Revenue Cycle Management Blog | GroupOne Health Source

Medicare ePrescribe (eRx) Deadline Approaching This Month

Written by Kaitlyn Houseman | June 5, 2013

A significant deadline for the Medicare eRx Incentive Program is fast approaching.   This June 30, 2013 deadline affects any provider who submits Medicare Part B Fee for Service (FFS) claims.  Act now to ensure that you avoid the 2.0% payment adjustment (penalty) that would be imposed in 2014. 

The 2013 eRx Incentive Program six-month reporting period (January 1, 2013 to June 30, 2013) is the final reporting period available to you if you wish to avoid the 2014 eRx payment adjustment.

If you do not successfully report, a payment adjustment of 2.0% will be applied, and you will receive only 98.0% of your Medicare Part B PFS amount for covered professional services in 2014.

Avoiding the 2014 eRx Payment Adjustment

Individual EPs and eRx GPRO participants who were not successful electronic prescribers in 2012 can avoid 2014 eRx payment adjustment by meeting specified reporting requirements between January 1, 2013 and June 30, 2013.The six-month reporting requirements are:

  • Individual EPs - 10 eRx events via claims
  • eRx GPRO of 2-24 EPs - 75 eRx events via claims
  • eRx GPRO of 25-99 EPs - 625 eRx events via claims
  • eRx GPRO of 100+ EPs - 2,500 eRx events via claims

Exclusions and Hardships Exemptions

There are limited exclusions and hardship exemptions available.  These also must be requested by June 30, 2013.  Some are automatically applied, while others require submission of a G Code on a claim or entry of a hardship exemption request via the CMS Web portal.

Carefully review the 2013 eClinicalWorks e-Prescribing Incentive Guide for exclusion and hardship exemption details.  Information on this document can be found below.  

Updated eClinicalWorks Guide Available

An extensive guide to the Medicare eRx Incentive Program has been updated with changes for the 2013/2014 program year, and is now available on my.eclinicalworks.com.  The guide presents the multiple aspects of this complicated program with simplicity and clarity.  The guide also includes step-up instructions, an eligibility decision tree, a reporting checklist, FAQs, and a list of references for additional information.  

CMS to Host National Provider Call: PQRS and eRx Incentive Program Payment Adjustment - Registration Now Open 

Tuesday, June 18; 1:30-3:00pm ET

The Centers for Medicare and Medicaid Services will be hosting a National Provider Call later this month.  This National Provider Call provides a general overview on the Physician Quality Reporting System (PQRS) payment adjustment and the Electronic Prescribing (eRx) Incentive Program payment adjustment.  The call will include specifics on the 2015 PQRS and 2014 eRx adjustments, including eligibility, how to avoid future payment adjustments, key points, and tips for successful participation. This presentation also provides a list of resources and who to contact for help. A question-and-answer session follows the presentation.

Registration Information:  To receive call-in information, you must register for the call on the CMS Upcoming National Provider Calls registration website. Registration will close at 12:00pm on the day of the call or when available space has been filled; no exceptions will be made, so please register early.

Presentation:  The presentation for this call will be posted on the FFS National Provider Calls webpage. In addition, a link to the slide presentation will be e-mailed to all registrants on the day of the call.