DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for ...

CMS-1503-FC 1414
reporting, or through EHRs) and selecting one, gathering the required information, and
incorporating reporting of the measure into their office work flows. Since the eRx
Incentive Program consists of only 1 measure to report, we estimate 2 hours as the
amount of time needed for individual eligible professionals to prepare for participation in
the eRx Incentive Program. At an average cost of approximately $58 per hour per
practice, we estimate the total preparation costs to individual eligible professionals to be
approximately $116 (2 hours X $58 per hour).
Another factor that influences the burden to eligible professionals is how they
choose to report the electronic prescribing measure. For eligible professionals who
choose to do so via claims, we estimate that the burden associated with the requirements
of this incentive program is the time and effort associated with gathering the required
information, selecting the appropriate quality data codes (QDCs), and including the
appropriate QDCs on the claims they submit for payment. For claims-based reporting,
the QDCs will be collected as additional (optional) line items on the existing HIPAA
transaction 837-P and/or CMS Form 1500. We do not anticipate any new forms and no
modifications to the existing transaction or form. We also do not anticipate changes to
the 837-P or CMS Form 1500 for CY 201.
Based on the information from the PVRP described above for the amount of time
it takes a median practice to report one measure one time on claims (1.75 minutes) and
our requirement that eligible professionals to report the measure 25 times for purposes of
the incentive payment, we estimate the burden associated with claims-based data
submission to be 43.75 minutes (1.75 minutes per case X 1 measure X 25 cases per
measure). This equates to a cost of approximately $42.29 (1.75 minutes per case X 1