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Stay Out of the CMS Penalty Box

STAY OUT OF THE CMS PENALTY вох (X) CMS: Centers for Medicare & Medicaid Services Medicare is transforming its voluntary Physician Quality Reporting System (PORS) and ePrescribing programs from rewarding doctors who participate to punishing doctors who do not. Make sure you stay out of the penalty box for these key programs. PQRS: 2013 is a Key Year for Avoiding Penalties in Coming Years All Medicare practitioners not participating in PQRS in 2013 will be subject to penalties in future: 1.5* reduction in payments 2% reduction in payments More than 80% of Medicare providers will face penalties for failing to meet quality thresholds if current performance trends continue 2013 2015 2016 "..We now have about 365 days to get our collective act together so that we -- physicians in general --won't be subject to widespread government penalties." About 30% - Dr. Richard Duszak, CEO, Harvey L. Neiman Health Policy Institute of eligible professionals submitted at least some PQRS data in 2011, according to preliminary data One Code in 2013 Could Prevent the Penalty Radiologists, Beware! Physicians will only have to successfully report on one PQRS measure befween JAN. DEC. By 2016, radiologists face annual penalties totaling & 31 $100 million 2013 while all other physicians would see total penalties of well over $1 billion CMS will deem the submission of at least one quality measure, in the form of a G-code, during an applicable 2013 patient encounter as being satisfactory to stop the 2015 payment adjustment In future years, the CMS will almost certainly increase the quality reporting levels required to avoid PQRS payment penalties ePrescribing: Exemptions and Penalties Are you exempt? Medicare participating physicians who did not meet the réquirements for Medicare's Electronic Prescribing (eRx) Incentive Program in 2012 face a Request a review of your status Physicians who disagree with CMS' determination of a penalty assessment may submit an informal review request by: CMS began notifying eligible professionals of their penalty status in December via 1.5% CMS will accept review requests through: FEB. 28 ,2013 Medicare pay cut in 2013 email the U.S. Postal Service. All requests must include: JAN. 31 1,2013: deadline for applying for an exemption National Provider Identifier number 40003756472786 Hardship extensions available [email protected] 333-333-3333 123 Way, Littletown, ID Contact information: including an e-mail address, telephone number, mailing address Several hardship exemptions are available to physicians unable to participate in the program, including those who: Practice in rural areas with little or no access to high-speed internet Justification as to why an informal review is appropriate Work in locales where a limited number of pharmacies have implemented e-prescribing Rx Write less than 100 prescriptions during a six-month period of time Lack sufficient opportunities to use the required cpt codes Cannot e-prescribe because of local, state or federal regulations Demonstrate intent to participate in the separate but related medicare electronic health record Incentive Eligible professionals who do not participate in the Medicare eRx program in 2013 face an increased Medicare penalty consisting of a 2% program Physicians who are granted hardship exemptions will not be exposed to penalties for nonparticipation. reduction in pay in 2014 Sources Presented by: YOUR MEDICAL REVENUE EXPERTS DEVELOPED BY N NOWSOURCING

Stay Out of the CMS Penalty Box

shared by NowSourcing on Feb 15
This infographic takes a look at how the Physician Quality Reporting System (PQRS) affects doctors.


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