Claims-based Reporting Mechanism (Eligible Professionals)

Physician Quality Reporting System (PQRS) (CMS-10276)

OMB: 0938-1059

IC ID: 211744

Documents and Forms
Information Collection (IC) Details

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Claims-based Reporting Mechanism (Eligible Professionals)
 
No Modified
 
Voluntary
 
42 CFR 414.90 42 CFR 414.92

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 2015_PQRS_ImplementationGuide.pdf Yes Yes Printable Only
Instruction 2015_PQRS_MAV_ProcessforRegistryBasedReporting_01152015.pdf Yes Yes Printable Only

Health Health Care Services

Performance Measurement and Reporting System  72 FR 52133

350,000 230,000
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 350,000 0 100,000 0 0 250,000
Annual IC Time Burden (Hours) 5,528,488 0 1,579,568 0 0 3,948,920
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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