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.
Inventory as of this Action
Requested
Previously Approved
01/31/2018
36 Months From Approved
01/31/2018
465,350
0
465,350
5,751,115
0
5,751,115
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
The changes in the estimated burden in this PRA application for CY 2016 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 2013 PQRS and eRx Experience Report.
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 2018 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_Part_B_PQRS_2015 PFS_Updated_06192015.docx
EHR-based Reporting Mechanism (Eligible Professionals Participating Individually or as Part of a Group Practice)