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 ...
CMS-1403-FC PQRI; and (2) the eligible professionals (or group practices) who are successful electronic prescribers. Section 1848(m)(6)(C) of the Act, as redesignated by section 131(b)(2) of the MIPPA and amended by section 131(b)(3)(F) of the MIPPA, defines “reporting period” for the 2008 through 2011 PQRI to be the entire year and authorizes the Secretary to revise the reporting period for years after 2009 if the Secretary determines such “revision is appropriate, produces valid results on measures reported, and is consistent with the goals of maximizing scientific validity and reducing administrative burden.” Section 131(b)(4) of the MIPPA amends section 1848(k)(3)(B) of the Act to include a qualified audiologist (as defined in section 1861(ll)(3)(B)) of the Act) in the definition of an “eligible professional” beginning with the 2009 PQRI. Section 131(b)(6) of the MIPPA provides that none of the amendments made by subsection 131(b) or section 132 of the MIPPA shall affect the operation of the provisions of section 1848(m) of the Act, with regard to 2007 or 2008. Further discussion of these MIPPA provisions as they relate to the 2009 PQRI can be found in section II.O1. of this final rule with comment period. 820
CMS-1403-FC In addition to the provisions that impact the PQRI, section 131(a) of the MIPPA amended section 1848(d)(8) of the Act to extend the 6-month increase in the CY 2008 CF to the entire year and added section 1848(d)(9) of the Act which provided that the update to the single CF for CY 2009 shall be 1.1 percent. This subsection further specified that the CFs for CY 2010 and subsequent years must be computed as if these increases had never applied. Further discussion of these MIPPA provisions as they relate to the PFS update and CF for 2009 can be found in sections VII. and IX. of this final rule with comment period. C. Section 131(c): Physician Resource Use Feedback Program 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 821
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<strong>CMS</strong>-1403-FC<br />
PQRI; and (2) the eligible professionals (or group<br />
practices) who are successful electronic prescribers.<br />
Section 1848(m)(6)(C) of the Act, as redesignated by<br />
section 131(b)(2) of the MIPPA and amended by section<br />
131(b)(3)(F) of the MIPPA, defines “reporting period” for<br />
the 2008 through 2011 PQRI to be the entire year and<br />
authorizes the Secretary to revise the reporting period for<br />
years after 2009 if the Secretary determines such “revision<br />
is appropriate, produces valid results on measures<br />
reported, and is consistent with the goals of maximizing<br />
scientific validity and reducing administrative burden.”<br />
Section 131(b)(4) of the MIPPA amends section<br />
1848(k)(3)(B) of the Act to include a qualified audiologist<br />
(as defined in section 1861(ll)(3)(B)) of the Act) in the<br />
definition of an “eligible professional” beginning with the<br />
2009 PQRI.<br />
Section 131(b)(6) of the MIPPA provides that none of<br />
the amendments made by subsection 131(b) or section 132 of<br />
the MIPPA shall affect the operation of the provisions of<br />
section 1848(m) of the Act, with regard to 2007 or 2008.<br />
Further discussion of these MIPPA provisions as they<br />
relate to the 2009 PQRI can be found in section II.O1. of<br />
this final rule with comment period.<br />
820