E-Prescribing Hardship Exemption. File now to avoid a 1% Medicare penalty in 2012.


Back Arrow

Back To The Calendar


Topic E-Prescribing Hardship Exemption. File now to avoid a 1% Medicare penalty in 2012.
Background The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) created an e-prescribing reporting incentive that pays successful electronic prescribers a percent of Medicare billing. Incentive payments vary by year and penalties begin in 2012 for those who do not particpate.
Regulating Body Centers for Medicare & Medicaid Services (CMS). Click here to access the CMS Hardship Exemption form.
Compliance Date 11/8/2011
Consequences Physicians must have submitted at least 10 e-prescribing claims by June 30, 2011, to avoid a 1% Medicare penalty on Jan. 1, 2012. This increases to 1.5% in 2013, and to 2% in 2014 and beyond.
Next Steps You may qualify for a hardship exemption, but you must file by Nov. 1, 2011! If you submitted fewer than 100 eligible claims to Medicare or less than 10 percent of your allowed charges comprise eligible codes, you are automatically exempt from penalties. Here is a list of other exemptions: 1) you are participating in the Medicare or Medicaid Electronic Health Record (EHR) Incentive Program, 2) you are unable to comply due to local, state, or federal law or regulation (e.g., prescribing controlled substances), 3) you prescribe infrequently, 4) there are insufficient opportunities to report the e-prescribing measure due to program limitations, 5) your practice is in a rural area without high-speed internet access, or 6) you practice in an area without sufficient available pharmacies for electronic prescribing.
Find out how TMA can help!