The Medicare e-prescribing incentive is a new
initiative authorized under the Medicare Improvements for Patients and
Providers Act of 2008 (MIPPA).
The program starts January 1, 2009
and offers incentives for eligible providers that meet certain
criteria. The e-prescribing Incentive Program is currently based on one
e-prescribing quality measure that is currently included in the
Physician Quality Reporting Initiative (PQRI). Beginning in 2009 the
e-prescribing quality measure will be removed from the PQRI and it will
become the quality measure used in the e-Prescribing Incentive Program.
For
2009 the e-prescribing incentive amounts will be 2% of the total
estimated allowed charges for professional services covered by Medicare
Part B and provided by an eligible professional during the reporting
period. To be a successful e-prescriber, you must report the
e-prescribing quality measure through your Medicare Part B claims on at
least 50% of applicable cases during the reporting year.
To
participate in the e-prescribing incentive program you must use a
"qualified" e-prescribing system. There are essentially two types of
systems: a system for e-prescribing only (a "stand alone" system), or
an electronic health record (EHR) system with e-prescribing
capabilities.
To get the incentive in 2009, you have to report on
the e-prescribing quality measure with one of the three appropriate G
codes on more than 50% of applicable cases within your practice.
Eligible
providers that are not "successful e-prescribers" by 2012 will be
subject to a differential payment (penalty) beginning in 2012.
To learn more about Medicare's e-prescribing program, visit the following URL: www.cms.hhs.gov/ERXIncentive/.
It's
certainly worth any practice that bills a substantial amount of
Medicare to enroll in the e-prescribing program in order to reap the
financial benefits and in essence, improve efficiency within your
practice.
Dallas
L Alford IV, CPA is a licensed Certified Public Accountant in the state
of North Carolina and owner of Atlantic Financial Consulting, a
consulting firm that provides comprehensive medical billing services,
practice management consulting, coding audits, Medicare compliance, and
other general medical practice consulting services.
To learn more
about Atlantic Financial Consulting and to sign up for their monthly
educational newsletter, you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA at 1 888-428-2555, Ext. 200.