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12 responses to "Meaningful Use Mondays – ePrescribing Penalties and MIPPA"

1. # e-Patient Dave commented on February 15th, 2011:

   Thanks – good relevant, timely info.

   One question, since I”m new to the regulatory process:

   You refer to “the legislation.” But my impression is that everything about these rules wasn’t in the bill passed by Congress (ARRA/HITECH), it was in the regulations subsequently created by HHS to fulfill the law. Yes?

   I have the impression that there’s not much difference – the regs have the effect of law – but since I’m new to this, I’m testing my understanding.

2. # Lynn commented on February 15th, 2011:

   Actually, it is in both the HITECH ACT (ARRA) and on page 44442 of the Final Rule on the EHR Incentive Program in the Federal Register:

   “7. Interaction With Other Programs In the proposed rule, we described how the HITECH Act addresses interactions between the Medicare EHR incentive program and the E-prescribing Incentive Program authorized by MIPPA. Under section 1848(m)(2)(D) of the Act, as added by section 4101(f)(2)(B) of the HITECH Act, if a Medicare FFS or MA EP receives an incentive payment from the Medicare EHR incentive program, the EP (or group practice) is not eligible to also receive the incentive payment under the E-prescribing Incentive Program created by MIPPA.”

3. # Christy commented on February 15th, 2011:

   Thank you! Your site always has great information!!

   A couple of questions: 1) Is the reference to “25 e-prescriptions” per physician? 2) Are the 2012 and 2013 penalties per physician?

   I’m trying to determine if some physicians in the practice can “opt out” (just as they could for meaningful use)

4. # Megan Wood commented on February 18th, 2011:

   This is a great article. Would you be willing to let us reprint it to include in our Physician eNewsletter?

5. # Meaningful Use Monday – Follow-up on ePrescribing | EMR and HIPAA pingbacked on February 28th, 2011:

   [...] **Based on 2011 ePrescribing activity [...]

6. # John commented on March 1st, 2011:

   Hey Lynn,
   At HIMSS I had it pointed out to me that someone could potentially get the eRx incentive, but still get the penalty as well. Say they ePrescribe 25 after 6/30 then this would be the case. Kind of a funny part of the legislation.

   Christy,
   My understanding is that it is per provider similar to the EHR incentive money.

7. # Meaningful Use Measures: ePrescribing – Meaningful Use Monday | EMR and HIPAA pingbacked on April 18th, 2011:

   [...] hope that by now, readers have heeded the advice I gave in a previous post, “No Matter What Else You Do in 2011, You’ve Got to ePrescribe” and are covering their bases regarding ePrescribing under MIPPA. Even though providers can’t [...]

8. # Weekend Healthcare IT and EMR Twitter Roundup | EMR and HIPAA pingbacked on April 24th, 2011:

   [...] I usually hate PDF’s and a tweet in a blog post that leads to a PDF is probably even worse. Although, it has an interesting format for considering the multiple e-Prescribing incentive programs. Of course, if you’re a regular reader of the site, then you already have started ePrescribing right? [...]

9. # How Critical is the October 1, 2011 Deadline? – Meaningful Use Monday | EMR and HIPAA pingbacked on September 12th, 2011:

   [...] expect your incentive by May. This schedule has the additional advantage of allowing you to earn a 1% ePrescribing bonus for 2011, which you would forego if you earn an EHR incentive since you cannot collect both in the [...]

10. # Brett Willis commented on September 28th, 2011:

    how do we opt out of eprescribe? where do i get information to do that?

    Thanks.

11. # lynn scheps commented on September 28th, 2011:

    Brett,
    There is no official “opt out” from the ePrescribing incentives; you simply don’t participate. If you are talking about requesting an exemption from the 2012 ePrescribing penalties and feel that you fit one of the exemption categories, the process is outlined in my recent post, “Exemption from 2012 eRx penalties: The Process is Now in Place.” http://www.emrandhipaa.com/2011/09/19/
    Lynn

12. # MU Stage 2 Delayed: Should You Rush to Attest? – Meaningful Use Monday | EMR and HIPAA pingbacked on December 12th, 2011:

    [...] payments under both programs during the same year, so you maximize your total reimbursement by collecting the 1% ePrescribing bonus this year and waiting just 3 months to begin earning the $44,000 in EHR incentives over the next 5 years. [...]