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(Payer Initiated Reductions) is used by payers when it is believed the adjustment is not the responsibility of the patient but there is no supporting contract between the provider and payer. â¢ PR (Patient Responsibility) is used for deductible and copay adjustments when the adjustments represent an amount that should be billed to the patient or insured. What does code OA 23 followed by an adjustment amount mean? This code is used to standardize the way all payers report coordination of benefits (COB) information. Whenever COB applies, this code combination is used to represent the prior payerâs impact fee or sum of all adjustments and payments affecting the amount BCBSF will pay.
This 2% reduction has been applied to any Medicare EHR incentive payment for a reporting period that ended on or after April 1, 2013. This reduction does not apply to Medicaid EHR incentive payments. Basic Information for Eligible Professionals Participating in the Medicaid EHR Incentive Program:The program is administered voluntarily by states and territories, and will pay incentives through 2021. Eligible professionals can participate for 6 years, and participation years do not have to be consecutive.The last year that an eligible professional can begin participation is 2016. Incentive payments for eligible professionals are higher under the Medicaid EHR Incentive Paymentsâ up to $63,750 over 6 years.Eligible professionals can receive an incentive payment for adopting, implementing, or upgrading, certified EHR technology in their first year of participation.his 2% reduction has been applied to any Medicare EHR incentive payment for a reporting period that ended on or after April 1, 2013. This reduction does not apply to Medicaid EHR incentive payments. Basic Information for Eligible Professionals Participating in the Medicaid EHR Incentive Program: