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San Francisco Marin Medical Society Blog

Avoid the e-Prescribing Penalty for 2013



eRxThe deadline to apply for a Medicare e-prescribing exemption for 2013 is June 30, 2012. If you have not electronically prescribed 10 times with a qualifying physician fee schedule service, you only have a few more weeks to do so. The 2013 payment reduction penalty of 1.5 percent will be determined by e-prescribing activity between January 1 and June 30, 2012.

To avoid the penalty in 2013, eligible professionals must report e-prescribing activity using measure code G8553 for at least 10 eligible fee schedule services via claims submission, or request an exemption through the online web-portal. Exemption requests from individual physicians will not be accepted via mail, email or fax.

The significant hardship categories are as follows:

  • The eligible professional is unable to electronically prescribe due to local, state, or federal law, or regulation
  • The eligible professional has or will prescribe fewer than 100 prescriptions during a 6-month reporting period (January 1 through June 30, 2012)
  • The eligible professional practices in a rural area without sufficient high-speed Internet access (G8642)
  • The eligible professional practices in an area without sufficient available pharmacies for electronic prescribing (G8643)


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