SEC. 1124. MODIFICATIONS TO THE PHYSICIAN QUALITY REPORTING INITIATIVE [PQRI].

[a] Feedback- Section- 1848[m][5] of the Social Security Act [42 U.S.C. 1395w-4[m][5]] is amended by adding at the end the following new subparagraph:

'[H] FEEDBACK- The Secretary shall provide timely feedback to eligible professionals on the performance of the eligible professional with respect to satisfactorily submitting data on quality measures under this subsection.'.

[b] Appeals- Such section is further amended--

[1] in subparagraph [E], by striking 'There shall be' and inserting 'Subject to subparagraph [I], there shall be'; and

[2] by adding at the end the following new subparagraph:

'[I] INFORMAL APPEALS PROCESS- Notwithstanding subparagraph [E], by not later than January 1, 2011, the Secretary shall establish and have in place an informal process for eligible professionals to appeal the determination that an eligible professional did not satisfactorily submit data on quality measures under this subsection.'.

[c] Integration of Physician Quality Reporting and EHR Reporting- Section- 1848[m] of such Act is amended by adding at the end the following new paragraph:

'[7] INTEGRATION OF PHYSICIAN QUALITY REPORTING AND EHR REPORTING- Not later than January 1, 2012, the Secretary shall develop a plan to integrate clinical reporting on quality measures under this subsection with reporting requirements under subsection [o] relating to the meaningful use of electronic health records. Such integration shall consist of the following:

'[A] The development of measures, the reporting of which would both demonstrate--

'[i] meaningful use of an electronic health record for purposes of subsection [o]; and

'[ii] clinical quality of care furnished to an individual.

'[B] The collection of health data to identify deficiencies in the quality and coordination of care for individuals eligible for benefits under this part.

'[C] Such other activities as specified by the Secretary.'.

[d] Extension of Incentive Payments- Section- 1848[m][1] of such Act [42 U.S.C. 1395w-4[m][1]] is amended--

[1] in subparagraph [A], by striking '2010' and inserting '2012'; and

[2] in subparagraph [B][ii], by striking '2009 and 2010' and inserting 'for each of the years 2009 through 2012'.