The Incentive Programs
Meaningful
Use (MU)
The Medicare and Medicaid Electronic Health Records
(EHR) Incentive Programs will provide incentive payments to eligible
professionals and eligible hospitals as they demonstrate adoption,
implementation, upgrading, or meaningful use of certified EHR technology. These
incentive programs are designed to support providers in this period of Health
IT transition and instill the use of EHRs in meaningful ways to help our nation
to improve the quality, safety, and efficiency of patient health care.
HEDIS
Most
of the profiled purchasers and insurers link incentives to some measures that
are included in, or derived from, the Health Plan Employer Data and Information
Set (HEDIS)--a group of standardized measures designed to evaluate health plan
performance.
However, a number of profiles also highlight unique performance
measures
that were developed by progressive organizations. In light of the Institute of Medicine’s
recent reports on the extensive and negative impact of medical errors, some purchasers
and insurers have created incentives designed to improve patient safety and reduce
medication errors.
PQRS
Eligible professionals who satisfactorily report
quality-measures data for services furnished during a PQRS reporting period are
eligible to earn an incentive payment equal to a percentage of the eligible
professional's estimated total allowed charges for covered Medicare Part B
Physician Fee Schedule (PFS) services provided during the reporting period.
Incentive payments for each program year are issued
separately as a single consolidated incentive payment in the following year.
Incentive payments are issued to the first valid group location listed under
the TIN; or, for solo practitioners, to the first valid practice location
listed under the TIN.
The Medicare claims-processing contractors (Carrier or
A/B MAC) will make the payment electronically or via check, based on how the
TIN normally receives payment for Medicare Part B PFS covered professional services
furnished to Medicare beneficiaries. If a TIN submits claims to multiple
Carriers or A/B MACs, each contractor may be responsible for a proportion of
the TIN incentive payment equivalent to the proportion of Medicare Part B PFS
claims the contractor processed during the applicable reporting period.
Understanding
and billing for the different quality Measures requires time and effort. The
physician and staff must be familiar
with all of the regulation in order to qualify each Measure.
AccuChecker
Online is the solution for qualifying
the various Measures:
AccuChecker
introduces the HEDIS Module, the PQRS
Module and the ICD-10 Module . Please take a glance at: www.accuchecker.com
For
details , your Free Trial or a Webinar call 305-227-2383 or
1-877-938-9311 .
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