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Medicare Compliance & Reimbursement

Incentive Payments:

Want to Show Your Exemption From the E-Prescribing Penalty? Use New G Codes, CMS Says

Published on Tue Jan 25, 2011

Three new codes show your MAC why you collect your full pay next year. Never fear: If you don't have prescribing privileges, CMS will not cut your pay as a penalty for failing to comply with the new e-prescribing incentive program. As you are probably aware, starting in 2012, you may be subject to a one percent payment adjustment on your Part B pay if you don't successfully participate in eprescribing this year. In 2013, that payment adjustment will go up to 1.5 percent, and in 2014 it will rise to two percent, CMS's Daniel Green, MD, noted on a Feb. 15 CMS-sponsored call. "To earn an incentive in 2011, an eligible professional must e-prescribe 25 times during the year, ten of which must be in the first six months," Green said. "If they are a successful e-prescriber during the calendar year, they not only would avoid the 2012 payment [...]
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