View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0938-1059
ICR Reference No:
201412-0938-003
Status:
Historical Active
Previous ICR Reference No:
201405-0938-007
Agency/Subagency:
HHS/CMS
Agency Tracking No:
20543
Title:
Physician Quality Reporting System (PQRS) (CMS-10276)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/29/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/11/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2018
36 Months From Approved
09/30/2017
Responses
465,350
0
330,250
Time Burden (Hours)
5,751,115
0
2,073,193
Cost Burden (Dollars)
0
0
0
Abstract:
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.
Authorizing Statute(s):
US Code:
42 USC 1395w-4
Name of Law: Payment for Physician' Services
Statute at Large:
18 Stat. 1848
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.
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AS12
Final or interim final rulemaking
79 FR 67548
11/13/2014
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 40318
07/11/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 67548
11/13/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Claims-based Reporting Mechanism (Eligible Professionals)
EHR-based Reporting Mechanism (Eligible Professionals Participating Individually or as Part of a Group Practice)
GPRO Web Interface Reporting Mechanism (Group Practices)
Registry or Qualified Clinical Data Registry Vendors (QCDR) (Reporting on Behalf of Eligible Professionals and/or Group Practices)
Registry-based and Qualified Clinical Data Registry-based Reporting Mechanisms (Eligible Professionals Participating Individually or as Part of a Group Practice)
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
465,350
330,250
0
135,100
0
0
Annual Time Burden (Hours)
5,751,115
2,073,193
0
2,431,463
1,246,459
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:
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.
Annual Cost to Federal Government:
$216,000,000
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
Agency Contact:
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
Common Form ICR:
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:
(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:
12/11/2014
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