Medicare: Claims due for 2012 payment year e-prescribing incentive


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Topic Medicare: Claims due for 2012 payment year e-prescribing incentive
Background Physicians participating in the e-prescribing incentive program must have claims turned in for encounters happening on or before 12/31/2012. Be sure to report G-code G8553 for the Medicare patient encounters where a prescription was sent electronically. Must submit 25 for eligibility for 1 percent Medicare bonus.
Regulating Body CMS
Compliance Date 2/28/2013
Consequences The 2012 eRx Incentive Program allows an eligible physician or provider to potentially qualify to earn a 1.0% incentive payment for the 2012. An individual physician must report the eRx measure for at least 25 unique electronic prescribing events in which the measure is reportable by the eligible professionals during 2012. Failure to do so means the physician is not eligible for the incentive payment.
Next Steps Report G-code G8553 on submitted claims for 2012 patient encounters. ​
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