Hospital Outpatient Quality Reporting

Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250)

OMB: 0938-1109

IC ID: 217995

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Hospital Outpatient Quality Reporting
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10250 Web Based Data Collection Tool OQR Web Based Measures Data Collection Tool w PRA Notice.docx Yes Yes Fillable Fileable
Instruction CMS-10250. OQR_v17.0_SpecsManual.pdf Yes Yes Printable Only
Form and Instruction CMS-10250 CMS-10250.OQR_Validation_Recon_Req_Form CMS-10250.OQR_Validation_Recon_Req_Form.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10250.CMS Quality Program ECE Request Form_CY CMS-10250.CMS Quality Program ECE Request Form_CY 2024_vFinal CMS-10250.CMS Quality Program ECE Request Form_CY 2024_vFinal.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10250.OQR_Withdraw Form CMS-10250.OQR_Withdraw Form CMS-10250.OQR_Withdraw Form.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10250. OQR_Reconsideration Form CMS-10250. OQR_Reconsideration Form CMS-10250. OQR_Reconsideration Form.docx Yes Yes Fillable Fileable

Health Health Care Services

Medicare Beneficiary Database (MBD)  83 FR 6591

3,350 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 968,150 0 0 0 0 968,150
Annual IC Time Burden (Hours) 276,148 0 -15,456 0 0 291,604
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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