2014 eRx Payment Adjustment

Request an Informal Review of 2014 Electronic Prescribing (eRx) Payment Adjustment


Eligible professionals and group practices (who self-nominated for the 2012 and/or 2013 Electronic Prescribing (eRx) group practice reporting option) who were not successful electronic prescribers under the 2012 or 2013 eRx Incentive Program will be subject to a payment adjustment in 2014.


CMS will notify those eligible professionals and group practices who will be subject to the 2014 eRx payment adjustment. The 2014 eRx payment adjustment will result in an eligible professional or group practice receiving 98.0% of his or her Medicare Part B physician fee schedule (PFS) allowed charges amount that would otherwise apply to such services for all charges with dates of service from January 1–December 31, 2014.


Request an Informal Review


CMS has implemented an informal review process for the 2014 eRx payment adjustment. An informal review may be requested if the eligible professional or group practice receives notification from CMS confirming they will be subject to the 2014 eRx payment adjustment or they did not meet the requirements to avoid the 2014 eRx payment adjustment. Informal review requests will be accepted through February 28, 2014.


Eligible professionals and group practices should submit their eRx informal review request via email to the informal review mailbox at eRxInformalReview@cms.hhs.gov.


Complete instructions on how to request an informal review are available in the 2014 eRx Payment Adjustment Informal Review Made Simple educational document.


Questions
For all other questions related to the eRx Incentive Program, please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or via qnetsupport@sdps.org. They are available Monday through Friday from 7:00 a.m.-7:00 p.m. CST.