What you Need to Know About the 2012 Medicare eRx Program

The North Carolina Medical Society is urging its members to please pay attention to the following information regarding Medicare’s 2012 e-Prescribing (eRx) Program:

  • Providers who plan to participate in the Medicare eRx program must report the G8553 code with any billing code on a minimum of 10 encounters, beginning from Saturday, January 1, 2012, through Saturday, June 30, 2012. This information can only be submitted via Medicare claims. The penalty for not participating in e-prescribing is a 1.5 percent payment adjustment.
  • Providers who would like to receive the Medicare eRx incentive must submit a minimum of 25 encounters, beginning from Saturday, January 1, 2012, through Monday, December 31, 2012. This information should also be submitted via claims and using the G8553 code.  Participating in this incentive will exempt providers from any 2014 payment adjustments. The 2012 incentive payment will be 1 percent.
  • If for some reason a provider is not going to participate in the Medicare eRx program, they have until Saturday, June 30, 2012, to submit a hardship exemption. There will be four hardship exemptions for 2012.

Medicare has been offering eRx incentives for a few years now. If you begin e-prescribing, instead of getting penalties you will receive rewards. Questions or concerns regarding the Medicare eRx Program can be directed to Terri Gonzalez ([email protected]), NCMSF Practice Technical Assistance Coordinator, or Kristin Freeman ([email protected]), Member Resource Center Coordinator, at (919) 833-3836.


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