Q. I am a physician employed in a group practice, and I also work under contract with another group. My employers each bill Medicare for my services under their own taxpayer identification number (TIN). My question regards the 2012 penalty for failing to e-prescribing under Medicare in 2011. If — as required to avoid the penalty — I report e-prescribing via claims on 10 different Medicare encounters in the group practice by June 30, 2011, will I also avoid a penalty on the Medicare payments I earn as a contractor?
A.No. To avoid the 1-percent penalty on payments for all of your Medicare Part B services in 2012, you must report e-prescribing via claims on at least 10 different Medicare patient encounters by June 30, 2011, for each TINunder which you worked under for the first six months of 2011.
You must report the G-code G8553 to keep from getting penalized. And — if you report the G-code at least 25 times for each TIN, you will earn a 1-percent bonus on all Medicare Part B allowable charges for 2011.
For more information, turn to TMA’s E-Prescribing webpage. You also may be eligible for help from one of Texas’ health information technology regional extension centers. If you have questions, contact the TMA Health Information Technology Hotline at (800) 880-5720 or HIT@texmed.org.
Published May 23, 2011
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