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

CMS-1403-FC
Committee for Quality Assurance, the Quality Alliance
Steering Committee, and the AQA-Alliance.
b. Statutory Authority
Section 131(c) of the MIPPA amends section 1848 of the
Act by adding subsection (n), which requires the Secretary
to establish and implement by January 1, 2009, a Physician
Feedback Program using Medicare claims data and other data
to provide confidential feedback reports to physicians (and
as determined appropriate by the Secretary, to groups of
physicians) that measure the resources involved in
furnishing care to Medicare beneficiaries. If determined
appropriate by the Secretary, the Secretary may also
include information on quality of care furnished to
Medicare beneficiaries by the physician (or group of
physicians) in the reports. We have titled this initiative
the physician resource use feedback program.
Under section 1848(n)(1)(B) of the Act, resource use
may be measured on an: (i) episode basis, (ii) per capita
basis, or (iii) on both an episode and a per capita basis.
In addition, to the extent practicable, data for reports
shall be based on the most recent data available. Section
1848(n)(4) authorizes the Secretary to focus the
application of the program as appropriate, such as focusing
the program on: (1) physician specialties that account for
791