tci Medicare Compliance & Reimbursement - 2011 Issue 18
E-Prescribing Penalty: CMS Finalizes Four New Ways to Avoid 2012 E-Prescribing Payment Penalty
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Article Overview
This article covers a CMS final rule that expands the set of hardship exemption options tied to the Medicare e-prescribing payment adjustment. It is relevant to eligible professionals, physician practices, and billing/coding staff who track CMS incentive programs, reporting requirements, and compliance deadlines.
Why This Topic Matters
The article summarizes a policy update that affects whether certain Medicare Part B providers may seek relief from the upcoming e-prescribing penalty. It matters because it highlights the general exemption categories, the timing for requests, and the administrative elements involved in submitting an exemption request.
Article Sections
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Overview of the 2012 e-prescribing payment adjustment
Introduces the CMS final rule and the general policy context for the upcoming Medicare payment adjustment. It also frames why the change was issued and who may be affected.
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Prior hardship exemption approach and CMS update
Summarizes the earlier exemption framework and explains that CMS added new hardship categories. The section places the update in the context of provider feedback and federal rulemaking.
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Additional hardship exemption categories
Outlines the newly finalized categories of circumstances that may support a request for exemption. The discussion stays focused on the broad types of situations CMS addressed.
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Heed Nov. 1 deadline
Describes the submission timing, required identifying information, and administrative elements associated with requesting an exemption. It also notes that CMS evaluates requests individually.
What You Will Learn
- The general policy change affecting the Medicare e-prescribing payment adjustment
- The broad types of hardship exemption categories addressed in the final rule
- The timing and administrative requirements for requesting an exemption
- How the update relates to CMS incentive and reporting programs
Who Should Read This
- Eligible professionals
- Physician practices
- Medical billing and coding staff
- Revenue cycle teams
- Compliance staff
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