Medicare Program; Availability of Medicare Data for Performance Measurement
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2011-12-07 · Effective 2012-01-06 · 76 FR 76542
Document
Document number
2011-31232
Federal Register citation
76 FR 76542
CFR reference
42 CFR 401
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2011-12-07
Effective date
2012-01-06
HHS docket
CMS-5059-F
Abstract
This final rule implements Section 10332 of the Affordable Care Act regarding the release and use of standardized extracts of Medicare claims data for qualified entities to measure the performance of providers of services (referred to as providers) and suppliers. This rule explains how entities can become qualified by CMS to receive standardized extracts of claims data under Medicare Parts A, B, and D for the purpose of evaluation of the performance of providers and suppliers. This rule also lays out the criteria qualified entities must follow to protect the privacy of Medicare beneficiaries.