Which practitioners are subject to MU payment adjustments and when do the payment adjustments begin?
Which practitioners are NOT subject to MU payment adjustments?For additional details on MU payment adjustments, please see the Payment Adjustments and Hardships Exceptions Tipsheet for Eligible Professionals released by CMS.
How much are the payment adjustments and how are they applied?
The payment adjustment will be applied to the Medicare physician fee schedule (PFS) amount for covered professional services furnished by the EP during the year (including the fee schedule amount for purposes of determining a payment based on the fee schedule amount).
The payment adjustment is 1% per year and is cumulative for every year that an EP is not a meaningful user. Depending on the total number of Medicare EPs who are meaningful users under the EHR Incentive Programs after 2018, the maximum cumulative payment adjustment can reach as high as 5%.
Are there any payment adjustment exceptions available for Medicare EPs who cannot meet MU deadlines?
Yes. EPs who cannot meet MU deadlines may be eligible to receive a hardship exception from CMS. But, CMS has explained that these exceptions will be granted only under specific circumstances and only if CMS determines that providers have demonstrated that those circumstances pose a significant barrier to their achieving meaningful use.
Hardship exceptions are available in the following categories:
CMS will be providing additional details on the requirements and application process in the future.