
What are some of the most critical issues cardiologists need to know about Appropriate Use in Electrophysiology? How does your practice survive Recovery Audit Contractor (RAC), Department of Justice, or Medicare audits?

It’s important to remember that there are two major organizations that are responsible for all the “rules” for Meaningful Use. One is the Centers for Medicare & Medicaid Services (CMS) who actually owns the rule. The second major organization is called the Office of the National Coordinator (ONC). The ONC owns the standards and the certification criteria. It is important to understand the different organizations and their roles so you know from where the different “rules” are generated.

As you probably know, the Centers for Medicare and Medicaid Services (CMS) has offered an incentive program for e-prescribing for the last few years. What you may not know is that the Healthcare Reform Act, passed last year, allows for a penalty (also called a payment adjustment) for those eligible providers (defined as MD, DO, nurse practitioner, or physician assistant) who are not using e-prescribing, beginning January 1, 2012. Many practices thought that the 1% penalty would be assessed beginning January 1, 2012. However that is not the case.