CMS 2014 Physician Quality Reporting System...
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CMS 2014 Physician Quality Reporting System (PQRS) Webinar Tuesday, January 7, 2014 12:00 Noon EST Dial In: 1-877-267-1577 Meeting ID: 992 953 262 No audio available through Webinar
Transcript of CMS 2014 Physician Quality Reporting System...
CMS 2014 Physician Quality Reporting
System (PQRS) Webinar
Tuesday, January 7, 2014
12:00 Noon EST
Dial In: 1-877-267-1577
Meeting ID: 992 953 262
No audio available through Webinar
Introduction
• Series of calls will focus on 2014 participation in
quality programs to earn incentives and avoid
payment adjustments
• All calls Tuesdays at 12 Noon EST and Thursdays at
6:00 PM EST o January 7 & 9: Physician Quality Reporting System (PQRS)
o January 14 & 16: Value Modifier
o January 21 & 23: ICD-10
o January 28 & 30: Stage 2 Meaningful Use
• Planning webinar in February to merge information
from all programs
2
Upcoming 2014 Important Dates
Date Program Milestone
January
1, 2014
EHR • Reporting period begins for EPs (90 days for ALL participants)
• Stage 2 begins for EPs (if they have demonstrated meaningful
use for 2 or more years)
PQRS/Value
Modifier
• Reporting period begins
January
31, 2014
PQRS • Deadline for self-nomination statement for Qualified Clinical
Data Registries (QCDRs) ([email protected])
• Deadline for self-nomination for Maintenance of Certification
3
Upcoming 2014 Important Dates
Date Program Milestone
February
28, 2014
EHR • Last day for EPs to register and attest to receive an incentive
payment for 2013
PQRS • Last day to submit 2013 PQRS data through some reporting
methods (deadline for submission of PQRS data varies by
reporting method, but all methods require data to be submitted
by end of first quarter in 2014)
• Last day to submit Part B charges to be included in calculation
of 2013 PQRS and eRx incentive payments
eRx • Deadline to request an informal review of application of eRx
payment adjustment in 2014 (2014 eRx Payment Adjustment
Informal Review Made Simple)
March 31,
2014
PQRS • Deadline for submission of measures information for QCDRs
EHR • Last day of quarter for EPs reporting for first quarter of CY
2014
4
Reminder: 2014 eRx Payment Adjustment Can Affect 2015 MU Payment Adjustment
• If you did not earn the 2012 eRx incentive or reported during the 6-month reporting period in 2013, you will be subject to a -2.0 percent payment adjustment in 2014
• If you are subject to the 2014 eRx payment adjustment, and you did not successfully demonstrate meaningful use to avoid the 2015 MU payment adjustment, the 2015 MU adjustment is -2.0 percent (as opposed to -1.0 percent)
• 2014 is the last year eRx payment adjustments will be applied
• Informal review requests can be submitted to [email protected] no later than February 28,2014.
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Eligibility 6
PQRS Value Modifier EHR Incentive Program
Eligible for
Incentive
Subject to
Payment
Adjustment
Included in
Definition
of “Group” (1)
Subject to
VM (2)
Eligible for
Medicare
Incentive(3)
Eligible for
Medicaid
Incentive (4,5)
Subject to Medicare
Payment
Adjustment (7,8)
Medicare Physicians
Doctor of Medicine X X X X X X X
Doctor of Osteopathy X X X X X X X
Doctor of Podiatric Medicine X X X X X X
Doctor of Optometry X X X X X X
Doctor of Oral Surgery X X X X X X X
Doctor of Dental Medicine X X X X X X X
Doctor of Chiropractic X X X X X X
Practitioners
Physician Assistant X X X X (6)
Nurse Practitioner X X X X
Clinical Nurse Specialist X X X
Certified Registered Nurse
Anesthetist (10) X X X
Certified Nurse Midwife X X X X
Clinical Social Worker X X X
Clinical Psychologist X X X
Registered Dietician X X X
Nutrition Professional X X X
Audiologists X X X
Therapists
Physical Therapist X X X
Occupational Therapist X X X
Qualified Speech-Language
Therapist X X X
Eligibility 7
• Beginning in 2014, professionals who reassign benefits to a Critical Access Hospital (CAH) that bills professional services at a facility level, such as CAH Method II billing, can now participate (in all reporting methods except for claims-based) o To do so, the CAH must include the individual provider NPI on their Institutional
(FI) claims.
