|
Alternative Reporting Mechanisms Eligible professionals (EPs) do not have to enroll or file an intent to participate in the eRx Incentive Program. Professionals who choose to participate by reporting the eRx measure through claims can simply report the G-code on service lines of Medicare Part B Physician Fee Schedule (PFS) professional-services claims. Beginning with the 2010 eRx Incentive program year, EPs may also qualify to earn an eRx incentive by reporting the eRx measure to a qualified registry. Professionals participating in a registry that self-nominates and qualifies to submit data on behalf of EPs for a particular program year should expect to receive more information from the registry on how to participate. Only registries qualified for the Physician Quality Reporting Initiative (PQRI) are eligible to become qualified for purposes of submitting data on the eRx measure on behalf of eligible professionals. In addition to the claims-based reporting mechanism and the registry-based reporting mechanism, CMS is testing electronic health record (EHR) data submission, in cooperation with EHR vendors. Pending successful completion of the 2009 PQRI EHR Testing Program and a determination that there is at least one "qualified" EHR vendor, then an EP may potentially be able to earn an eRx incentive payment through the EHR-based reporting mechanism beginning with the 2010 eRx Incentive Program (if the EP is using one of the EHR products that CMS is "qualifying in its 2009 PQRI EHR Testing Program). Only an EHR vendor that is qualified for the PQRI is eligible to become qualified for purposes of an EP being able to earn an eRx incentive through submission of eRx measure data extracted from a qualified EHR product. For more information on the 2009 PQRI EHR Testing Program, click on the "2009 PQRI EHR Testing Program" link under the "Related Links Inside CMS" section below. 2010 eRx Incentive Program As described in the 2010 Medicare PFS final rule (to view the rule, click on the "Statute/Regulations" link at left), CMS is retaining the claims-based reporting mechanism. In addition, CMS will accept eRx measure data submitted by a qualified registry on behalf of an EP or eRx measure data extracted from a qualified EHR product. Since only EHR products that are qualified for the PQRI are eligible to become qualified for the eRx Incentive Program, this is contingent upon the successful completion of our 2009 PQRI EHR Testing Program, a determination that one or more EHR vendors participating in the 2009 PQRI EHR Testing Program is "qualified," and one or more qualified PQRI EHR vendors notifying us of their desire to have one or more of their products qualified for purposes of the 2010 eRx Incentive Program. Registry-Based Submission For 2010 Incentive To qualify to submit eRx measure data on behalf of EPs seeking eRx incentive payments for 2010, registries must be qualified to submit 2010 PQRI data on behalf of EPs. To become qualified to submit 2010 PQRI data on behalf of EPs, and thus, be eligible to become qualified to submit 2010 eRx measure data on behalf of EPs, registries are required to go through a self-nomination and vetting process if they are new to PQRI registry reporting or to notify CMS of their desire to continue PQRI data submission in 2010 if they were qualified in 2009 and successfully submitted their users' quality data. To become qualified, registries must meet certain technical and other requirements specified by CMS. The document "Registry Requirements for Submission of 2010 PQRI Data on Behalf of Eligible Professionals" may be found in the "Download" section below. This document describes the high-level requirements for a registry to qualify to submit under the registry-based reporting alternatives for the 2010 PQRI. This document also outlines how a registry can become qualified for 2010 PQRI data submission. Any registry that wants to report the eRx measure for the 2010 eRx Incentive Program also will have to follow the requirements contained in this document. A list of qualified registries for the 2010 eRx Incentive Program will be posted here by December 31, 2009. This list will consist of qualified registries for the 2008 and 2009 PQRI that have successfully submitted 2008 PQRI data on behalf of EPs to us and that have notified us of their desire to submit 2010 eRx measure data on behalf of EPs. Additional registries will be added to the list of qualified registries for the 2010 eRx Incentive Program upon completion of the 2010 registry self-nomination process. We expect to complete the self-nomination process to qualify additional registries for the 2010 eRx Incentive Program in summer 2010.
Page Last Modified: 11/04/2009 2:36:47 PM
Help with File Formats and Plug-Ins
Submit Feedback
|
Email
Print