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San Francisco Marin Medical Society Blog

One Week Left to Avoid 2014 Medicare Electronic Prescribing Penalty



Time is running out to avoid the 2% e-prescribing (eRx) penalty in 2014.

To avoid a 2% penalty on all Medicare part B claims in 2014, physicians must report e-prescribing activity using measure code G8553 with at least 10 fee schedule services between January 1 and June 30, 2013 by the end of this month. This is true even for physicians who are already reporting through an electronic health record (EHR) system. Please note there is no incentive payment for e-prescribing in 2014.

June 30, 2013 is also the deadline to apply for an e-prescribing exemption for 2014, if you fall into one of the following hardship exemption categories:

  • The physician is unable to electronically prescribe due to local, state or federal law or regulation
  • The physician has or will prescribe fewer than 100 prescriptions for all patients during a 6-month reporting period (January 1 through June 30, 2013)
  • The physician practices in a rural area without sufficient high-speed Internet access
  • The eligible professional practices in an area without sufficient available pharmacies for electronic prescribing

SFMS strongly recommends that physicians submit more than 10 claims during the reporting period to ensure the minimum threshold is met. Exemptions must be requested through the Quality Net Portal.

Physicians may also avoid the penalty if they have demonstrated meaningful use of a certified EHR between January 1, 2012, and June 30, 2013, or have registered to participate in the EHR Incentive Program.

Click here for details on the CMS eRx Incentive Program and 2014 Payment Adjustment.



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