E-Prescribe by June 30 to Avoid 2014 Penalties

To avoid penalties in 2014 (2 percent of Medicare Part B claims), Medicare physicians must report e-prescribing using G-code G8553 via claims on at least 10 unique Medicare encounters by June 30.

To qualify for the 2013 incentive (0.5 percent of Medicare Part B claims) and prevent the penalty in 2015, physicians must report at least 25 unique e-prescribing Medicare encounters during 2013. Follow the instructions in TMA's 2013 e-prescribing informational paper.

Escalating Medicare penalties for failing to e-prescribe began in 2012:

 

 

2012 

2013 

2014 

Beyond 

Incentive 

 

1%

0.5%

None

None

Penalty 

 

1%

1.5%

2%

2%

If you plan to apply for the Medicare electronic health record (EHR) incentive in 2013, note that you can't receive the e-prescribing incentive in the same payment year. Physicians applying for the Medicaid EHR incentive are still eligible for e-prescribing incentive payments.

Find out more, including information about exemptions, on the TMA 2013 E-Rx Penalty and Incentive Guidelines page. If you need help with e-prescribing, turn to the Texas regional extension centers (RECs). RECs provide support to help with e-prescribing, EHR selection, workflow analysis, staff training, EHR incentives, and much more. Visit TMA's Texas REC Resource Center for more information.

For questions about e-prescribing or other health information technology (HIT) issues, contact TMA's HIT Department by telephone at (800) 880-5720 or by email, or visit the TMA EHR Incentive Program Resource Center


Action, June 14, 2013


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