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eRx Incentive Program:  How to Avoid Payment Adjustment in 2014


211 Warren St
Newark, NJ 07103
Phone: 973-642-4055
Fax: 973-622-2075



Electronic Prescribing (eRx) is a requirement for any Eligible Professional (EP) who provides services to Medicare Part B Fee-for-Service beneficiaries. EPs who are not successfully electronic prescribers during 2012 or in the first six months of 2013 will receive only 98 percent of his/her Medicare Part B PFS amount for covered professional services in 2014 (a two percent payment adjustment).


EPs have already satisfied the criteria to avoid the payment adjustment if they have:

- Achieved Meaningful Use under the Medicare or Medicaid EHR Incentive Program during the _12 month eRx reporting period January 1, 2012 to December 31, 2012, or achieves

Meaningful Use during the six-month eRx reporting period January 1, 2013 to June 30, 2013.

- Reported G8553 for at least 25 Medicare Part B eRx encounters during 2012.

- Participate in an eRx GPRO practice.

EPs who have not yet satisfied the criteria to avoid the 2014 eRx payment adjustment need to take action by June 30, 2013 by doing one of the following:


Register for the Medicare or Medicaid EHR incentive program and provide a valid EHR certification ID betweenJanuary 1, 2013 to June 30, 2013.
- Report G8553 for at least 10 Medicare Part B eRx encounters via claims _between January 1, 2013 to June 30, 2013.

Other hardship exemptions may apply, and can be found on the 2013 Electronic Prescribing (eRx) Program: 2014 Payment Adjustment.


If you have any further questions, please contact NJ-HITEC at 973-642-4055.

New Jersey Institute of Technology Enterprise Development Center (EDC) 211 Warren Street, Newark, NJ 07103

Phone: 973-642-4055  Fax: 973-622-2075  Email: