GA-HITEC Lunch and Learn on E-Prescribing by Kathy Whitmire Managing Director HomeTown Health, LLC. Lunch and Learn Outcomes. Define E-Prescribing program Understand incentives and payment adjustments
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What goals can be achieved with e prescribing?
The final eRx payment adjustment will be applied during the 2014 calendar year and is a 2.0% adjustment
(eligible professional will receive 98% of his/her Medicare Part B PFS amount for covered professional services).
The 2013 eRx Incentive Program 6-month reporting period (1/1/13-6/30/13) is the final reporting period to avoid the 2014 eRx payment adjustment.
eRX – 2014 – 2% Adjustment
2015 – 2% +?
PQRS – 2015 – 1.5% Adjustment
EHR - 2015 - 1% Adjustment
POTENTIAL2015 – 4.5%
Sequestration + 2% ???
The applicable percent for payment adjustments under PQRS are as follows:
Key Meaningful Use Dates in 2013 for EPs
Reduction in reimbursement
if meaningful use of certified EHR
technology is NOT successfully
• 2015 – 99% of Medicare FFS covered amount
• 2016 – 98% of Medicare FFS covered amount
• 2017 – 97% of Medicare FFS covered amount
• 2018 – if determined, payment adjustment can
occur by 1% point each year until
payment adjustment reaches 95%
PCP RATE INCREASE ATTESTATION DUE
BY JULY 31, 2013
Increase to Medicare Fee Schedule
EHR Incentive Program www.cms.gov/EHRIncentivePrograms
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