Wednesday, January 29, 2014

Medicare eRx HCPCS G8553 Deleted 12/31/2013

eRx HCPCS G8553 Deleted

Effective for claims billed with dates of service 01/01/2014, HCPCS G8553 is no longer valid. Because Electronic Prescribing (eRx) reporting is not being monitored during 2014, no new code will be created. The eRx incentive program finalized on 12/31/13; however, providers are encouraged to continue to electronically prescribe as it is a measure under Electronic Health Records (EHR) and should be reported as such.

Individual eligible professionals and group practices who participated in the eRx Group Practice Reporting Option (GPRO) who were not successful electronic prescribers will be subject to a 2.0% payment adjustment on their Medicare Part B services provided January 1, 2014 through December 31, 2014.

To avoid the 2014 eRx payment adjustment, individual eligible professionals and group practices must have been successful 2013 electronic prescribers, reporting HCPCS G8553 on at least 10 billable Medicare Part B Physician Fee Schedule (PFS) services provided from January 1, 2013 through June 30, 2013.

Review the CMS 2014 eRx Payment Adjustment Information Fact Sheet This link will take you to an external website.for more detailed information, including how an eligible professional or group practice can request a hardship exemption to the 2014 eRx payment adjustment or to request an informal application review. The deadline to request an informal review is February 28, 2014. See instructions in the above mentioned fact sheet. 
 
Last Updated Jan 15, 2014

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