What types of healthcare professionals are eligible for Medicare incentives under meaningful use?

For the Medicare EHR Incentive Program, eligible professionals include:

• Doctors of medicine or osteopathy.
• Dentists.
• Podiatrists.
• Optometrists.
• Chiropractors.

What is the Medicare incentive adjustment?

The Medicare Electronic Health Record (EHR) Incentive Program provides bonus payments to eligible professionals who demonstrate meaningful use (MU) of certified EHR technology. Negative payment adjustments for those who do not demonstrate MU of EHR began in 2015.

What are eligible professionals?

An eligible professional is a healthcare professional that reports eCQMs and Medicaid Promoting Interoperability Program data through their state-based systems.

What do eligible health care professionals and hospitals need to do to qualify for meaningful use?

Eligible providers will need to attest that they have used a certified EHR and have satisfied each of the stage 1 meaningful use objectives and associated measures. Providers must submit summary information on the quality measures to CMS and verify the information was reported through a certified EHR.

What is a MIPS adjustment?

The Merit-Based Incentive Payment System (MIPS) is the program that will determine Medicare payment adjustments. Using a composite performance score, eligible clinicians (ECs) may receive a payment bonus, a payment penalty or no payment adjustment.

What is a Medicare sequestration adjustment?

A: The sequestration order covers all payments for services with dates of service or dates of discharge (or a start date for rental equipment or multi-day supplies) on or after April 1, 2013. Note: The 2% payment adjustment (sequestration) is currently suspended through December 2021.

What happens if you don’t meet meaningful use?

Unless you successfully meet Meaningful Use requirements this year, you will become subject to a 1% reduction in your 2015 Medicare PFS reimbursements. The penalties, which are applied two years later, will increase each year up to 5% if you continue to fail the Meaningful Use requirements.

What is replacing meaningful use?

Meaningful use will now be called “Promoting Interoperability” as CMS focuses on increasing health information exchange and patient data access.

What is a Medicare eligible professional?

Under PQRI, covered professional services are those paid under or based on the Medicare Physician Fee Schedule (PFS). To the extent that eligible professionals are providing services which get paid under or based on the PFS, those services are eligible for PQRI.