In accordance with section 1848(k)(2)
of the Social Security Act (the Act), an eligible professional who
satisfactorily submits data on quality measures for covered
professional services furnished in 2010 and 2011 as part of the
PQRI can qualify to receive an incentive payment equal to 2.0% and
1.0%, respectively, of the eligible professional's total estimated
Medicare Part B PFS allowed charges. In addition, section
1848(m)(5)(F) of the Act requires us to establish alternative
criteria for satisfactorily reporting PQRI quality measures data
through medical registries. In addition to reporting data on PQRI
quality measures on their Medicare Part B claims, eligible
professionals may authorize or instruct the registry to submit
quality measures results and numerator and denominator data on
quality measures to CMS on their behalf or extract clinical quality
data from a qualified EHR and submit the data to a CMS-designated
clinical quality data warehouse. To be qualified to submit PQRI
quality measures results and numerator data on quality measures on
behalf of eligible professionals, a registry will need to
self-nominate to become a "qualified" PQRI registry unless the
registry was qualified for a prior year and successfully submits
PQRI quality measure results and numerator and denominator data on
quality measures on behalf of their participants for such year. To
be qualified for the purpose of an eligible professional submitting
data on PQRI quality measures, an EHR vendor was required to
self-nominate to have one or more of its EHR products designated a
"qualified" PQRI EHR product.
PL:
Pub.L. 111 - 148 3002 Name of Law: Improvements to the
physician quality reporting system.
US Code: 42
USC 1395w-4 Name of Law: Payment for Physician' Services
Statute at Large: 18
Stat. 1848 Name of Statute: null
PL:
Pub.L. 109 - 432 101 Name of Law: Tax Relief and Health Care
Act of 2006 - Medicare Improvements and Extension Act of 2006
GPRO The changes are due an
increase in participation in PQRS to 400,000 eligible professionals
by 2014. An estimate that, among these participants, 200 group
practices will choose to participate in PQRS via the PQRS group
practice reporting option (GPRO) INDIVIDUAL The change in burden
estimates is due to the estimated increase in participation due to
the implementation of the 2015 and 2016 PQRS payment adjustments.
Please note that the # of annual responses also reflect the # of
participants we estimate will participate in the PQRS in 2014 as
well as the # of responses an EP will provide based on the
reporting mechanism the EP chooses.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10276 Supporting_Statement_Part_B_PQRS_2013_clean.docx
2013_PQRS_ImplementationGuide_110912 -- REDUCED.pdf
L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012.xlsx
PQRS - Individual EP