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Groups Object to CMS Quality Reports Plan

Margaret Dick Tocknell, for HealthLeaders Media, August 8, 2011

This is not nearly enough time to review data and point out errors to the qualified entities. In addition, the rule is unclear on what happens if a physician or other provider does identify problems. The ACC urges CMS to provide a longer period for physicians and other providers to review data and a specific action plan for the qualified entities if a physician or other provider identifies an issue.”

The American Academy of Neurology, which represents 24,000 neurologists and neuroscience professionals, requested that CMS “specify requirements surrounding whom physicians can be compared to and rated against. For example, QEs should compare physicians in their reports matched by how often they work full or part?time, whether they practice in an urban or rural environment, the severity of the patients they treat, and what part of the country they practice in (the state or metropolitan statistical area).”

The Business Roundtable, an association of CEOs representing more than 35 million employees, retirees and dependents, asked CMS to provide an option so that qualified entities with less than three years of experience in performance metrics could be included in the program if they have “sufficient experience in other related areas.”

The group supports limiting the correction and appeals process to 30 days. “We certainly agree that providers must have the opportunity to identify and correct errors in the report prepared by the QE. Indeed, inaccurate data can cause harm. By the same token, however, the correction and appeals process should also not become an open-ended process that may inadvertently create incentives or opportunities for certain providers to use these procedures to block or delay issuance of an accurate report that shows marginal or poor performance by the provider.”

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