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Medicare incentive programs

November 16, 2011

The Medicare Physician Quality Reporting System (PQRS), formerly known as the Physician Quality Reporting Initiative (PQRI), this year offers a 1 percent bonus when practitioners report performing specified quality measures. For details, see the AOA Web site PQRS page (www.aoa.org/PQRS).

The Medicare PQRS Maintenance of Certification (MOC) offers an additional 0.5 percent bonus for practitioners who successfully participate in the PQRS program over a 12-month period as well as participate in a qualified maintenance of certification program such as the American Board of Optometry (ABO) certification initiative. To qualify for incentive payments, practitioners must exceed the minimum participation levels for the certification program. For additional information, see the ABO Web site (www.americanboardofoptometry.org).

The Medicare e-Prescribing Incentive Program offers practitioners, with qualified e-prescribing systems, the opportunity to earn 1 percent payment bonuses when they electronically prescribe pharmaceuticals 25 times for applicable patients over the course of the year. For additional information see the U.S. Centers for Medicare & Medicaid Services E-Prescribing Fact Sheet (www.aoa.org/documents/EPrescribingFactSheet.pdf). (Practitioners cannot receive payments under the Medicare e-prescribing program during any year they receive payments under the Medicare EHR incentive program.)

The Medicare EHR Incentive Program this year offers $18,000 for practitioners who install properly certified EHR systems and meet required utilization targets. Practitioners can earn a total of $44,000 ($48,000 in federally designated health profession shortage areas) over the life of the incentive program. For additional information, see the AOA Web site’s EHR page (www.aoa.org/EHR). (As previously noted, practitioners cannot receive payments under the Medicare EHR incentive program during any year they receive payments under the Medicare e-prescribing program.)

One comment

  1. […] The Medicare e-Prescribing Incentive Program offers practitioners, with qualified e-prescribing systems, the opportunity to earn 1 percent payment bonuses when they electronically prescribe pharmaceuticals 25 times for applicable patients over the course of the year. For additional information see the U.S. Centers for Medicare & Medicaid Services E-Prescribing Fact Sheet (www.aoa.org/documents/EPrescribingFactSheet.pdf). (Practitioners cannot receive payments under the Medicare e-prescribing program during any year they receive payments under the Medicare EHR incentive program.)Source: newsfromaoa.org […]



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