Guest guest Posted April 15, 2011 Report Share Posted April 15, 2011 i have ecw.. i did get charged for it to be set up but we are hooked up with the mail order pharmacies for erx.. SWEET!! > > > > > > I wasn't clear on my original post -- I was curious about the total # of > > > patients that have to be reported during the year - not the CPT code ( > > > G8553) > > > > > > > > > > > > I understand we can only try for one of the incentive plans -- but wasn't > > > there some mention that if we didn't prove we are using eRx, we could get > > > docked on Medicare pay for next year? > > > > > > > > > > > > Does anyone understand this? > > > > > > > > > > > > I got the impression that even if you weren't going for incentive pay for > > > the eRx - you had to do the codes in 2011 to prevent a Medicare fee cut in > > > 2012.. > > > > > > ================ > > > > > > Further googling suggests... > > > > > > > > > > > > > > > http://www.cms.gov/ERxIncentive/Downloads/2011eRxIncentiveProgramUpdatefor2012Pa\ ymentAdjustment.pdf > > > > > > Since 2009, the Centers for Medicare and Medicaid Services has offered an > > > incentive for eligible professionals (EP) to implement and use electronic > > > prescribing (eRx) in order to improve the quality, efficiency and safety of > > > healthcare delivered to beneficiaries. This initiative will continue in 2011 > > > with successful e-prescribers earning a bonus of 1% of their total allowed > > > charges for professional services covered by the Medicare Part B Physician > > > Fee Schedule. *However, for the first time, the 2011 eRx program now > > > includes a payment-adjustment or penalty component. EPs who do not implement > > > and use an eRx system in 2011 will be penalized in 2012 and 2013 through a > > > cut to their Medicare payments! You have only until June 30, 2011 to avoid a > > > 1 % cut in your 2012 allowable Physician Fee Schedule billings and until > > > December 31, 2011 to avoid a 1 1/2 percent penalty for 2013 billings!* A > > > full description of the 2011 eRx incentive program and related penalties is > > > available at > > > http://www.acponline.org/running_practice/technology/eprescribing/medicare_progr\ am_overview.pdf[image: > > > [PDF]]. > > > > > > Even if you are planning to participate in the e-prescribing incentive > > > program and/or the EHR incentive program, you can still be liable for the > > > cut. *The only way to avoid the 2012 cut is to file Medicare claims that > > > document 10 qualifying e-prescription events prior to June 30, 2011 – only a > > > few months from now*. While you may plan to meet the incentive > > > requirements by the end of 2011 via claims or any other method, be certain > > > that you successfully file your 10 claims before the end of June. > > > > > > To avoid the 2013 penalty of 1 ½ % of total allowed charged under Medicare > > > Part B, you will need to file Medicare claims that document 25 qualifying > > > e-prescription events prior to December 31, 2011. Thus, you may want to file > > > the full 25 claims as soon as possible to avoid all eRx related penalties > > > for both 2012 and 2013. > > > > > > ============================== > > > > > > Good article from ACP here.. > > > > > > > > > <http://www.acponline.org/running_practice/technology/eprescribing/medicare_prog\ ram_overview.pdf> > > > http://www.acponline.org/running_practice/technology/eprescribing/medicare_progr\ am_overview.pdf > > > > > > ================================== > > > > > > Excellent review here... > > > > > > *Understanding the basics of Medicare's Electronic Prescribing Incentive > > > Program * > > > > > > > > > http://www.ama-assn.org/ama1/pub/upload/mm/472/faq-cms-incentive-program.pdf > > > > > > ==================================== > > > > > > > > > http://www.managemypractice.com/e-prescribing-use-it-10-times-for-medicare-patie\ nts-between-now-and-june-30-2011-or-lose-money-in-2012/ > > > > > > =====3 > > > > > > > > > > > > > > > > > -- > > > > > > > > MD > > > > > > ph fax > > > > > Quote Link to comment Share on other sites More sharing options...
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