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Avoid 2013 ePrescribing penalty
e-Reports, May 14, 2012
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Time is running out to prevent a 1.5 percent reduction in your Medicare Part B payments, scheduled to begin Jan. 1, 2013. You have until June 30 to either report on at least 10 electronic scripts, known as e-scripts, or file a hardship exemption.

The penalty is part of the Centers for Medicare & Medicaid Services (CMS) five-year Medicare incentive program to promote the adoption and use of ePrescribing.

However, if you think you have erroneously received the 1 percent penalty for 2012, CMS is willing to reconsider your case. Contact CMS's Quality Net Help Desk at (866) 288-8912 or email them if you meet any of the following scenarios:

  • You ePrescribed in 2011, but the G8553 code was removed from the claims you submitted to Medicare. For example, your billing vendor or clearinghouse mistakenly removed the code. You must have documentation of your ePrescribing activity.
  • You reported the wrong G-code on your claims. (For instance, you used a 2009 ePrescribing code instead of the 2011 code.) You must have documentation of your ePrescribing activity.
  • Your hardship exemption request was denied because you included your group National Provider Identifier (NPI) rather than your individual NPI.
  • You filed a hardship exemption request but did not receive a response from CMS.

The AMA has developed a tip sheet to help you avoid penalties. Find it here.

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