decisionhealth Newsletters, Part B News - 2011 Issue 10 (October)
CMS won’t say whether your e-Rx exemption was granted; practices must call to find out
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Article Overview
This article covers CMS process guidance for electronic prescribing hardship exemption requests, including how providers learn whether a request was processed, what to do after submission, and timing concerns around year-end penalty exposure. It also discusses a reported EHR exemption form issue, CMS follow-up for potentially affected applicants, and general operational notes relevant to practices that submit exemption requests. The piece is aimed at practices, billing and compliance staff, and others managing Medicare-related e-prescribing requirements.
Why This Topic Matters
Providers submitting exemption requests need to understand how CMS is handling notifications, follow-up, and processing timelines so they can monitor status and reduce the risk of unintended payment penalties. The article is relevant for practices tracking e-prescribing compliance and exemption workflows.
Article Sections
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E-prescribing hardship exemption status and notification process
Explains how exemption requests are acknowledged and how providers are expected to check on processing status. It also notes the general CMS approach to communication after submission.
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Processing timeline, documentation, and submission timing
Covers broad timing considerations for exemption requests, including processing order and year-end concerns. It also references general documentation expectations and staffing efforts related to review.
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EHR exemption bug and related CMS follow-up
Describes an issue affecting an EHR exemption submission field and CMS follow-up for potentially impacted providers. It also notes the site update and related administrative handling.
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Deadline and filing considerations
Summarizes the article’s discussion of the filing window, appeal availability, and the recommendation to submit requests for eligible exemptions through the single-request process.
What You Will Learn
- How CMS handles communication about hardship exemption requests
- What providers are expected to do after submitting an exemption request
- What general timing and processing issues may affect exemption submissions
- How an EHR exemption application issue was handled by CMS
- What broad filing considerations are discussed for practices managing exemption requests
Who Should Read This
- Physician practices
- Billing staff
- Compliance staff
- Practice administrators
- Revenue cycle teams
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