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Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...

healthcare.philips.com
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19.02.2013 Views

CMS-1403-FC Measure Title Measure Source Radiology: Exposure Time Reported for Procedures Using Fluoroscopy AMA-PCPI/NCQA Oncology: Medical and Radiation – Pain Quantified AMA-PCPI Radiology: Inappropriate Use of “Probably Benign” Assessment Category in Mammography Screening AMA-PCPI Coronary Artery Disease (CAD): Lipid Profile in Patients with CAD AMA-PCPI Chronic Kidney Disease (CKD): Referral for Arteriovenous (AV) Fistula AMA-PCPI Falls: Plan of Care AMA-PCPI Falls: Risk Assessment AMA-PCPI Oncology: Radiation Dose Limits to Normal Tissues AMA-PCPI Hepatitis C: Hepatitis A Vaccination Hepatitis C: Hepatitis B Vaccination Oncology: Recording of Clinical Stage for Lung Cancer and Esophageal Cancer AMA-PCPI AMA-PCPI The following proposed measures are not included in the final 2009 PQRI quality measure set because they were reviewed by NQF on or before August 31, 2008 and were not recommended for endorsement: ● Measure T144 Radiology: Computed Tomography (CT) Radiation Dose Reduction ● Osteoporosis: Counseling for Vitamin D, Calcium Intake, and Exercise Besides being adopted by the AQA, the measures we finalized were considered ready for implementation for the purposes of the 2009 PQRI as of October 15, 2008 based on the following -- (1) the final, detailed specifications for use in data collection for PQRI have been completed and are ready for implementation, and (2) all of the CPT II codes STS 636

CMS-1403-FC required for the measure to be reported by claims have been established and will be effective for CMS claims data submission on or before January 1, 2009. As described in section III.O.4.b, measures designated as T### in the proposed rule indicated that the measure was included in the 2008 Measure Testing Process. The T#### identifier was removed from Table 17 in the final rule with comment period because each measure in the final 2009 PQRI measure set will be assigned an unique number which may be obtained from the detailed specifications which will be made available on the PQRI section of the CMS Web site no later than December 31, 2008. iv. Additional Measures Selected Contingent upon NQF Endorsement or AQA Adoption by August 31, 2008 We proposed to include in the 2009 PQRI quality measure set 26 new measures that had not yet received NQF endorsement or AQA adoption at the time of the publication of the proposed rule but whose selection was contingent on NQF endorsement and/or AQA adoption by August 31, 2008 (73 FR 38571 through 38572). We received several comments on these 26 proposed measures, which are summarized and addressed below. 637

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

Measure Title Measure Source<br />

Radiology: Exposure Time Reported for Procedures Using Fluoroscopy AMA-PCPI/NCQA<br />

Oncology: Medical and Radiation – Pain Quantified AMA-PCPI<br />

Radiology: Inappropriate Use of “Probably Benign” Assessment Category<br />

in Mammography Screening<br />

AMA-PCPI<br />

Coronary Artery Disease (CAD): Lipid Profile in Patients with CAD AMA-PCPI<br />

Chronic Kidney Disease (CKD): Referral for Arteriovenous (AV) Fistula AMA-PCPI<br />

Falls: Plan of Care AMA-PCPI<br />

Falls: Risk Assessment AMA-PCPI<br />

Oncology: Radiation Dose Limits to Normal Tissues AMA-PCPI<br />

Hepatitis C: Hepatitis A Vaccination<br />

Hepatitis C: Hepatitis B Vaccination<br />

Oncology: Recording of Clinical Stage for Lung Cancer and Esophageal<br />

Cancer<br />

AMA-PCPI<br />

AMA-PCPI<br />

The following proposed measures are not included in<br />

the final 2009 PQRI quality measure set because they were<br />

reviewed by NQF on or before August 31, 2008 and were not<br />

recommended for endorsement:<br />

● Measure T144 Radiology: Computed Tomography (CT)<br />

Radiation Dose Reduction<br />

● Osteoporosis: Counseling for Vitamin D, Calcium<br />

Intake, and Exercise<br />

Besides being adopted by the AQA, the measures we<br />

finalized were considered ready for implementation for the<br />

purposes of the 2009 PQRI as of October 15, 2008 based on<br />

the following -- (1) the final, detailed specifications for<br />

use in data collection for PQRI have <strong>been</strong> completed and are<br />

ready for implementation, and (2) all of the CPT II codes<br />

STS<br />

636

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