E-Prescribing Penalties. File 10 e-prescribing claims to avoid a 1.5% Medicare penalty in 2013.


Back Arrow

Back To The Calendar


Topic E-Prescribing Penalties. File 10 e-prescribing claims to avoid a 1.5% Medicare penalty in 2013.
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 as of 2011, penalties are in place for those who do not particpate.
Regulating Body Centers for Medicare & Medicaid Services (CMS)
Compliance Date 6/30/2012
Consequences Physicians must submit at least 10 e-prescribing claims by June 30, 2012, to avoid a 1.5% Medicare penalty on Jan. 1, 2013. You also can qualify for a 1% bonus if you generate e-prescriptions for 25 Medicare patient visits by Dec. 31.
Next Steps To qualify for incentives (bonus or penalty), estimated charges for the e-prescribing measure codes must represent at least 10 percent of your total Medicare Part B allowed charges. TMA's resource center (below) includes a list of these codes. 1) Adopt a qualified e-prescribing system. This can be a stand-alone system, an electronic health record (EHR) system, or a qualified registry. Visit www.surescripts.com for a list of approved systems. 2) You do not need to sign up to participate —simply submit the e-prescribing G-code, G8553, on your claim form to indicate participation.
Find out how TMA can help!