• Some professionals may be eligible to participate per their specialty, but due to billing method may not be able to participate o Professionals who do not bill Medicare at an individual National Provider
Identifier (NPI) level, where the rendering provider’s individual NPI is entered on CMS-1500 type paper or electronic claims billing, associated with specific line-item services
• Services payable under fee schedules or methodologies other than the PFS are not included in PQRS
2014 PQRS Updates 8
Emphasis on 2014 Incentive AND avoiding 2016 Payment Adjustment • New satisfactorily reporting requirements via claims, registry
and EHR to receive incentive and avoid adjustment:
9 measures across 3 National Quality Strategy domains
• Lowered percentage of patients to be reported on for some
reporting options from 80 percent to 50 percent
• Elimination of Administrative claims or the reporting of one measure for purposes of avoiding the 2016 PQRS payment adjustment
• EPs may report on ONLY three measures on 50 percent of their patients to avoid the 2016 payment adjustment (applies to only to individual claims or qualified registry reporting options)
2014 PQRS Updates
• All Measures Groups reportable via Registry Only
• Added EHR Reporting for group practices
• New Qualified Clinical Data Registry (QCDR) reporting option
• Certified Survey Vendor Option for purposes of reporting the CG-CAHPS measures, available to group practices that register to participate in the Group Practice Reporting Option (GPRO)
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Incentives and Payment Adjustments in 2014
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• 2014 is the last year for incentives
• EPs who satisfactorily report quality-measures data for
services furnished in 2014 are:
o eligible to earn an incentive payment of 0.5 percent of the
EP's estimated total allowed charges for covered Medicare
Part B Physician Fee Schedule (PFS) services provided in
2014
o Additional 0.5 percent available for Maintenance of Certification
• 2014 is also the performance year for the 2016 PQRS
payment adjustment
o Payment Adjustment in 2016 is -2.0 percent of EP’s Part B
covered professional services under Medicare PFS
Incentives and Payment Adjustments in 2014
• EPs who are eligible for both PQRS and the EHR meaningful use (MU) program may participate in both programs and earn incentives for both
• Medicare EHR incentive payments for 2014 is based on when the individual EP first demonstrated MU:
• 2014 Incentive for EPs participating in the Medicaid MU program is either $21,250 or $8,500
If first year of MU was: 2014 MU Incentive Is (per EP):
2011 $4,000
2012 $8,000
2013 $12,000
2014 $12,000
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2014 Incentives and 2016 Payment Adjustments 12
PQRS Value Modifier EHR Incentive Program
Incentive Pay Adj
10-99 EPs 100+ EPs
Medicare Inc.
Medicaid Inc.
Medicare Pay Adj
PQRS-Reporting
Non-PQRS
Reporting
PQRS-Reporting (Up or Neutral Adj)
PQRS-Reporting (Down Adj)
Non-PQRS Reporting
MD & DO
0.5% of MPFS (1.0% with
MOC)
-2.0% of
MPFS
+2.0 (x), +1.0(x),
or neutral
(reassigned to the
billing TIN of the group)
-2.0% of
MPFS (reassigned
to the billing TIN
of the group)
+2.0 (x), +1.0(x),
or neutral
(reassigned to the
billing TIN of the group)
-1.0% or -2.0% of
MPFS (reassigned
to the billing TIN
of the group)
-2.0% of
MPFS (reassigned
to the billing TIN
of the group)
$4,000-$12,000 (based
on when EP 1st demo MU)
$8,500 or $21,250
(based on when EP
did A/I/U)
$8,500 or $21,250
(based on when EP
did A/I/U) -2.0%
of MPFS
DDM
Oral Sur
Pod. N/A
Opt.
Chiro.
2014 Incentives and 2016 Payment Adjustments 13
PQRS Value Modifier
EHR Incentive Program
Incentive Pay Adj. Groups of 10+
EPs Medicare
Inc. Medicaid
Inc. Medicare Pay Adj.
