Medicare Improvement Act Reform


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The Medicare Improvement Act or (MIPAA) states that Physicians will not be required to use electronic prescribing as a result of this program. Instead, the program will pay physicians a bonus for the use of a qualified e-prescribing system. The legislation that created the program mandated a gradually decreasing bonus incentive followed by a penalty program. For almost every year, e-prescribers will be paid 2% more than those who do not e-prescribe

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Medicare Improvement Act Reform

  1. 1. Applica Consulting Group, LLC ™ The Medicare Improvement Act The “A+” Consultants
  2. 2. About Applica Consulting Group, LLC IS: <ul><li>A specialized consulting firm and certified reseller for Sequel Systems’ EMR and Practice Management System. </li></ul><ul><li>Focused on providing consultative services in the area of healthcare information technology (IT). </li></ul><ul><li>Over 20 years experience serving cross functional areas of healthcare. This includes ambulatory facilities, hospitals, medical centers, and medical schools. </li></ul><ul><li>Installs, implements, train and support our product accompanied with workflow redesign and optimization to transition our clients from paper to automation. </li></ul><ul><li>Is an LLC company </li></ul><ul><li>Is environmentally friendly </li></ul><ul><li>Headquartered in Lawrenceville, GA </li></ul><ul><li>A member of the Gwinnett Chamber of Commerce. </li></ul>
  3. 3. MIPAA E-prescribing Goals ( Medicare Improvements Act for Patients and Providers)
  4. 4. MIPPA E-Prescribing Goals <ul><ul><ul><li>The Medicare Improvements for Patients and Providers Act (MIPPA), Section 132 passed in July 2008, contains several new authorities and requirements for quality reporting and PQRI ( Physician Quality Reporting Initiatives )for 2009 and beyond. </li></ul></ul></ul><ul><ul><ul><li>The initiatives are to include: </li></ul></ul></ul><ul><ul><ul><li>Electronic Prescribing </li></ul></ul></ul><ul><ul><ul><li>Formulary Compliance </li></ul></ul></ul><ul><ul><ul><li>Pharmaceutical Eligibility Determination </li></ul></ul></ul><ul><ul><ul><li>Provisions for Patient Medical Prescription History </li></ul></ul></ul>
  5. 5. E-prescribing Requirements <ul><li>To be a successful e-prescriber, the prescriber : </li></ul><ul><li>Must use a “qualified e-prescribing system”, </li></ul><ul><li>System can stand alone or integrated into an EHR (Electronic Health Record) </li></ul><ul><li>Select medications, transmit prescriptions electronically using the applicable standards, and warn the prescriber of possible undesirable safety events. </li></ul>
  6. 6. Qualification criteria and Pharmaceutical Eligibility <ul><li>In terms of a qualified system, the system should have the capability to </li></ul><ul><li>Generate a medication list with information from PBM’s. </li></ul><ul><li>Medications can be selected in the application and electronically transmitted. It is a true EHR system (G8443) </li></ul><ul><li>The system alerts the user to adverse reactions (via Alerts ) </li></ul><ul><li>The system provides the cost of therapeutic alternatives </li></ul><ul><li>The System Links patient to a PBM </li></ul><ul><li>The system Links Patients to a formulary (Shows status in dose form or prescription form) </li></ul>
  7. 7. The E-Process Data Flow
  8. 8. E-prescribe with SequelMed Increase your revenue <ul><li>Improves patient safety and quality of care </li></ul><ul><li>Reduces time spent on phone calls and call-backs to pharmacies </li></ul><ul><li>Reduces time spent faxing prescriptions to pharmacies </li></ul><ul><li>Automates the prescription renewal request and authorization process </li></ul><ul><li>Increases patient conveniences and medication compliance </li></ul><ul><li>Improves formulary adherence permits lower cost drug substitutions </li></ul><ul><li>Allows greater prescriber mobility Improving drug surveillance and recall ability </li></ul><ul><li>To view Channel 10/55 video news clip about Sequel Meds’ E-prescribing capabilities , please copy and paste this link into your browser. </li></ul><ul><li><<<< </li></ul>
  9. 9. Who is Sequel Systems? <ul><li>SequelMed® EMR is a secure, real-time, point-of-care, patient-centric application for clinicians, </li></ul><ul><li>Provides built-in decision support tools and alerts to aid clinicians in automatically capturing their decision-making rationale, </li></ul><ul><li>Provides comprehensive access to patient record instantaneously and efficiently. </li></ul><ul><li>Allows clinicians to automate and streamline their workflow thereby allowing more patients to be examined. </li></ul><ul><li>SequelMed® EMR is fully and seamlessly integrated with its Electronic Practice Management (SequelMed® EPM) and Electronic Document Management (SequelMed® EDM) systems thereby supporting collection of billing and financial data as well as all image and document management f </li></ul>
  10. 10. Electronic Prescribing Incentive Fact Sheet Double click PDF icon to view the fact sheet
  11. 11. <ul><li>THANK YOU </li></ul><ul><li>For additional information regarding our services, please visit </li></ul><ul><li> </li></ul><ul><li>To view a demo of our product, please visit </li></ul><ul><li> </li></ul>Retail Pharmacy Patients Payors & PBMs Physicians Homecare Providers Hospitals Ancillary Departments