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Medicare program; availability of Medicare data for performance measurement. Final rule
Authors:Centers for Medicare & Medicaid Services  HHS
Institution:Centers for Medicare & Medicaid Services (CMS), HHS
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.
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