(CMS-10519) Physician Quality Reporting System and the Electronic Prescribing Incentive Program Data Assessment, Accuracy and Improper Payments Identification Support

Forms and Documents

Document Name	Status
Form CMS-10519 PQRS Data Validation Project Electronic Survey Form and Instruction	New
PQRS Data Validation Electronic Survey - Supporting Statement - Part B clean.docx Supporting Statement B	2014-11-07
PQRS Data Validation Electronic Survey_Supporting Statement_Part A clean.docx Supporting Statement A	2014-11-07

IC Document Collections

IC ID	Document Title	Status
213102	PQRS Data Validation Project Electronic Survey Form and Instruction	New

ICR Details

OMB Control No: 0938-1255	ICR Reference No: 201409-0938-008
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-10519) Physician Quality Reporting System and the Electronic Prescribing Incentive Program Data Assessment, Accuracy and Improper Payments Identification Support
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/12/2014
	Date Received in OIRA: 09/12/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved
Responses	115	0	0
Time Burden (Hours)	173	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Physician Quality Reporting System (PQRS) and Electronic Prescribing Incentive (eRx) Program Data Assessment, Accuracy and Improper Payments Identification support contract was created to identify and address problems with data handling, data accuracy, and improper payments from the PQRS and eRx Incentive programs. As part of this project, the Arch team will conduct the PQRS Data Validation Project Electronic Survey which will ask questions about data handling processes and systems used by Group Practices and Registries. The survey and other methodologies will be used to identify recipients of improper payments due to intentional fraud or unintentional error, data submission, processing, and reporting will be analyzed for any potential errors, inconsistencies, and gaps that are related to data handling, program requirements, and clinical quality measure specifications. The survey will inquire about data handling to determine data source errors, gaps, and inconsistencies as well as stakeholder perceptions of the challenges they faced participating in the program. To plan the survey, issue logs were reviewed from the prior reporting years, as well as knowledge of existing business processes associated with data handling to include procurement, translation, transmission, and submission. The survey contains six categories of questions: Corporate Information, Training, Data Handling, Quality Assurance, eRx and Feedback.

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Authorizing Statute(s): PL: Pub.L. 111 - 48 3002 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 48 3002 Name of Law: Affordable Care Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 14711	03/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 53067	09/05/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
PQRS Data Validation Project Electronic Survey	CMS-10519	PQRS Data Validation Electronic Survey

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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	115	0	0	115	0	0
Annual Time Burden (Hours)	173	0	0	173	0	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: This is a new information collecton.

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Annual Cost to Federal Government: $36,120

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: 09/12/2014

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