Physicians must act soon to avoid 2014 Medicare eRx penalty

Rasa Krapikas & Lance Kovacs
06/03/2013 at 2:00PM

The 2013 Electronic Prescribing (eRx) Incentive Program six-month reporting period (Jan. 1-June 30) marks the final reporting period to avoid the 2014 eRx payment adjustment. Individual Medicare providers and group practices participating in the Group Practice Reporting Option (GPRO) who were not successful electronic prescribers in 2012 can avoid a 2 percent eRx payment adjustment in 2014 by reporting one of the requirements listed below between Jan. 1-June 30:

  • Individual physicians - 10 eRx events via claims (report code G8553 on at least 10 eligible Evaluation and Management (E/M) codes through the claims)
  • eRx GPRO of 2-24 eligible providers - 75 eRx events via claims
  • eRx GPRO of 25-99 eligible providers - 625 eRx events via claims
  • eRx GPRO of 100+ eligible providers - 2,500 eRx events via claims

Otherwise, physicians who wish to avoid the penalty must apply for the significant hardship exemption by June 30, 2013. Physicians who applied and received CMS approval for the eRx significant hardship exemption for any previous year must reapply for 2014.

The Centers for Medicare & Medicaid Services (CMS) urges physicians with questions about their individual situations to e-mail the QualityNet Help Desk or call (866) 288-8912. Information will be available from 7 a.m.-7 p.m. (CDT) Monday through Friday.

Click here to view a tip sheet on how to avoid the penalty.

ASPS responds to ONC/CMS RFI on Health Information Exchange

ASPS joined other specialty societies in signing a letter on April 22 to the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare & Medicaid Services' (CMS) Request for Information (RFI) on Advancing Interoperability and Health Information Exchange. The RFI is in response to input that the Department of Health and Human Services is seeking on a series of potential policy and program changes to accelerate the electronic health information exchange across providers.

The letter states that while specialties value the work that ONC and CMS are doing to achieve their goal of widespread interoperability and electronic exchange of information, the specialty societies remain concerned that ONC and CMS are not doing enough to remedy current challenges within the Electronic Health Record (EHR) Incentive Program.

Click here to read the letter in its entirety.

ASPS believes that significant work needs to be done to improve the current EHR program before CMS and ONC make major changes that physicians are not prepared for, which could lead to penalties for non-compliance.