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Penalty for Not Prescribing Electronically Kicks in Jan. 1, 2012
By News Staff
Therefore, in 2013, affected physicians will receive 1.5 percent less than the payment amount allowed by the Medicare physician fee schedule for professional services rendered. In 2014, a 2 percent penalty for physicians not prescribing electronically will be applied to all payments made for Medicare Part B services.
A recent article in CMS' MLN Matters (5-page PDF; About PDFs) has more details about what affected physicians will see when they receive Medicare payments for services provided. For example, remittance advice documents sent to physicians will include a claim adjustment reason code "237" indicating that the adjustment is due to a legislated regulatory penalty. In addition, physicians will see a remark code "N545" stating that the payment was reduced based on the physician's status as an unsuccessful e-prescriber per Medicare's e-prescribing program.
Answers to additional questions about the Medicare payment adjustment are available on the CMS website or by contacting the agency's QualiltyNet help desk at (866) 288-8912 or by e-mail. The help desk is staffed Monday through Friday from 7 a.m. to 7 p.m. CST.
Deadline to Request Hardship Exemptions From Medicare's 2011 e-Prescribing Program Extended