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Now is the Time to Plan Your Participation in the eRx Incentive Program

Coding Corner

The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.

Now is the Time to Plan Your Participation in the eRx Incentive Program
Beginning in calendar year 2012, eligible professionals who are not successful electronic prescribers based on claims submitted between January 1 and June 30, 2011 may be subject to a payment reduction of 1 percent in their Medicare Part B Physician Fee Schedule-covered services. The penalty for failure to utilize electronic prescribing will increase in 2013 and 2014 to 1.5 percent and 2 percent, respectively. For additional information, visit the “Getting Started” webpage at www.CMS.gov/ERXincentive. You may also download a publication entitled “Medicare’s Practical Guide to the Electronic Prescribing (eRx) Incentive Program” at the same website.