American Society of Hematology

CMS Releases Details on Medicare Electronic Prescribing Payment Adjustment Hardship Exemption

Published on: May 24, 2012

In 2009, the Centers for Medicare and Medicaid Services (CMS) implemented the Electronic Prescribing (eRx) Incentive Program, which is a program that uses incentive payments and payment adjustments to encourage the use of qualified electronic prescribing systems. 

From calendar year 2012 through 2014, a payment adjustment that increases each calendar year will be applied to an eligible professional’s Medicare Part B Physician Fee Schedule covered professional services for not becoming a successful electronic prescriber.

Individual eligible professionals and CMS-selected group practices participating in eRx Group Practice Reporting Option (GPRO) who were not successful electronic prescribers in 2011 can avoid the 2013 eRx payment adjustment by meeting the specified reporting requirements between January 1 and June 30, 2012.

CMS may exempt individual eligible professionals and group practices participating in eRx GPRO from the 2013 eRx payment adjustment if it is determined that compliance with the requirements for becoming a successful electronic prescriber would result in a significant hardship.

For additional information and resources, please visit the E-Prescribing Incentive Program webpage.

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