Payment Adjustments Information for Medicare Eyecare Professionals

Center for Medicare & Medicaid Services

Center for Medicare & Medicaid Services

As meaningful use Stage 2 ramps up in 2014, the Centers for Medicaid and Medicare Services (CMS) continues to post reminders and updates to the Medicare EHR Incentive Program that eye care professionals (ECPs) need to be aware of.

ECPs participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. CMS will determine the payment adjustment based on meaningful use data submitted prior to the 2015 calendar year. ECPs must demonstrate meaningful use prior to 2015 to avoid payment adjustments.

If you are only eligible to participate in the Medicaid EHR Incentive Program, you are not subject to these payment adjustments.

Determine how your EHR Incentive Program participation start year will affect the 2015 payment adjustments:

If you began in 2011 or 2012…

If you first demonstrated meaningful use in 2011 or 2012, you must have demonstrated meaningful use for a full year in 2013 to avoid the payment adjustment in 2015.

If you began in 2013…

If you first demonstrated meaningful use in 2013, you must have demonstrated meaningful use for a 90-day reporting period in 2013 to avoid the payment adjustment in 2015.

If you plan to begin in 2014…

If you first demonstrate meaningful use in 2014, you must demonstrate meaningful use for a three-month reporting period in 2014 to avoid the payment adjustment in 2015. This reporting period must occur within the first 9 months of 2014.  ECPs must begin their meaningful use reporting period no later than July 1, 2014, and attest no later than October 1 to avoid the payment adjustment.

Avoiding Payment Adjustments in the Future

If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the payment adjustments. You may demonstrate meaningful use under either Medicare or Medicaid.

You must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years.

Information from Centers for Medicare & Medicaid Services.

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