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.
PQRS - Individual EP