PQRI Update: If You Aren't E-Prescribing in 2011, You'll Face Cuts in Pay in 2012, CMS Says

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

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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