2013 eRX Reminders – Be prepared!
June 30th is fast approaching! Eprescribe 10 G8553 codes on any paid Medicare claims by June 30th, 2013 to avoid the 2% eRX payment adjustment that will be levied next year. Don’t wait till the end of June, get your G8553 codes in now!
June 30th is also the LAST day to apply for 2014 eRX Hardship Exemption! Again, don’t wait till the end of June! Exemptions DO NOT carry over from year to year, you will need to apply each year for a hardship exemption for the next program year.
- If you reported the G8553 code at least 25 times in 2012 (received the 2012 incentive) then you are automatically exempt from the 2014 eRX payment adjustment.
- If you were a successful Meaningful Use in 2012 (either 90 days or first year) then you are automatically exempt from the 2014 eRX payment adjustment.
- If you start Meaningful Use in 2013 and successfully finish your 90 days before June 30th, then you are automatically exempt from the 2014 eRX payment adjustment.
- If you registered (for Meaningful Use) before 1/1/13 and you have NOT completed 90 days by June 30th then you are NOT exempt from the eRX Payment Adjustment. If you registered before 1/1/13, there are 2 ways to avoid the eRX payment adjust:
- Eprescribe 10 G8553 codes on any paid Medicare claims by June 30th, 2013
- Begin Meaningful Use in 2013 and complete your 90 days before June 30th, 2013
There is still time to submit 25 G8553 codes on paid applicable Medicare claims before December 31st, 2013 to possibly qualify for eRX incentive and/or offset the eRX penalty. Reminder: You cannot earn an eRX Incentive in the same year in which you earn a Medicare Meaningful Use Incentive.
Rule of thumb: It’s best to submit G8553 on all Medicare visits that involve eprescribing. Better to be safe than sorry!
Please visit the CMS website for more information.
View the “CMS eRX Program: Updates for 2013” or “2013 eRx Incentive Program: 2014 Payment Adjustment”