Groups Object to CMS Quality Reports Plan

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

The American Psychiatric Association, which represents more than 37,000 psychiatric physicians, cited the need to punish any organization that violates patient privacy. “The APA endorses requiring approved qualified entities to execute a data use agreement before receiving any CMS data. Where qualified entities misuse or leak a Medicare beneficiary’s identifiable healthcare data, the APA asks for immediate termination of the qualified entity’s access to any CMS data, followed by the imposition of civil monetary and criminal penalties, as well as provider notification of the breach.”

In its comments The American Chiropractic Association expressed concern about the quality reporting data being captured by CMS for doctors of chiropractic. “Because there is only one service provided by doctors of chiropractic that is covered by Medicare DCs are extremely limited in the quality measures for which they can report. Although DCs are licensed and trained to provide evaluation and management services, radiologic and diagnostic service, physical medicine and rehabilitation services and other procedures, DCs cannot report on any quality measures related to the provision of those services. Now that that PQRS quality measures will be the basis for the reports disseminated by qualifying organizations, the data for DCs will be extremely limited. When compared to private insurers there will be no comparable Medicare data for the services that DCs provide, aside from spinal manipulation.”

The American College of Cardiologists, a40,000-member nonprofit medical society, commented that physicians are not allotted sufficient time to review and comment on the data released. “While physicians are given an opportunity to review the data, CMS only proposes as little as a 10-day period in which to review what may be thousands of records covering a period of two to three years.

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