Avoid the 2013 eRx Penalty

MSNJ and CMS urge physicians to take steps now to avoid the 2013 e-prescribing (eRx) penalty. You may need to take action before June 30!

To avoid the 2013 eRx payment adjustment, individual eligible professionals would have had to have been a successful electronic prescriber in 2011 or will need to report the G8553 code via claims for at least 10 billable Medicare Part B PFS services provided January 1, 2012 through June 30, 2012. For more information on individual and eRx GPRO reporting requirements, view the MLN Article SE1206. A hardship exemption can be filed.

Hardship Exemptions:

  • The eligible professional is unable to electronically prescribe due to local, state or federal law, or regulation.
  • The eligible professional has or will prescribe fewer than 100 prescriptions during a 6-month reporting period (January 1 through June 30, 2012)
  • The eligible professional practices in a rural area without sufficient high-speed Internet access (G8642)
  • The eligible professional practices in an area without sufficient available pharmacies for electronic prescribing (G8643)

To request a significant hardship exemption, EPs and group practices must submit their hardship exemption requests through the Quality Reporting Communications Support Page on or between March 1 and June 30, 2012. View an AMA tip sheet. For more information, visit the CMS eRx Incentive Program webpage.

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About MSNJ

Founded in 1766, the Medical Society of New Jersey is the oldest professional society in the United States. The organization and its dues-paying members are dedicated to a healthy New Jersey, working to ensure the sanctity of the physician–patient relationship. In representing all medical disciplines, MSNJ advocates for the rights of patients and physicians alike, for the delivery of the highest quality medical care. This allows response to the patients’ individual, varied needs, in an ethical and compassionate environment, in order to create a healthy Garden State and healthy citizens.

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