The Centers for Medicare and Medicaid Services (CMS) has four incentive payment programs from which physicians and other eligible professionals can boost their payments. The programs include the Electronic Health Record (EHR) Initiative, the E-Prescribing (eRx) Incentive Program, the Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier. More information about each program can be found below.
Medicare and Medicaid EHR Incentive Programs provides incentive payments to
eligible medical care providers as they adopt, implement, upgrade or
demonstrate meaningful use of certified EHR technology.
How to Get Started with the EHR Incentive Program
Provides general information about the Medicare and Medicaid EHR Incentive
Payment Program for "meaningful users" of health information
Read IDSA News articles from August 2010 and February 2011 for
additional information about the meaningful use requirements
Please visit the Certified
Health IT Product List (CHPL) page to view a comprehensive listing
of complete EHR modules.
Register and Attest to Become a "Meaningful User"
of Health Information Technology.
to view a flow chart designed to assist providers in determining their
eligibility for EHR Incentive Payments.
Please contact the EHR Information
Center Help Desk for Questions concerning registration, (888) 734-6433; TTY: (888) 734-6563.
Physician Quality Reporting System (PQRS) is a voluntary reporting program that
provides an incentive payment to eligible individuals and practices who
satisfactorily report data on quality measures for covered Physician Fee
Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries.
Value-based payment models are
focused on encouraging high value care delivery through greater integration,
improved care coordination, and a focus on patient safety. These models are
designed to foster a culture of accountability that rewards high quality and
Mandated by the Affordable Care Act, the Center for Medicare and Medicaid Services will begin to apply a value modifier under the Medicare Physician Fee Schedule in 2015. Payment adjustments will be calculated by cost and quality data for physicians in groups of 100 or more eligible professionals who submit claims to Medicare under a single tax identification number. By 2017, all physicians who participate in fee-for-service Medicare will be impacted by the value modifier based off PQRS quality data.
Please visit the CMS Value-Based Payment Modifier page for more information.
IDSA and other physician groups
believe that the performance data underpinning the physician feedback reports
and the Value-Based Payment Modifier must be based on clinically valid and
risk-adjusted measures that attribute care to the appropriate physicians. The
Society's concerns with the Value-Based Payment modifier and Physician Feedback Program can be viewed in the Physicians Fee Schedule Proposed Rule (PDF) and Physician Fee Schedule Final Rule (PDF) comment letters.
The Electronic Prescribing (eRx)
Incentive Program is a reporting program that provides incentive payments and
payment adjustments to encourage electronic prescribing by medical care
2013 was the final year of the eRx
Incentive Program. Electronic prescribing is still required for the EHR
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