Practitioners
Physician Assistant
0.5% of MPFS
-2.0% of MPFS
EPs included in the definition of “group” to determine group size for application of the value modifier in 2016 (10 or more EPs); VM only applied to reimbursement of physicians in the group
N/A
$8,500 or $21,250 (based on when EP did A/I/U)
N/A
Nurse Practitioner
Clinical Nurse Specialist N/A
Certified Registered Nurse Anesthetist
Certified Nurse Midwife $8,500 or $21,250 (based on when EP did A/I/U)
Clinical Social Worker
N/A
Clinical Psychologist
Registered Dietician
Nutrition Professional
Audiologits
Therapists
Physical Therapist 0.5% of MPFS
-2.0% of MPFS
See above
N/A N/A N/A Occupational Therapist
Qualified Speech-Language Therapist
National Quality Strategy (NQS) Domains
• Most PQRS reporting options require a group or
practice to report 9 or measures covering at least 3
NQS domains for incentive purposes:
1. Patient Safety
2. Person and Caregiver-Centered Experience and
Outcomes
3. Communication and Care Coordination
4. Effective Clinical Care
5. Community/Population Health
6. Efficiency and Cost Reduction
• Same domains for MU Clinical Quality Measures
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How Will I Participate?
• Will you participate as an individual or a
group? o If a group: how many EPs are in your group?
• Individuals can report using 5 methods: 1. Claims (Individual measures)
2. Qualified Registry (Individual measures or measures groups)
3. Direct EHR product that is CEHRT
4. EHR data submission vendor that is CEHRT (Individual Measures)
5. Qualified Clinical Data Registry (Measures selected by QCDR)
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New- Qualified Clinical Data Registries 16
A QCDR is a CMS-approved entity that:
• collects medical and/or clinical data for the purpose of patient and disease tracking
• has self-nominated and successfully completed a qualification
process
A QCDR must perform the following functions:
(1) Submit quality measures data or results to CMS • Must have in place mechanisms for the transparency of data
elements, specifications, risk models, and measures.
(2) Submit to CMS quality measures data on multiple payers
(3) Provide timely feedback
(4) Possess benchmarking capacity
New- Qualified Clinical Data Registries
• Must have at least 9 measures, covering at least 3 of the 6 NQS domains, available for reporting
• Must have at least 1 outcome measure available for reporting to earn incentive
• May report on process measures • Must provide the appropriate analytical structure (i.e., numerator,
denominator, denominator exceptions/exclusions, etc.) • Must submit a self-nomination statement no later than January 31, 2014 • Must provide to CMS descriptions for the measures for which it will report
to CMS by no later than March 31, 2014. The descriptions must include: o name/title of measures, NQF # (if NQF endorsed)
o descriptions of the denominator, numerator, and
o when applicable, denominator exceptions and denominator exclusions of the measure
• QCDRs must calculate the composite score for CMS and provide the formula used for calculation
• Also finalized as an additional mechanism to report clinical quality measures in the MU program
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Claims
Report each measure for at least 50 percent of the Medicare Part B FFS patients seen
during the reporting period to which the measure applies. Measures with a 0 percent
performance rate would not be counted. (Subject to MAV)
Individual Reporting Criteria for Earning the 2014 PQRS Incentive
Individual
Measures
What Measure Type?
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Can you report at least 9
measures covering at least 3
domains?
Yes No
Report at least 9 measures
covering at least 3 NQS domains
Report 1—8 measures covering 1—3 NQS
domains
Qualified Registry
Individual Reporting Criteria for Earning the 2014 PQRS Incentive
Individual
Measures
What Measure Type?
Measures
Groups
Reporting Period?
12 month 6 month (Jul 1-
Dec 31)
Report at least 1 measures group, AND
report each measures group for at least 20
patients, a majority of which much be
Medicare Part B FFS patients
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Report each measure for at least 50 percent of the
Medicare Part B FFS patients seen during the reporting
period to which the measure applies. Measures with a 0
percent performance rate would not be counted.
Can you report at least 9 measures covering
3 domains?
Yes No
Report at least 9 measures
covering at least 3 NQS
domains
Report 1—8 measures
covering 1—3 NQS
domains
(Subject to MAV)
Direct EHR product that is CEHRT
–OR-
EHR data
Submission vendor that is CEHRT
Report 9 measures covering at least 3 of the NQS domains. If an EP's CEHRT does not
contain patient data for at least 9 measures covering at least 3 domains, then the EP
must report the measures for which there is Medicare patient data.
An EP must report on at least 1 measure for which
there is Medicare patient data.
Individual Reporting Criteria for Earning the 2014 PQRS Incentive
Individual
Measures
What Measure Type?
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Qualified Clinical Data
Registry
Report at least 9 measures covering at least 3 NQS domains AND report each measure
for at least 50 percent of the EP’s applicable patients seen during the reporting period
to which the measure applies. Measures with a 0 percent performance
rate would not be counted.
Of the measures reported via a qualified clinical data registry, the EP must report on at
least 1 outcome measure.
