American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

Electronic Prescribing (eRx) Incentive Program

The Centers for Medicare and Medicaid Services (CMS) Electronic Prescribing (eRx) Incentive Program retired effective Jan. 1, 2014. Physicians are no longer required to report G8553 on their claims.

Background

The CMS developed the eRx Incentive Program to encourage physicians, NPs and PAs to incorporate e-prescribing into their practices. The eRx program consisted of a ‘carrot and stick’ system of incentives for successful eRx participants and penalties for those who failed to meet the program's requirements.

If you participated successfully in eRx in 2013, you could earn a 0.5% bonus payment. The 2013 eRx six-month reporting period (Jan. 1, 2013 - June 30, 2013) was the reporting period to avoid the 2014 eRx payment adjustment.

2014 Payment Adjustments

If you received a letter in error from CMS stating that you are subject to a 2% penalty adjustment on your 2014 Medicare claims for non-participation in the eRx Incentive Program, follow the instructions in the letter and immediately request an Informal Review. The deadline for requesting an Informal Review is Feb. 28, 2014.

 

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