Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC physicians) in the reports. In addition, section 131(c) of the MIPPA outlines the general components and aspects of the program, but provides the Secretary broad discretion with regard to implementation and development of the program. Given the timing of the passage of MIPPA and the deadline for implementing a program, we believe it would be contrary to the public interest to delay implementation and therefore, we will implement the physician feedback program on an interim final basis and provide opportunity for public comment. We refer readers to section II.S.6. of this final rule with comment period for a detailed discussion and implementation of section 131(c) of the MIPPA. D. Section 132: Incentives for Electronic Prescribing Section 132(a)(1) of the MIPPA amends section 1848(m) of the Act, as redesignated by section 131(b)(2) of the MIPPA, to authorize for 2009 through 2013 incentives to eligible professionals or group practices who are “successful electronic prescribers.” For 2009 and 2010, the Secretary is authorized to provide successful electronic prescribers 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 822
CMS-1403-FC during the 2009 and 2010 reporting periods, respectively. Reduced incentive payments apply to subsequent years through 2013. Section 132(b) of the MIPAA amends section 1848(a) of the Act such that a payment differential applies to those who are not successful electronic prescribers starting in 2012. During 2012 or any subsequent year, if the eligible professional is not a successful electronic prescriber for the reporting period, the fee schedule amount for covered professional services furnished by such professional during the year shall be reduced by: ● 1.0 percent for 2012. ● 1.5 percent for 2013. ● 2.0 percent for 2014 and each subsequent year. Section 132(a)(2) of the MIPPA amends section 1848(m)(3) of the Act, as redesignated by section 131(b)(2) of the MIPPA, to authorize the Secretary to identify successful electronic prescribers for a reporting period using one of two possible standards: one based on the eligible professional’s reporting, in at least 50 percent of the reportable cases, on any electronic prescribing quality measures that have been established under the physician reporting system under subsection 1848(k) (which, as noted previously, we have named “PQRI” for ease of reference) and are applicable to services furnished during 823
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<strong>CMS</strong>-1403-FC<br />
physicians) in the reports. In addition, section 131(c) of<br />
the MIPPA outlines the general components and aspects of<br />
the program, but provides the Secretary broad discretion<br />
with regard to implementation and development of the<br />
program. Given the timing of the passage of MIPPA and the<br />
deadline for implementing a program, we believe it would be<br />
contrary to the public interest to delay implementation and<br />
therefore, we will implement the physician feedback program<br />
on an interim final basis and provide opportunity for<br />
public comment. We refer readers to section II.S.6. of<br />
this final rule with comment period for a detailed<br />
discussion and implementation of section 131(c) of the<br />
MIPPA.<br />
D. Section 132: Incentives for Electronic Prescribing<br />
Section 132(a)(1) of the MIPPA amends section 1848(m)<br />
of the Act, as redesignated by section 131(b)(2) of the<br />
MIPPA, to authorize for 2009 through 2013 incentives to<br />
eligible professionals or group practices who are<br />
“successful electronic prescribers.” For 2009 and 2010,<br />
the Secretary is authorized to provide successful<br />
electronic prescribers an incentive payment equal to 2.0<br />
percent of the total estimated allowed charges <strong>submitted</strong><br />
not later than 2 months after the end of the reporting<br />
period for all covered professional services furnished<br />
822