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Meaningful Health Care Informatics Blog

Jul 24 2011   10:29AM GMT

A second chance to avoid penalties for not ePrescribing by 2011



Posted by: RedaChouffani
CMS, eprescribing, penalties

In one of my earlier posts, “How to avoid penalties related to CMS electronic prescribing in 2012,” I discussed the options available for eligible providers (EPs) to avoid the penalties should they not have met the required minimum 10 electronic prescriptions by the June 30th, 2011 deadline.  Then earlier this month, CMS announced that is actually planning to make it easier for health care providers, who have not met the previous requirements, to have a second chance at avoiding the penalties.

The new proposal from CMS allows clinicians to avoid the penalties in 2013 if they submit 10 or more e-prescriptions during the first half of 2012.  They can also avoid any future cuts in their reimbursements during 2014 if they continue to ePrescribe at least an additional 10 scripts during the first half of 2013.

The proposal also describes the addition of CPT and HCPCS codes in the denominator of the electronic prescribing measure as the following:

90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90862,

92002, 92004, 92012, 92014, 96150, 96151, 96152, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310,

99315, 99316, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, G0101, G0108, and G0109.

The proposal also would apply the following exemptions from 2012 penalty to 2013/2014:

  • The inability to e-prescribe because of geographic restrictions; and
  • Submitting fewer than 100 prescriptions in a six-month reporting period.

CMS is currently accepting comments on the proposed adjustments until Aug. 30.

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