decisionhealth Newsletters, Part B News - 2012 Issue 12 (December)
2 ways to avoid 1.5% cut if CMS says you didn’t meet e-Rx requirements
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Article Overview
This article is for practices and billing staff tracking Medicare e-prescribing compliance. It covers CMS notification letters, informal review requests, hardship exemption requests, and related submission details for the e-Rx payment adjustment process. The article also references associated CMS communication channels, timing, and the kinds of documentation or identifiers that may be needed when responding to a notice.
Why This Topic Matters
Providers who receive a CMS e-Rx adjustment letter need to know whether they should request review or pursue an exemption. Understanding the article helps readers identify the relevant CMS process and deadlines without relying on the full premium text.
Article Sections
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E-prescribing
Overview of the CMS notice context and the general issue involving the Medicare e-prescribing adjustment.
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Request hardship exemptions by Jan. 31
Summary of the hardship exemption process, the categories described, and the related submission timeline and support resources.
What You Will Learn
- How CMS notice letters relate to the Medicare e-prescribing adjustment process
- What broad response paths are described for recipients of an e-Rx adjustment notice
- What kinds of hardship exemption categories are referenced
- Which CMS communication channels and timeframes are mentioned for follow-up
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Physician office administrators
Codes Discussed
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