Topics: Incentive Programs
Providers who treat Medicare patients and bill for Part B services on the Medicare Physician Fee Schedule (PFS) may be eligible for two incentive programs at CMS: the Medicare EHR Incentive Program and the Physician Quality Reporting System (PQRS) program. CMS encourages you to read more to learn about the opportunity to participate in both.
It’s not just about demonstrating Meaningful Use in 2013. CMS will now be performing pre-payment audits in addition to the post-payment Meaningful Use audits. Before mailing out some bonus checks, CMS says the audits (which will affect 5-10% of incentive applications) will be random and start with attestations submitted during and after January 2013.
This article provides information on the 2015 PQRS payment adjustment and guidance on how individual eligible professionals and group practices can avoid the 2015 PQRS payment adjustment. Information provided in this article is based on the 2013 Medicare PFS Final Rule.
This article focuses on the PQRS payment adjustment and does not provide guidance for Value-Based Payment Modifier upward adjustment or payment adjustments from other Medicare sponsored programs. See the Additional Information section below for links to the CMS Value-Based Payment Modifier website, and the Medicare and Medicaid EHR Incentive Program website.
Like clockwork, once again, physicians would have faced a 26.5 percent reduction in the Medicare physician payment rate on January 1, 2013, as a result of the sustainable growth rate (SGR) formula. Congress has intervened 14 times since 2002 with a stopgap measure to prevent major cuts in physician Medicare reimbursement. Created as part of the Balanced Budget Act of 1997, the SGR formula and has never been corrected permanently by Congress.
Yesterday, the United States Congress approved legislation that prevents most taxpayers from experiencing a tax increase; prevents the scheduled 26.5% SGR related cut in physician fee schedule payments; and delays (until early March) the 2% across-the-board cut in Medicare payments due to sequestration.
Physician adoption of ambulatory electronic health records is on an upswing, with 69 percent of physicians surveyed owning an EHR, up from about 61 percent in 2011 and 42 percent in 2010, according to a new survey published by CapSite.
CMS has created a new comprehensive guide, An Introduction to the Medicaid EHR Incentive Program for Eligible Professionals, to help walk EPs through all of the phases of the Medicaid program. This guide includes chapters on:
Let’s face it - communication and clinical data exchange between providers is an inefficient process. How much time is lost on the phone, calling to gather information or to make a referral appointment? How much time is wasted scanning and faxing patient documents back and forth between providers and specialists? Time is money, correct? There has to be a better way.
The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) announced that over 100,000 health care providers have been paid under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.
CMS is holding a National Provider Call on Thursday, June 7, from 1:30 – 3:00 pm ET for eligible professionals (EPs) to learn about registration and attestation for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.
New research suggests that providers are missing out on as much as $20 billion a year in incentives because their availability is poorly communicated. The study, by Illinois-based ZS Associates, concluded that up to 75 percent of incentives are going uncollected.