Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection
No
Regular
Comment filed on proposed rule and continue
11/15/2017
07/25/2017
OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is
not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act
of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a
new OMB Control Number, the OMB Control Number will not appear in the active inventory.
For future submissions of this information collection, reference the OMB Control Number
provided. OMB is withholding approval at this time. Prior to publication of the final rule, the
agency should provide a summary of any comments related to the information collection and
their response, including any changes made to the ICR as a result of comments. In addition,
the agency must enter the correct burden estimates.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
03/31/2020
36 Months From Approved
03/31/2020
1,689,076
0
1,689,076
10,947,453
0
10,947,453
0
0
0
Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.
US Code:
42 USC 1395w-4
Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
The reduction in burden for the 2018 MIPS performance period is reflective of several proposed policies, including a new significant hardship exception for small practices for the advancing care information performance category. Our burden estimates also reflect our proposal to allow clinicians that practice primarily in the hospital to elect to use facility-based measurements, thereby eliminating the need for additional quality data submission processes; and our proposal to allow MIPS eligible clinicians to form virtual groups, which would create efficiencies in data submission.
Table 22 provides the reasons for changes in the estimated burden for information collections between the CY 2017 Quality Payment Program final rule and CY 2018 Quality Payment Program proposed rule. We have divided the reasons for our change in burden into those related to new policies in the CY 2018 proposed rule, and those related to changes in the baseline burden of continued Year 1 policies that reflect updated data and methods.
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.
Form CMS-10621 Payer Initiated Submission Form
CMS-10621 CY 2018 PRA Supporting Statement Part B -10-12 clean.doc
CMS-10621 MIPS CY 2018 PRA Part A - 20171012.docx
§414.1395 (Physician Compare) Opt Out for Voluntary Participants