The Affordable Care Act requires the Department of Health and Human Services to develop a budget neutral payment modifier to provide differential payment to providers based on the cost and quality of care delivered to Medicare beneficiaries. The modifier will be implemented for a select group of providers by Jan. 1, 2015, and for all [...]

The proposed rule outlines the 2012 payment year for the program. As in the 2011 payment year, eligible professionals (EPs) may continue to report clinical quality measure results as calculated by certified EHR technology by attestation. In the July 28, 2010 final rule implementing the Medicare and Medicaid EHR Incentive Programs, CMS required EPs, eligible [...]

CMS is developing the Physician Compare Website in stages. For 2012, CMS proposes to make public the performance rates of the quality measures that group practices submit under the 2012 Physician Quality Reporting System Group Practice Reporting Option. A minimum threshold of 25 patients will have to be met in order for the group practice’s [...]

Key Elements of the 2012 proposed rule include: Modification of measure to allow EPs to use either a qualified e-prescribing system or certified HER system Criteria will parallel 2012 and 2013 i.e., 25 scripts per year using G8553 Same CPT code set for reporting with Rxs Significant hardship exemptions. Incentives and Adjustments: 2009 2 percent [...]