Polk County Medical Association

A Break for Those Hit With eRx Penalties
  A Break for Those Hit With eRx Penalties

03/21/12 | SOURCE: AMA Wire

Have your Medicare payments been reduced by the ePrescribing penalty? The Centers for Medicare & Medicaid Services (CMS) is willing to reconsider the cases of physicians who believe they have been penalized in error.

Having heard from many physicians who may have received the 1 percent penalty deduction in error, the AMA secured CMS’s commitment to reconsider the cases of physicians who believe they fulfilled the 2011 Medicare ePrescribing program requirements or applied for a hardship exemption.

Some common scenarios that may allow you to avoid the penalty include:

You ePrescribed in 2011, but the G8533 code was removed from the claims you submitted to Medicare. (For example, your billing vendor or clearinghouse mistakenly removed the code.) You must have documentation of your ePrescribing activity.
You reported the wrong G-code on your claims. (For instance, you used a 2009 ePrescribing code instead of the 2011 code.) You must have documentation of your ePrescribing activity.
Your hardship exemption request was denied because you included your group National Provider Identifier (NPI) rather than your individual NPI.
You filed a hardship exemption request but did not receive a response from CMS.
Other hardships may qualify you to receive an exemption to the penalty. Call CMS’s Quality Net Help Desk at (866) 288-8912 or send an email to present your case.


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