Individual Reporting Criteria for Earning the 2014 PQRS Incentive
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Measures selected by
Qualified Clinical Data
Registry
What Measure Type?
Claims
You will avoid the
2016 PQRS
payment
adjustment
Individual Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
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Individual
Measures
What Measure Type?
Do you plan to meet 2014 incentive
criteria?
Yes No
Report each measure for at least 50 percent of the EP’s Medicare Part B FFS patients
seen during the reporting period to which the measure applies.
Measures with a 0 percent performance rate will not be counted. (Subject to MAV)
If less than 3 measures apply to the EP,
report 1—2 measures
Can you report at least 3 measures?
Yes No
Report at least 3 measures
Qualified Registry
Individual Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
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Individual Measures
What Measure Type?
Measures
Groups
Reporting Period?
12 month 6 month
Must meet the criteria for
successfully reporting for 2014
incentive
Do you plan to meet 2014 incentive
criteria?
You will
avoid the
2016 PQRS
payment
adjustment
Yes No
Report each measure for at least 50 percent of the EP’s Medicare Part B FFS patients
seen during the reporting period to which the measure applies.
Measures with a 0 percent performance rate will not be counted. (Subject to MAV)
If less than 3 measures apply
to the EP, report 1—2
measures
Can you report at least 3 measures?
Yes No
Report at least 3
measures
Direct EHR product that is CEHRT
-OR-
EHR data
Submission vendor that is CEHRT
Must meet the criteria for successful reporting
for the 2014 incentive payment
Individual Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
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Individual
Measures
What Measure Type?
Qualified Clinical Data Registry
Individual Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
25
Measures selected by Qualified Clinical
Data Registry
What Measure Type?
Do you plan to meet 2014 incentive
criteria?
You will
avoid the
2016 PQRS
payment
adjustment
Yes No
Report at least 3 measures covering at least 1
NQS domain AND report each measure for at
least 50 percent of the eligible professional’s
applicable patients seen during the reporting
period to which the measure applies.
Measures with a 0 percent performance rate
would not be counted.
How Is a Group Practice Defined? 26
• A single Tax Identification Number (TIN) with 2 or more individual EPs(as identified by Individual National Provider Identifier [NPI]) who have reassigned their billing rights to the TIN
• Once a group practice (TIN) has self-nominated or registered to participate in PQRS GPRO, the method chosen is the only PQRS submission method available to the group and all individual NPIs who bill Medicare under the group's TIN
• If an organization or eligible professional changes TINs, the
participation under the old TIN does not carry over to the new TIN, nor is it combined for final analysis
Group Practice Reporting Option (GPRO)
• Options for reporting under the Group Practice Reporting
Option (GPRO) depends on the size of the group
• Claims-based reporting option no longer available for GPRO
• All reporting periods under GPRO is 12 months
27
Group Practice Size?
2-24 EPs 25-99 EPs
100+ EPs
1. Qualified Registry
2. Direct EHR Product
that is CEHRT
3. EHR data
submission vendor
that is CEHRT
1. Qualified Registry
2. Direct EHR Product that
is CEHRT
3. EHR data submission
vendor that is CEHRT
4. GPRO Web Interface
5. CMS-certified survey
vendor AND ONE OF
other four options
1. Qualified Registry
2. Direct EHR Product that is
CEHRT
3. EHR data submission vendor
that is CEHRT
4. GPRO Web Interface AND
REQUIRED CG CAHPS survey
5. CMS-certified survey vendor
AND ONE OF other four
options
Certified Survey Vendor 28
• New reporting mechanism available to group practices participating in PQRS under GPRO beginning in 2014.
• This option is available to group practices of 25 or more EP wishing to report the Clinician Group Consumer Assessment of Healthcare Providers and Systems (CG CAHPS) summary survey modules. o NOTE: CMS will only support survey data collection for groups of 100+ EPs
o May be a fee for groups of 25-99 EPs
• The data collected on these measures will be submitted on behalf of the group practice by the certified survey vendor, the results of which will subsequently be posted on the Physician Compare website.
CG-CAHPS: Summary Survey Modules
CG CAHPS will include the following survey modules: 1. Getting timely care, appointments, and information
2. How well providers Communicate
3. Patient’s Rating of Provider
4. Access to Specialists
5. Health Promotion & Education
6. Shared Decision Making
7. Health Status/Functional Status
8. Courteous and Helpful Office Staff
9. Care Coordination
10. Between Visit Communication
11. Helping You to Take Medication as Directed
12. Stewardship of Patient Resources
• Reference http://acocahps.cms.gov/Content/Default.aspx#aboutSurvey for more information on the CG CAHPS survey modules
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Qualified
Registry
GPRO Reporting Criteria for Earning the 2014 PQRS Incentive 30
2+ EPs
Group Practice
Size?
