Have You Heard About the E-Prescribing Incentive?

 

Under Section 132 of the Medicare Improvements for Patients and Provider Act of 2008 (MIPPA), eligible professionals (EPs) who are successful electronic prescribers from 2009 through 2013 as defined by MIPPA,  may qualify to receive an incentive payments from 0.5% - 2 % of the total estimated allowed  charges submitted not later than the end of the reporting. This new incentive program is in addition to the quality reporting incentive program authorized by Division B of the Tax Relief and Health Care Act of 2006 – Medicare Improvements and Extension Act of 2006 (MIEA-TRHCA) and known as the Physician Quality Reporting Initiative (PQRI).

 

 

 

 

 

 

 

 

 

How much are the incentive amounts?

The e-prescribing incentive percent amount is based on the Secretary’s estimate (based on claims submitted not later than 2 months after the end of the reporting period) of the allowed charges for all such Physician Fee Schedule covered professional services furnished by the eligible professional during the reporting year.  The incentive amount for reporting years is:

 

 

 

2009 - 2010 is 2%
2011 – 2012 is 1%
2013 is 0.5%

 

How do I participate in the eRx Incentive program?

Individual Eligible Professionals may choose to report on their adoption and use of a qualified eRx system by submitting information on one eRx measure:

1.

to CMS on their Medicare part B claims

2.

to a qualified registry

3.

to CMS via a qualified electronic health record (EHR) product

   

How can I be considered a successful electronic prescriber for the eRx Incentive Program?

Individual eligible professionals must report the eRx measure at least 25 unique electronic prescribing events in which the measure is reportable by the eligible professional during 2010.

 

Who are Eligible Professionals?

1.

Medicare physicians
 

Doctor of Medicine
 

Doctor of Osteopathy
 

Doctor of Podiatric Medicine
 

Doctor of Optometry
 

Doctor of Oral Surgery
 

Doctor of Dental Medicine
 

Doctor of Chiropractic
 

2.

Practitioner
 

Physician Assistant
 

Nurse Practitioner
 

Clinical Nurse Specialist
 

Certified Registered Nurse Anesthetist (and Anesthesiologist Assistant)
 

Certified Nurse Midwife
 

Clinical Social Worker
 

Clinical Psychologist
 

Registered Dietician
 

Nutrition Professional
 

Audiologists (as of 1/1/2009)
 

3.

Therapists
 

Physical Therapist
 

Occupational Therapist
 

Qualified Speech-Language Therapist (as of 7/1/2009)
 
***If an Eligible Professional chooses to participate in the Medicare Rx Incentive Program, they cannot participate in the Medicare EHR Incentive Program simultaneously in the same program year.***