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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19.02.2013 Views

CMS-1403-FC satisfactorily submitted data on quality measures for the PQRI and the names of the eligible professionals (or group practices) who are successful electronic prescribers. As noted previously, this requirement cannot be applied retrospectively to data that was collected prior to the enactment of the MIPPA. In order to implement this requirement we will report publicly the names of eligible professionals who are successful electronic prescribers for the 2009 E- Prescribing Incentive Program. Along with the names of eligible professionals who satisfactorily submitted data on quality measures for the 2009 PQRI, the names of eligible professionals who are successful electronic prescribers will be available in 2010, in an easily understandable format, on a Physician and Other Health Care Professional Compare Web site at http://www.medicare.gov/Physician/Home.asp?bhcp=1. Accordingly, We will post on the CMS Web site the names of eligible professionals (1) whose 2009 Medicare Part B charges for codes in the denominator of the E- Prescribing Measure #125 make up at least 10 percent of the eligible professional’s Medicare Part B charges for 2009; (2) who reported the E-Prescribing Measure #125 in at least 50 percent of the cases in which the measure was reportable 700

CMS-1403-FC during 2009; and (3) who received an e-prescribing incentive payment for covered professional services furnished January 1, 2009 through December 31, 2009. Since the PQRI and the E-Prescribing Incentive Program are two separate incentive programs, it is feasible for an eligible professional who participated in both incentive programs to be listed both as an individual eligible professional who satisfactorily submitted data on quality measures for the PQRI and a successful electronic prescriber if he or she met the criteria for both incentive programs. d. Summary of Comments and Responses Although the MIPPA was not enacted until after publication of the CY 2009 PFS proposed rule, we received some comments related to this new incentive program that was authorized by the MIPPA. A summary of these comments and our responses is below. Comment: We received a few comments about the PQRI Measure #125. These commenters suggested that prior to implementation of this quality measure in the e-prescribing incentive program, the quality measure and our design of the e-prescribing incentive program should go through a public comment process. One commenter indicated support for the e-prescribing incentive but noted that implementing 701

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

satisfactorily <strong>submitted</strong> data on quality measures for the<br />

PQRI and the names of the eligible professionals (or group<br />

practices) who are successful electronic prescribers. As<br />

noted previously, this requirement cannot be applied<br />

retrospectively to data that was collected prior to the<br />

enactment of the MIPPA.<br />

In order to implement this requirement we will report<br />

publicly the names of eligible professionals who are<br />

successful electronic prescribers for the 2009 E-<br />

Prescribing Incentive Program. Along with the names of<br />

eligible professionals who satisfactorily <strong>submitted</strong> data on<br />

quality measures for the 2009 PQRI, the names of eligible<br />

professionals who are successful electronic prescribers<br />

will be available in 2010, in an easily understandable<br />

format, on a Physician and Other Health Care Professional<br />

Compare Web site at<br />

http://www.medicare.gov/Physician/Home.asp?bhcp=1.<br />

Accordingly, We will post on the <strong>CMS</strong> Web site the<br />

names of eligible professionals (1) whose 2009 Medicare<br />

Part B charges for codes in the denominator of the E-<br />

Prescribing Measure #125 make up at least 10 percent of the<br />

eligible professional’s Medicare Part B charges for 2009;<br />

(2) who reported the E-Prescribing Measure #125 in at least<br />

50 percent of the cases in which the measure was reportable<br />

700

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