Report each measure for at least 50 percent of the group practice’s Medicare Part B FFS
patients seen during the reporting period to which the measure applies. Measures with
a 0 percent performance rate would not be counted. (Subject to MAV)
Can the group report at least 9
measures covering at least 3
domains?
Yes No
Report at least 9 measures
covering at least 3 NQS domains
Report 1—8 measures covering 1—3 NQS
domains
Direct EHR product that is CEHRT
-OR-
EHR data submission vendor that is CEHRT
Report 9 measures covering at least 3 of the NQS domains. If a
group practice's CEHRT does not contain patient data for at least 9
measures covering at least 3 domains, then the group practice must
report the measures for which there is Medicare patient data.
A group practice must report on at least 1 measure for which there
is Medicare patient data.
GPRO Reporting Criteria for Earning the 2014 PQRS Incentive 31
2+ EPs
Group Practice
Size?
GPRO Web Interface
Report on all measures included in the
web interface; AND Populate data fields
for the first 218 consecutively ranked and
assigned beneficiaries in the order in
which they appear in the group’s sample
for each module or preventive care
measure. If the pool of eligible assigned
beneficiaries is less than 218, then report
on 100 percent of assigned beneficiaries.
GPRO Reporting Criteria for Earning the 2014 PQRS Incentive 32
Group Practice Size?
25-99
EPs
100+
EPs
Report on all measures included in the web
interface; AND Populate data fields for the first
411 consecutively ranked and assigned
beneficiaries in the order in which they appear in
the group’s sample for each module or preventive
care measure. If the pool of eligible assigned
beneficiaries is less than 411, then report
on 100 percent of assigned beneficiaries.
In addition, the group practice must report all CG
CAHPS survey measures via certified survey
vendor.
*Individual EPs within a group practice that satisfactorily completes GPRO Web
Interface also receives credit for CQM component of MU
CMS-certified survey vendor
AND ONE OF: 1) qualified registry; 2) direct
EHR product; 3) EHR data
submission vendor; 4) or
GPRO web interface
Report all CG CAHPS survey measures via a CMS-certified survey
vendor, AND report at least 6 measures covering at least 2 of the
NQS domains using a qualified registry, direct EHR product, EHR
data submission vendor, or GPRO web interface (all measures included on
web interface).
GPRO Reporting Criteria for Earning the 2014 PQRS Incentive 33
25+ EPs
Group Practice
Size?
Qualified Registry
GPRO Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
34
Group Practice Size?
Does the group plan to meet 2014
incentive criteria?
Group will
avoid the
2016 PQRS
payment
adjustment
Yes
2+ EPs
No
Report each measure for at least 50 percent of the group practice’s Medicare Part B FFS
patients seen during the reporting period to which the measure applies.
Measures with a 0 percent performance rate will not be counted. (Subject to MAV)
If less than 3 measures apply to the
group practice, report 1—2 measures
Can the group report at least 3 measures?
Yes No
Report at least 3 measures
Direct EHR product that is CEHRT
-OR-
EHR data submission vendor that
is CEHRT
Must meet the criteria for successful
reporting for the 2014 incentive payment
GPRO Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
35
Group Practice Size?
2+ EPs
GPRO Web Interface
Must meet the criteria for successful
reporting for the 2014 incentive payment
GPRO Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
36
Group Practice Size?
25-99
EPs
100+
EPS
CMS-certified survey vendor AND
ONE OF: 1) qualified registry; 2)
direct EHR product; 3) EHR data
Submission vendor; 4) or GPRO
web interface
Must meet the criteria for successful
reporting for the 2014 incentive payment
GPRO Reporting Criteria for Avoiding the 2016 PQRS Payment Adjustment
37
Group Practice Size?
