draft bill - House of Representatives
draft bill - House of Representatives
draft bill - House of Representatives
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F:\P\H13\CMS\MEDCR\SGR-EC_16.XML<br />
[Discussion Draft]<br />
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‘‘(I) covering at least items and<br />
services furnished under this part by<br />
eligible pr<strong>of</strong>essionals participating in<br />
the model;<br />
‘‘(II) in the case such payment<br />
arrangement does not provide for payment<br />
under the fee schedule under<br />
section 1848 for such items and services<br />
furnished by such eligible pr<strong>of</strong>essionals,<br />
that provides for a payment<br />
adjustment based on meaningful EHR<br />
use comparable to such adjustment<br />
that would otherwise apply under section<br />
1848; and<br />
‘‘(III) that provides for a payment<br />
adjustment based on quality<br />
measures comparable to such adjustment<br />
that would otherwise apply<br />
under section 1848.<br />
‘‘(C) CRITERIA FOR RECOMMENDING MOD-<br />
ELS FOR APPROVAL WITHOUT EVALUATION<br />
UNDER DEMONSTRATION.—The APM contracting<br />
entity may make a recommendation<br />
under subparagraph (A)(ii), with respect to an<br />
Alternative Payment Model, only if the entity<br />
f:\VHLC\071813\071813.221.xml (557498|2)<br />
July 18, 2013 (4:58 p.m.)<br />
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