Physician Quality Reporting System (PQRS)

ICR 201405-0938-007

OMB: 0938-1059

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2014-08-21
Supporting Statement B
2014-05-29
Supporting Statement A
2014-05-29
ICR Details
0938-1059 201405-0938-007
Historical Active 201309-0938-018
HHS/CMS 20543
Physician Quality Reporting System (PQRS)
Revision of a currently approved collection   No
Regular
Approved with change 09/30/2014
Retrieve Notice of Action (NOA) 05/29/2014
OMB is approving this information collection request for a period of three years during which time CMS will request approval to extend or revise the collection if the Agency seeks to continue the information collection activity beyond the period approved under this action.
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 01/31/2015
330,250 0 11,600,250
2,073,193 0 4,006,121
0 0 0

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
  
None

0938-AR56 Final or interim final rulemaking 78 FR 74230 12/10/2013

  78 FR 43282 07/19/2013
78 FR 74230 12/10/2013
No

  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 330,250 11,600,250 0 230,000 -11,500,000 0
Annual Time Burden (Hours) 2,073,193 4,006,121 0 1,201,543 -3,134,471 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The changes in the estimated burden in this PRA application for CY 2014 from the original submission are due to the following: • A change in burden costs for eligible professionals participating in the claims-based reporting mechanism due to an increase in the number of measures an eligible professional is required to report to meet the criteria for satisfactory reporting for the 2014 PQRS incentive • A change in participation estimates for eligible professionals using the registry, qualified clinical data registry, and EHR-based reporting mechanisms due to the release of data from the 2011 PQRS and eRx Experience Report (available at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/PQRS/).

$216,000,000
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

  No

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.
05/29/2014


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