Qualifying MA EP
Qualifying MA EP means all of the following: (1) A physician (as described in section 1861(r) of the Act), including a doctor of medicine or osteopathy who is either of the following: (i) Employed by a qualifying MA organization. (ii) Employed by, or is a partner of, an entity that through a contract with a qualifying MA organization furnishes at least 80 percent of the entity's Medicare patient care services to enrollees of such organization. (2) Furnishes at least 80 percent of his or her professional services covered under Title XVIII to enrollees of the qualifying MA organization. (3) Furnishes, on average, at least 20 hours per week of patient care services to enrollees of the qualifying MA organization during the EHR reporting period. (4) Is a meaningful user of certified EHR technology in accordance with 495.4 of this part. (5) Is not a hospital-based EP (as defined in 495.4 of this part) and in determining whether 90 percent or more of his or her covered professional services were furnished in a hospital setting, only covered professional services furnished to MA plan enrollees of the qualifying MA organization, in lieu of FFS patients, will be considered.