APMA News - January 2012 - (Page 33)

IT Consultant By James R. Christina, DPM 2012: A Crucial Year for Health Information Technology The new year will be crucial for health information technology (HIT). All the usual programs will be important—electronic health records (EHR), Physician Quality Reporting System (PQRS), and e-prescribing (eRx). In 2012, it will also be vitally important to begin preparing for the transition from ICD-9 to ICD-10 that will occur in October 2013. Here is a look at the key elements of each program for 2012. table (so you must bill $24,000 to earn the $18,000 payment). Physician Quality Reporting System (PQRS) Electronic Health Records In 2012, eligible providers (including podiatrists) will again be able to earn an incentive payment for demonstrating “meaningful use” of an Office of the National Coordinator (ONC)-certified EHR program. Meaningful use demonstration will remain at Stage 1 both for those earning the incentive for the first time and those who received an incentive payment in 2011. Participants must achieve 15 core objectives, five out of 10 objectives from the menu set, and six clinical quality measures (three core or alternate core and three out of 38 additional measures). Those attesting to meaningful use for the first time will only have to demonstrate meaningful use for 90 consecutive days. Those who achieved meaningful use and received their incentive payments in 2011 will have to demonstrate meaningful use for the entire year. 2012 is the last year that you may begin the EHR incentive program and still achieve the full $44,000 reimbursement over five years. As you can see from the table below, the maximum amount you can achieve begins to decline if you start in 2013 or later. Remember, your reimbursement is 75 percent of your Medicare Part B billing up to a maximum listed in the CY 2011 CY 2011 CY 2012 CY 2013 CY 2014 CY 2015 CY 2016 TOTAL $44,000 $18,000 $12,000 $8,000 $4,000 $2,000 $18,000 $12,000 $8,000 $4,000 $2,000 $44,000 $15,000 $12,000 $8,000 $4,000 $39,000 $12,000 $8,000 $4,000 $24,000 $0 $0 $0 CY 2012 CY 2013 CY 2014 CY 2015 and later The PQRS incentive program remains in place for 2012. PQRS allows providers to report quality measures to CMS to earn an incentive payment. Important changes to the program for 2012 include: incentive payment reduced to 0.5 percent of Medicare Part B billing and will remain at that level for 2013 and 2014 (was 1 percent in 2011); and individual claims-reporting period is the entire year (in 2011, you could report for the last six months of the year). • • To report by individual claims, you will still have to pick three quality measures and report for each measure on at least 50 percent of eligible patients. Below is a summary of the reporting requirements for PQRS 2012. 2012 Criteria for Satisfactory Reporting on Individual Measures via Claims and Registry Reporting Period: January 1, 2012–December 31, 2012 Reporting Mechanism: Claims Reporting Criteria: Report at least three PQRS measures; OR If fewer than three measures apply to the eligible professional, one or two measures; AND Report each measure for at least 50 percent of the eligible professional’s Medicare Part B FFS patients seen during the reporting period to which the measure applies. Measures with a 0-percent performance rate will not be counted. • • • • Reporting Period: January 1, 2012–December 31, 2012 Reporting Mechanism: Registry Reporting Criteria: Report at least three PQRS measures; AND Report each measure for at least 80 percent of the eligible professional’s Medicare Part B FFS patients seen during the reporting period to which the measure applies. Measures with a 0-percent performance rate will not be counted. • • • IT Consultant continued on page 34 APMA News January 2012 33

Table of Contents for the Digital Edition of APMA News - January 2012

APMA News - January 2012
President’s Message
Contents
APMA Celebrates its Centennial
APMA by the Decade: 1912–1921
Updated List of Seal Holders
Paving the Path to Parity: A Look Back at 2011 State Advocacy Initiatives
2011 Podiatric Practice Survey: How Do Your Benefits Compare?
CAC-PIAC: The Only Constant in Health Care is Change
Reimbursement
Federal Advocacy Forum
APMAPAC Chair Report
IT Consultant
Can They Really Do That?
Website Wisdom
Technofile
Young Voices
Small Business 101
CPME Update
APMA All Stars
Awards Nominations
In Short
Worthy of Note
Resolutions Submissions
Affiliates Corner
List of Affiliated Organizations
Insurance Advisor
New Members
Death Notices
Annual Scientific Meeting Registration Form
Annual Scientific Meeting Sponsors
APMAPAC Update
Development Update
Classified Advertising
Dates to Remember
Advertising Index
10 Questions

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