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

Forms and Documents

Document Name	Status
Form CMS-10276 Qualified Registry or QCDR Vendors - Self Nomination Form	Modified
CMS-10276 Supporting_Statement_Part_B_PQRS_2015 PFS_112015_AMM_ap_clean.docx Supporting Statement B	2016-03-23
CMS-10276 - Supporting Statement A [rev 07-19-2016 by OSORA PRA].docx Supporting Statement A	2016-07-19

IC Document Collections

IC ID	Document Title	Status
211746	EHR-based Reporting Mechanism Instruction	Modified
211745	Registry-based and QCDR-based Reporting Mechanisms Instruction	Modified
211744	Claims-based Reporting Mechanism Instruction	Modified
201580	GPRO Web Interface Reporting Mechanism Instruction	Modified
201578	Qualified Registry or QCDR Vendors - Self Nomination Form	Modified

ICR Details

OMB Control No: 0938-1059	ICR Reference No: 201511-0938-008
Status: Historical Active	Previous ICR Reference No: 201507-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Physician Quality Reporting System (PQRS) (CMS-10276)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/22/2016
	Date Received in OIRA: 03/23/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved	01/31/2018
Responses	612,650	0	465,350
Time Burden (Hours)	7,736,084	0	5,751,115
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): 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
   US Code: 42 USC 1395w-4 Name of Law: Payment for Physician' Services
   PL: Pub.L. 111 - 148 3002 Name of Law: Improvements to the physician quality reporting system.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AS40	Final or interim final rulemaking	80 FR 70886	11/16/2015

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 41685	07/15/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 70886	11/16/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Qualified Registry or QCDR Vendors - Self Nomination	CMS-10276	Self Nomination
GPRO Web Interface Reporting Mechanism	CMS-10276	Self Nomination
Registry-based and QCDR-based Reporting Mechanisms
EHR-based Reporting Mechanism
Claims-based Reporting Mechanism

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	612,650	465,350	0	100,300	47,000	0
Annual Time Burden (Hours)	7,736,084	5,751,115	0	1,605,068	379,901	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: As follows, the burden increased by 1,605,068 hours. No Change Qualified Registry or QCDR Vendors - Self Nomination No Change EHR-based Reporting Mechanism +1,579,568 hr Claims-based reporting + 379,901 hr Registry-based and QCDR-based Reporting Mechanisms + 25,000 hr GPRO Web Interface Reporting Mechanism +1,605,068 hr TOTAL

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/23/2016

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