decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 11 (November)
E-prescribing: You have new e-Rx exemptions and more time to file before 2013
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Article Overview
This article explains recent CMS changes affecting the Medicare e-prescribing incentive program and related hardship exemption process. It is relevant to physicians, group practices, billing and compliance staff, and coding/reimbursement professionals who track federal reporting requirements, EHR incentive program participation, and payment adjustment rules. The discussion focuses on new exemption categories, extended filing opportunities, and revised reporting thresholds for group practices.
Why This Topic Matters
These updates affect whether practices may qualify for relief from e-prescribing payment adjustments and how they document participation in CMS incentive programs. Staying current with these policy changes can help practices avoid avoidable penalties and align reporting activities with federal requirements.
Article Sections
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CMS hardship exemption reopening and filing window
Covers the reopened CMS support page and the extended opportunity to submit hardship exemption requests related to the e-prescribing program. It also notes the timing of the filing window and the finality of CMS decisions.
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New hardship exemptions tied to meaningful use and EHR incentive participation
Summarizes the new exemption categories added in the 2013 physician fee schedule. The section addresses how CMS connects e-prescribing relief to broader electronic health record incentive program participation.
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Other existing exemptions
Reviews the previously established exemption categories that remain available to eligible professionals and group practices. The section is limited to the general types of circumstances covered by those exemptions.
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CMS lowers e-Rx threshold
Describes the revised group practice reporting threshold and the related reporting periods discussed by CMS. It also mentions the agency’s response to public comments on the proposed threshold.
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Official resources
Lists the referenced CMS-related resource for additional information and support.
What You Will Learn
- How CMS changed the hardship exemption process for the e-prescribing program
- What general categories of exemptions are available to practices
- How the article relates e-prescribing policy to EHR incentive program participation
- What reporting topics are discussed for group practices under the program
- Where CMS support information is referenced
Who Should Read This
- Physicians and eligible professionals
- Group practice administrators
- Medical billing and coding professionals
- Compliance staff
- Practice managers
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