25+ EPs
Measures Applicability Validation (MAV) Process
• EPs and groups (of all sizes) could be subject to the
MAV process if they choose:
o Individual Claims option; or
o Qualified Registry option
• MAV process initiated when:
o EP or group satisfactorily reports QDCs for only one to eight
PQRS measures across one or more domains, OR
o EP or group satisfactorily reports QDCs for nine or more
PQRS measures across less than three domains
38
Measures Applicability Validation (MAV) Process
• Eligible professionals must satisfactorily report for at least 50 percent of their eligible patients or encounters for each measure: o To receive 2014 incentive payment, CMS will analyze
claims data to validate if more measures/domains may have been applicable for reporting
o To avoid 2016 payment adjustment, if only one or two measures are satisfactorily reported, CMS will analyze claims data to validate if more measures may have been applicable for reporting
• EPs that satisfactorily report three or more measures across one or more domains will not be subject to MAV for payment adjustment purposes, but will be subject to MAV to determine if more measures/domains could have been submitted for 2014 incentive eligibility.
39
Measures Applicability Validation (MAV) Process
40
• Two-Step Process: 1. Clinical Relation/Domain Test, based on presumption:
If EP submits data for a measure, then that measure applies to her/his practice , and
If one measure in a cluster of measures related to a particular clinical topic or EP service is applicable to an EP’s practice, then other closely-related measures (measures in that same cluster) may also be applicable
2. Minimum Threshold Test
If the EP treated more than a certain number of Medicare patients with a condition where a measure applied, that EP should be accountable for submitting the QDC(s) for that measure
Common minimum threshold will not be less than 15 patients (or encounters) for the 12-month reporting period for each 2014 PQRS measure
Physician Compare Website 41
• For Groups of all size, all measures collected through the GPRO web interface will be posted on Physician Compare.
• 16 possible Registry measures
• 13 possible EHR measures
• We plan to publicly report 2014 data in CY 2015
o For ACOs participating in the Shared Savings Program, all measures collected in 2014 will be published, including:
• All GPRO measures collected via the web interface.
• The three claims-based and one administrative measure finalized by the Shared Savings Program for 2014
Physician Compare Website 42
• We will publicly report CG-CAHPS measures for
groups of 100 or more EPs who participate in PQRS
GPRO, regardless of submission method.
• We will publically report CG-CAHPS for MSSP ACOs
reporting through the GPRO web interface.
o We plan to publicly report 2014 data in CY 2015
o CMS continues to support survey data collection in 2014 for PQRS
GPROs participating via the web interface (12 summary CAHPS
survey measures)
Physician Compare Website 43
• For groups of 25 to 99 EPs, we finalized the
proposal to publicly report the CG-CAHPS
measures collected via a certified CAHPS
vendor.
o We plan to report 2014 data in CY 2015.
o CMS will not support survey data collection in
2014.
o Same 12 Summary Survey Measures for groups of
100 or more.
Where to Call for Help • QualityNet Help Desk:
o Portal password issues o PQRS/eRx feedback report availability and access o IACS registration questions o IACS login issues o PQRS and eRx Incentive Program questions
866-288-8912 (TTY 877-715-6222)
7:00 a.m.–7:00 p.m. CST M-F or [email protected] You will be asked to provide basic information such as
name, practice, address, phone, and e-mail
• Provider Contact Center: o Questions on status of 2012 PQRS/eRx Incentive Program incentive payment
(during distribution timeframe)
o See Contact Center Directory at http://www.cms.gov/MLNProducts/Downloads/CallCenterTollNumDirectory.zip
• EHR Incentive Program Information Center:
888-734-6433 (TTY 888-734-6563)
44
CMS Regional Office Contacts 45
Region I: CT, ME, MA, NH, RI, VT Andrew Finnegan (617-565-1696) [email protected] Region II: NJ, NY, PR, VI Paul Velez (212-616-2533) [email protected] Region III: DE, DC, MD, PA, VA, WV Patrick Hamilton (215-861-4097) [email protected] Barbara Connors, D.O. (215-861-4218) [email protected] Region IV: AL, FL, GA, KY, MS, TN, NC, SC Janerio Farrington (404-562-7308) [email protected] Region V: IL, IN, MI, MN, OH, WI Susan Hahn Reizner (312-353-1504) [email protected] Sarah Ross (312-886-3256) [email protected]
Region VI: AR, LA, NM, OK, TX Kathy Maris (214-767-4448) [email protected] Region VII: IA, KS, MO, NE Annette Kussmaul (816-426-6344) [email protected] Region VIII: CO, MT, ND, SD, UT, WY Mark Levine (303-844-7070) [email protected]) Region IX: AZ, CA, NV, HI, U.S. Pac. Terr. Lolita Jacobe (415-744-3531) [email protected] Monroe Peoples (415-744-3663) [email protected] Region X: AK, ID, OR, WA Lauri Tan (206-615-2324) [email protected]
