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 E-prescribing 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 adjustment, they would get a one percent 2011 payment incentive, and they would be exempt from the 2013 payment adjustment," he explained. Keep in mind: How to Avoid the Adjustment CMS reps said that they've been flooded with calls about the 2012 payment adjustment, and described ways that you can avoid the adjustment if you qualify. Not eligible to prescribe: Plus, if you don't have at least 100 cases containing an encounter code in the measure denominator before June 30 or you don't meet the 10 percent denominator threshold, you could be exempt from the penalty. Hardship exemption: How to Proceed When You're Awaiting 'Meaningful Use' One caller to the forum asked whether her practice should move forward with e-prescribing to avoid the 2012 adjustment, even though her practice most likely won't demonstrate "meaningful use" of an e-prescribing system until after the June 30 deadline has passed. "Regardless of your intent to participate in the meaningful use program, if you don't do at least ten eprescriptions in the first six months of this year, your doctor will receive a payment adjustment starting in 2012," Green said. Therefore, you should ensure that you meet the e-prescribing criteria now, even if you won't demonstrate meaningful use until July, he said. For more on the e-prescribing program, visit www.cms.gov/erxincentive.