JAN 30, 2012 - ARE YOU GETTING THE 1% E-RX CUT?

Many physicians did not listen last year when we pointed out that they needed to do at least 10 electronic prescriptions or they would get a 1% reduction in Medicare allowed on their payments in 2012.  Now - they are getting the 1% reduction and calling me to find out how to fix it.  You can't.  You had a deadline last year and you have one this year too.

There is a change in the reporting requirements for 2012 and 2013 with regards to avoiding penalties for 2013 and 2014. You don't want to lose 2% in 2013, so you need to pay attention.  During the first six months of 2012, you simply have to report G8553, the code that indicates you did an eRx during a visit ten times. So any time you do an eRx (for a Medicare Part B patient) during the 1st six months, you should report the G8553 code, and by doing that 10 times you will avoid the payment reduction the following year.  That 2% in 2013 can add up as the 1% in 2012 already is, so you should look into doing at least 10.

 

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