In performance year 2022, one ACO reported on over 700,000 denominator eligible beneficiaries for a single eCQM
We note that this proposed change will result in an increase of 2.48 hours (11.98 hr adjusted estimate 9.5 hr currently approved estimate) for each applicant to complete the simplified QCDR self-nomination process (88 FR 79426 and 79427)
The measure should account for patients with cardiac arrest and patients who smoke tobacco to reduce factors outside of clinician control that influence measure performance
As described in the revised Medicare Part D Drug Inflation Rebate Guidance, CMS intends to calculate the average annual total cost based on gross covered drug costs for the Part D rebatable drug at the NDC-9 level
We are interested in hearing if the proposed global postop add-on code could help resolve these issues
(i) CMS will not exclude billing units from claims when the Medicare beneficiary has Medicaid coverage that does not include cost-sharing assistance, including Specified Low-Income Medicare Beneficiaries (SLMB), Qualified Disabled and Working Individuals (QDWI), and Qualifying Individuals (QI) beneficiaries