Electronic Prescribing and Physician Quality Reporting Programs See Increased Participation

The Centers for Medicare and Medicaid Services (CMS) reported a marked increase by providers in participation in the Physician Quality Reporting System (PQRS) and Electronic Prescribing Incentive Program.   The CMS press release on the recently released report shows a 22% increase from 2011 to 2012 in the Electronic Prescribing Incentive Program and a 36% increase for the same time period for PQRS.

The Electronic Prescribing Incentive Program incentive payments ended in 2013, and 2014 is the last year payment adjustments will be incurred.  However, for eligible professionals to achieve meaningful use under the EHR incentive programs, they must utilize electronic prescribing via certified EHR technology.

The PQRS program provides incentive payments to eligible providers who report data on quality measures for covered professional services provided to Medicare Part B Fee-For-Service patients.   Beginning in 2015 eligible professionals who do not report will receive a payment adjustment.  In 2015 the payment adjustment will mean eligible professionals who do not met the reporting requirements will be paid 1.5% less than the Medicare Physician Fee Schedule amount for that service. For 2016 and subsequent years, the payment adjustment is 2.0%.  Importantly, to avoid the 2016 payment adjustment, eligible professionals must report specific information during the 2014 PQRS program year.  More information on this can be found on the CMS PQRS Payment Adjustment webpage.



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