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.
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
PL:
Pub.L. 111 - 148 3002 Name of Law: Improvements to the
physician quality reporting system.
The changes in the estimated
burden in this PRA application for CY 2015 from the original
submission are due to the following: A change in participation
estimates for eligible professionals using the qualified registry,
QCDR, and EHR-based reporting mechanisms due to the release of data
from the 2012 PQRS and eRx Experience Report (available at
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/PQRS/).
The movement away from the distribution of PQRS incentives to the
sole application of the PQRS payment adjustments. A change in
reporting requirements in the PQRS for the 2017 PQRS payment
adjustment.
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.
CMS-10276 - Supporting Statement B [rev 12-9-2014 by OSORA PRA].docx
EHR-based Reporting Mechanism (Eligible Professionals Participating Individually or as Part of a Group Practice)