The Centers for Medicare and Medicaid Services has issued a final rule to make available standardized extracts of Medicare claims data to facilitate measuring the performance of providers and suppliers. The rule has significant changes that enable use of clinical data along with the claims data.
The rule, authorized under the Affordable Care Act, is available here with publication in the Federal Register on Dec. 7. "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," according to the rule. "This rule also lays out the criteria qualified entities must follow to protect the privacy of Medicare beneficiaries."
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