ED Coding & Reimbursement Alert - 2011 Issue 1
PQRI Update: If You Aren't E-Prescribing in 2011, You'll Face Cuts in Pay in 2012, CMS Says
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Article Overview
This article explains a CMS update on e-prescribing and PQRI for eligible professionals. It outlines the general reporting period CMS used to evaluate participation, the difference between incentive reporting and payment-adjustment determination, and the timing of issued incentive payments. The piece is relevant for physicians, group practices, and coding or billing staff tracking Medicare quality-reporting obligations.
Why This Topic Matters
Practices needed to understand how CMS was evaluating e-prescribing activity and how that affected future Medicare payment adjustments. The article helps readers gauge whether the topic applies to their reporting workflow and reimbursement planning.
What You Will Learn
- How CMS described the 2011 e-prescribing participation review period
- How reporting differed between incentive eligibility and payment-adjustment evaluation
- When CMS said incentive payments were issued for prior reporting periods
- How group-based incentive payments were handled at a high level
Who Should Read This
- Physicians
- Eligible professionals
- Medical practice managers
- Billing staff
- Coding professionals
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