Re: ABFM Part IV Recert/ eprescribing/ NC bonus

[Guest guest]

1) A Medicare bonus AND completing a part

IV ? Please tell more!

2) I just started eprescribing so am

trying to figure out how to report it to Medicare to get THAT 2% bonus.

They tell you to report one of three G codes, but I can’t figure out when

to report it; I mean I don’t fill out a HCFA form everytime I do rx

refills, so what am I supposed to do? Or does it mean I have to remember

to add it to the next visit’s bill to Medicare, or only report those done

with an office visit or ??? The Medicare site isn’t

clear enough for me. Has anyone figured this out?

3) I have my EMR doing eprescibing

but it doesn’t qualify for NC’s BCBS reward of $1000 if I prescribe

for 20 patients by the end of the year. Apparently NextGen isn’t ‘something-or-other’

qualified. So I have signed up on BCBS’s website for their ‘free’

allscripts version and hand entered 20 patients and did their refills so I

could get the bonus. Their program is free and easy to use, it just

doesn’t mesh with my EMR so can’t look up when I refilled something

last.

Tonya S. Little,

MD

Tonya S. Little MD Family Medicine

1704 Glendale Dr. Ste C

, NC 27893

fax

tslittle@...

From:

[mailto: ] On

Behalf Of Pedro Ballester

Sent: Sunday, December 21, 2008

9:56 AM

To:

Subject: Re:

ABFM Part IV Recert

I plan to

start the DM part IV module in January, there is the promise of the Medicare

bonus!!??

--

Pedro Ballester, M.D.

Warren, OH

[Guest guest]

THE CENTER FOR MEDICARE AND MEDICAID SERVICES APPROVES AMERICAN BOARD

OF FAMILY MEDICINE REGISTRY FOR THE PHYSICIAN QUALITY REPORTING

INITIATIVE (PQRI)

The Center for Medicare and Medicaid Services (CMS) announced its

approval today of the ABFM Performance in Practice Registry as one of

32 qualified registries that may submit PQRI data to CMS on behalf of

its Diplomates (http://www.cms.hhs.gov/PQRI/Downloads/PQRIQualifiedRegistries.pdf).

The Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA),

enacted on December 29, 2007, authorized CMS to make PQRI incentive

payments for satisfactory reporting of quality measures data in 2008.

It also established alternative reporting periods and criteria for the

reporting of measure groups and for the reporting of PQRI quality

measures through an approved clinical data registry.

Beginning in September, ABFM Diplomates may use the Diabetes

Module developed specifically for this purpose by the ABFM to collect

and submit data to the Registry on a set of either 30 or 15 consecutive

patients with either Type 1 or Type 2 Diabetes. Not all patients in these samples must be Medicare patients, but at least two Medicare Part B beneficiaries must be included in the Diplomate's sample.

For 2008, physicians who meet the criteria for satisfactory submission

of quality measures data for 30 consecutive patients will earn an

incentive payment of 1.5 percent of their total allowed charges for

Physician Fee Schedule (PFS) covered professional services furnished

during the reporting period, January 1, 2008 – December 31, 2008 (the

2008 calendar year). Alternatively, those physicians who meet the

criteria for satisfactory submission of quality measures data for 15

consecutive patients will earn an incentive payment of 1.5 percent of

their total allowed charges for PFS covered professional services

furnished during the reporting period, July 1, 2008 – December 31,

2008. CMS approved financial incentives earned for 2008 reporting are

scheduled to be paid in mid-2009 from the Federal Supplementary Medical

Insurance (Part Trust Fund.

"We are extremely pleased to learn of the approval of our registry

today," said C. Puffer, M.D., President and Chief Executive

Officer of the ABFM. "The registry allows our Diplomates to receive the

2008 CMS incentive payment and also Maintenance of Certification for

Family Physicians (MC-FP) Part IV

credit if they wish to do so. This is consistent with our efforts to

create added value for those that actively participate in MC-FP."

This module may be accessed without fee for use in

participating in PQRI. However, Diplomates who are participating in

MC-FP and elect to complete this module to receive Part IV

credit will be required to submit the appropriate MC-FP fee, depending

on which payment plan they have chosen. Additional information

regarding PQRI and the Diabetes Module can be found on the ABFM website, www.theabfm.org.

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-- Pedro Ballester, M.D.Warren, OH

[Guest guest]

Re #2, you only can report when you file

claims. Here’s a pretty lengthy explanation: http://www.cms.hhs.gov/partnerships/downloads/11399.pdf

See Page 8 at the bottom for the start of the explanation of how to bill

it. Good luck!

Pratt

Office Manager

Oak Tree Internal Medicine P.C

Roy Medical Associates, Inc.

From: [mailto: ] On Behalf Of Tonya S. Little

Sent: Sunday, December 21, 2008

7:58 AM

To:

Subject: RE:

ABFM Part IV Recert/ eprescribing/ NC bonus

1) A Medicare bonus AND completing a part IV ? Please tell

more!

2) I just started eprescribing so am trying to figure out how to

report it to Medicare to get THAT 2% bonus. They tell you to report one

of three G codes, but I can’t figure out when to report it; I mean I

don’t fill out a HCFA form everytime I do rx refills, so what am I

supposed to do? Or does it mean I have to remember to add it to the next

visit’s bill to Medicare, or only report those done with an office visit

or ??? The Medicare site isn’t clear enough for

me. Has anyone figured this out?

3) I have my EMR doing eprescibing but it doesn’t

qualify for NC’s BCBS reward of $1000 if I prescribe for 20 patients by

the end of the year. Apparently NextGen isn’t ‘something-or-other’

qualified. So I have signed up on BCBS’s website for their

‘free’ allscripts version and hand entered 20 patients and did

their refills so I could get the bonus. Their program is free and

easy to use, it just doesn’t mesh with my EMR so can’t look up when

I refilled something last.

Tonya S. Little, MD

Tonya S. Little MD Family Medicine

1704 Glendale Dr. Ste C

, NC 27893

fax

tslittlencrrbiz

From:

[mailto: ]

On Behalf Of Pedro Ballester

Sent: Sunday, December 21, 2008

9:56 AM

To:

Subject: Re:

ABFM Part IV Recert

I plan to

start the DM part IV module in January, there is the promise of the Medicare

bonus!!??

--

Pedro Ballester, M.D.

Warren, OH