Report e-prescribing code on claims in 2011 to prevent 2012 penalties

Why This Topic Matters

The piece helps practices understand which reporting approach CMS recognized for avoiding a Medicare penalty, when the reporting windows applied, and which broad exemption categories were available. It also highlights why administrative reporting choices mattered for both incentive eligibility and future payment adjustments.

Article Sections

1. Claims-based e-prescribing reporting and 2012 adjustment

   Discusses CMS guidance on reporting through claims during the 2011 period and the timing of the related Medicare payment adjustment. It also notes how other reporting methods related to incentive eligibility.

2. 2013 payment adjustment overview

   Summarizes CMS’s separate use of the 2011 reporting period for a later Medicare payment adjustment. It mentions possible future rulemaking considerations.

3. Exemption from the penalty

   Outlines the main categories of situations in which a provider may not be subject to the e-prescribing payment adjustment. It includes broad administrative and practice-based exemption types.