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19.02.2013 Views

CMS-1403-FC for the years 2009 through 2013, and payment differentials apply starting 2012 and for all subsequent years. Specifically, for 2009, in accordance with section 1848(m)(2) of the Act, as added by section 132(a) of the MIPPA, a “successful electronic prescriber” as defined by MIPPA and further discussed below, is eligible to receive an incentive payment equal to 2.0 percent of the total estimated allowed charges submitted not later than 2 months after the end of the reporting period for all covered professional services furnished during the 2009 reporting period. This new E-prescribing Incentive Program is separate from and in addition to any incentive payment that eligible professionals may earn through the PQRI program discussed above. Incentive payments for successful electronic prescribers for future years are authorized as follows: ● 2.0 percent for 2010. ● 1.0 percent for 2011. ● 1.0 percent for 2012. ● 0.5 percent for 2013. Under section 1848(a)(5) of the Act, as added by section 132(b) of the MIPPA, a PFS payment differential applies beginning in 2012 to those who are not successful electronic prescribers. Specifically, for 2012 and any 676

CMS-1403-FC subsequent year, if the eligible professional is not a successful electronic prescriber for the reporting period for the year, the fee schedule amount for covered professional services furnished by such professionals during the year shall be less than the fee schedule that would otherwise apply by: ● 1.0 percent for 2012. ● 1.5 percent for 2013. ● 2.0 percent for 2014 and each subsequent years. The application of the payment differential will be the subject of future notice and comment rulemaking and is beyond the scope of this rule. Under section 1848(m)(6) of the Act, as amended by the MIPPA, the definition of “eligible professional” for purposes of eligibility for the electronic-prescribing incentive program is identical to the definition of “eligible professional” for the 2009 PQRI under section 1848(k)(3)(B) of the Act. In other words, eligible professionals include physicians, other practitioners as described in section 1842(b)(18)(C) of the Act, physical and occupational therapists, qualified speech-language pathologists, and beginning in 2009, qualified audiologists. However, eligibility is further restricted 677

<strong>CMS</strong>-1403-FC<br />

for the years 2009 through 2013, and payment differentials<br />

apply starting 2012 and for all subsequent years.<br />

Specifically, for 2009, in accordance with section<br />

1848(m)(2) of the Act, as added by section 132(a) of the<br />

MIPPA, a “successful electronic prescriber” as defined by<br />

MIPPA and further discussed below, is eligible to receive<br />

an incentive payment equal to 2.0 percent of the total<br />

estimated allowed charges <strong>submitted</strong> not later than 2 months<br />

after the end of the reporting period for all covered<br />

professional services furnished during the 2009 reporting<br />

period. <strong>This</strong> new E-prescribing Incentive Program is<br />

separate from and in addition to any incentive payment that<br />

eligible professionals may earn through the PQRI program<br />

discussed above.<br />

Incentive payments for successful electronic<br />

prescribers for future years are authorized as follows:<br />

● 2.0 percent for 2010.<br />

● 1.0 percent for 2011.<br />

● 1.0 percent for 2012.<br />

● 0.5 percent for 2013.<br />

Under section 1848(a)(5) of the Act, as added by<br />

section 132(b) of the MIPPA, a PFS payment differential<br />

applies beginning in 2012 to those who are not successful<br />

electronic prescribers. Specifically, for 2012 and any<br />

676

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