Numerator And Denominator In PQRS

Numerator And Denominator In PQRS

Physician Quality Reporting measures consist of two major components. A denominator and a nominator. Each component is defined by specific codes described in the respective measure’s specification along with the reporting instructions and use of modifiers. Denominators The first measure component is the denominator, which describes the eligible cases for a measure or the eligible…

eRx Incentive Program Supplemental Incentive Payments are Now Available

eRx Incentive Program Supplemental Incentive Payments are Now Available

CMS announced that the 2012 Electronic Prescribing (eRx Now) Incentive Program Supplemental Incentive Payments are now available for eligible professionals who submitted data for the reporting period of January 1, 2012 through December 31, 2012 and met criteria for satisfactory reporting. 2012 eRx Supplemental Incentives are provided to those eligible professionals (EPs) and group practices…

E-Prescription Eligiblie Professionals

E-Prescription Eligiblie Professionals

The eRx Incentive Program is a voluntary health care reporting program that provides an incentive payment to identified eligible professionals or self-nominated groups/organizations who satisfactorily report data on the eRx quality measure for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B beneficiaries (including Railroad Retirement Board and Medicare Secondary Payer). The eRx…

Hardship Codes and Hardship Exemption Requests to avoid eRx penalties

Hardship Codes and Hardship Exemption Requests to avoid eRx penalties

CMS may exempt individual eligible professionals and group practices participating in the eRx GPRO from the 2013 payment adjustment if it is determined that compliance with the requirement for being a successful electronic prescriber would result in a significant hardship. Hardship Exemption Circumstances and Codes: Inability to electronically prescribe due to state, or federal law,…

Electronic Prescribing (eRx) Incentive Program: Future Payment Adjustments

Electronic Prescribing (eRx) Incentive Program: Future Payment Adjustments

Under Section 1848(a)(5)(A) of the Social Security Act, for years 2012 through 2014, a Medicare Physician Fee Schedule (MPFS) payment adjustment applies to eligible professionals who are not successful electronic prescribers at an increasing rate through 2014. Specifically, if the eligible professional is not a successful electronic prescriber for the respective reporting period for the…

Payment Issuance For Successful Participants In 2010 Medicare PQRI

Payment Issuance For Successful Participants In 2010 Medicare PQRI

The eligible professionals who met the criteria for successful reporting of PQRI (name changed to PQRS in 2011) will receive incentive payments for the 2010 Medicare Physician Quality Reporting Initiative (PQRI). The distribution of 2010 payments is scheduled to be completed by September 30, 2011. How can I find details about my incentive payment, such…

Electronic Submission of Medical Documentation (esMD)

Electronic Submission of Medical Documentation (esMD)

Currently, review contractors request medical documentation by sending a paper letter to the provider. The provider has two options for submitting the requested records either through mail paper or fax. Medicare’s Electronic Submission of Medical Documentation (esMD) pilot project gives some providers a new mechanism for submitting medical documentation to review contractors. A list of approved review…

ELECTRONIC HEALTH RECORDS (EHR) & its advantages

ELECTRONIC HEALTH RECORDS (EHR) & its advantages

An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data…

Payment Issuance For Successful Participants In ERX Program

Payment Issuance For Successful Participants In ERX Program

The Centers for Medicare & Medicaid Services (CMS) recently announced that incentive payments for the 2010 Medicare Electronic Prescribing (eRx) Incentive Program has begun for eligible professionals who met the criteria for successful reporting. Distribution of 2010 payments Medicare Electronic Prescribing (eRx) Incentive is scheduled to be completed by August 31, 2011. Effective January 2010,…