Saturday, December 16, 2017
Reimbursement EHR / eRx

EHR / eRx

Incentive Program FAQS

  1. Who is eligible for the stimulus heath information technology (Health IT) incentives?
  2. What type of timeline would a typical small practice use to progress through the EHR adoption stages?
  3. What is the registration process?
For the answers to these and many more questions click here.
 

EHR: Meaningful Use - Stage 2 Overview

September 17, 2012

CMS recently published a final rule that specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to continue to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.
Stage 2 Overview

CMS Stage 2 Website

Posting the Limiting Charge After Applying the E-Prescribing Penalty Adjustment

Oct. 29, 2012

Beginning January 1, 2012, Eligible Professionals (EPs) who are not successful electronic prescribers are subject to a negative payment adjustment. This includes non-participating physicians submitting non-assigned claims. In order to properly bill Medicare patient's the correct amount for services, providers must be aware of the correct limiting charge and deduct the proper negative adjustment amount.

Posting the Limiting Charge after the ERx Adjustment-MM7877


E-RX

Understanding the Basics of Medicare's E-Prescribing Program.pdf
CMA medicare erx overview


EHR Final Rule for Meaningful Use

EHR Final Rule 7-13.pdf
 
This final rule implements the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified electronic health record (EHR) technology. This final rule specifies—the initial criteria EPs, eligible hospitals, and CAHs must meet in order to qualify for an incentive payment; calculation of the incentive payment amounts; payment adjustments under Medicare for covered professional services and inpatient hospital services provided by EPs, eligible hospitals and CAHs failing to demonstrate meaningful use of certified EHR technology; and other program participation requirements. Also, the Office of the National Coordinator for Health Information Technology (ONC) will be issuing a closely related final rule that specifies the Secretary’s adoption of an initial set of standards, implementation, specifications, and certification criteria for electronic health records. ONC has also issued a separate final rule on the establishment of certification programs for health information technology.

Electronic Health Records (EHR) Resources

The Official Web Site for the Medicare and Medicaid EHR Incentive Programs
This official web site provides up-to-date, detailed information about the Electronic Health Record (EHR) incentive programs. Use the tabs to the left to find additional information regarding various aspects of the program.
www.cms.gov/EHRIncentivePrograms

Downloads

Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals

When selecting an EHR, you will probably see product demonstrations from at least 3 to 5 EHR vendors. It is important that, after you have seen them all, you have detailed notes that remind you what you liked and didn’t like about each one. You also want to make sure that you can make an "apples to apples" comparison of what will be very different products. One way to do this is to develop a standard set of criteria on which you want to evaluate EHR systems, and then ask everyone who will be attending the demonstration to grade the products based on that criteria.

The California Medical Association has developed a standard evaluation form that you can use. You may, however, want to tailor this form for the specific needs of your practice. For example, radiologists or ophthalmologists may need an EHR system with very specific imaging capabilities. Those physicians would probably want to give more weight to those specific functions.
EHR Eval Form

Questions to ask to gain better understanding of vendor standing...
EHR Vendor Qs

Questions to ask to uncover additional vendor cost considerations...

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