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  • Medicare Incentive Payment Programs

    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.

    EHR Incentive Payments

    The 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 Become a "Meaningful User" of Electronic Health Records
    Provides general information about the Medicare and Medicaid EHR Incentive Payment Program for "meaningul users" of health information technology.

    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.

    Click here 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.

    Read an IDSA News article from April 2011 for additional information about the attestation requirements.

     

    PQRS Incentive Payments

     

    The 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.

    PQRS Website
    Comprehensive PQRS information available through the CMS website.

    ID-Specific PQRS Resources
    Information for ID physicians on how to earn incentive payments through Medicare PQRS Incentive Payments.

    ID-Specific PQRS Measures Finder Tool
    Includes a list of PQRS measures that may be reportable by infectious diseases physicians.

     

    Value-Based Payments

     

    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 cost-effective care.

    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.

    IDSA Resources on Value-Based Payment models  

     

    eRx Incentive Payments

     

    The Electronic Prescribing (eRx) Incentive Program is a reporting program that provides incentive payments and payment adjustments to encourage electronic prescribing by medical care providers.

    2013 was the final year of the eRx Incentive Program. Electronic prescribing is still required for the EHR Incentive Program.

    eRx Incentive Program Website
    Comprehensive eRx Incentive Program information available through the CMS website.

    ID-Specific eRx Incentive Program Resources
    Information for ID physicians on how to earn Medicare eRx incentive payments.

     

     

     

     

     

     

     

     

     

     

     

 

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