Currently there are three categories of exceptions being proposed, based on the lack of availability of internet access or barriers to obtaining IT infrastructure, a time-limited exception for newly practicing EPs or new hospitals that would not otherwise be able to avoid payment adjustments, and unforeseen circumstances such as natural disasters that would be handled on a case-by-case basis. The notice is also soliciting comments on a fourth category due to a combination of clinical features limiting a provider’s interaction with patients and lack of control over the availability of Certified EHR technology at their practice locations.
The proposed percentage of adjust has several variables. Over all the percentage of adjustment will be determined differently if the percent of EPs that are meaningful users for CY 2018 is less than or more than 75%. The percentage of adjustment for EPs will also be determined if they are subject to eRx adjustment in 2014. The adjustments will range from 1% to 5% from years 2015 to 2020 and beyond.