it on a claim as this was considered burdensome. Another comment recommended we treat an eligible professional’s recognition under the National Committee for Quality Assurance (NCQA) Physician Practice Connection (PPC) as equivalent to reporting the two structural measures (Measures #124 and #125). Response: For those professionals using an EHR, their system should be able to auto populate a superbill with the appropriate G code for this measure. Many EHRs already code the visit with diagnosis and level of service. The G code could be added to the superbill in this way. The EHR measure (Measure #124) requires more than just having an EHR system and software available in the office; rather the measure also measures ongoing use of the systems. As required by section 1848(m)(3)(A) of the Act, as redesignated and amended by the MIPPA, we are removing the electronic prescribing measure (measure #125) from the 2009 PQRI quality measure set and adopting the measure for use in the e-prescribing incentive program described in section II.O2. of this final rule with comment period. With respect to the recommendation to consider recognition under the NCQA PPC as equivalent to 621
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<strong>CMS</strong>-1403-FC<br />
● Measure #113 Preventive Care and Screening:<br />
Colorectal Cancer Screening<br />
● Measure #114 Preventive Care and Screening: Inquiry<br />
Regarding Tobacco Use<br />
● Measure #115 Preventive Care and Screening:<br />
Advising Smokers to Quit<br />
● Measure #128 Preventive Care and Screening: Body<br />
Mass Index (BMI) Screening and Follow-Up<br />
We also received several comments specifically<br />
suggesting that Measure 73 Cancer: Plan for Chemotherapy<br />
Documented be removed from the 2009 PQRI quality measures<br />
for failure to achieve NQF endorsement.<br />
Response: Table 15 shows that 101 of 111 proposed<br />
2008 PQRI quality measures have <strong>been</strong> finalized for the 2009<br />
PQRI. All of the measures specifically supported by<br />
commenters are included in Table 15. As suggested by<br />
commenters Measure #73 Cancer: Plan for Chemotherapy<br />
Documented <strong>has</strong> <strong>been</strong> removed from the 2009 PQRI quality<br />
measures set because the measure was considered and<br />
specifically declined for endorsement by NQF on or before<br />
August 31, 2008.<br />
Comment: With respect to the two proposed structural<br />
measures (Measure #124 and Measure #125), we received 2<br />
comments suggesting that we allow a practice or an eligible<br />
620