Medicare Quality Reporting Incentive programs Manual (Pub. 100-22), Ch. 2 § 60.2.1
Criteria for Determination of Successful Electronic Prescriber
60.2.1 – Criteria for Determination of Successful Electronic Prescriber
for the Purpose of Receiving Incentive Payments – Group Practices
(Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12)
For the 2010 incentive, a group practice selected to participate in the eRx GPRO is
considered a “successful electronic prescriber” if the practice reports the eRx measure (as
specified for 2010) for at least 2,500 unique denominator-eligible events during the 2010
reporting period.
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For the 2011 incentive, a group practice selected to participate in the eRx GPRO is
considered a “successful electronic prescriber” if the practice reports the eRx measure (as
specified for 2011) for at least 75-2,500 unique denominator-eligible events, depending
on the group practice’s size, during the 2011 incentive reporting period. The following is
a table showing the required number of instances a group practice must report the eRx
measure in order to be deemed a successful electronic prescriber according to group size:
Group size (Number of
Eligible Professionals)
Required Number of Unique Visits Where an Electronic
Prescription was Generated to be a Successful Electronic
Prescriber
2-10
75
11-25
225
26-50
475
51-100
925
101-199
1875
200+
2500
For the 2012 and 2013 incentives, a group practice selected to participate in the eRx
GPRO is considered a “successful electronic prescriber” if the practice reports the eRx
measure (as specified for the year) for the following number of instances, depending on
the group practice’s size, during the respective 2012 and 2013 incentive reporting
periods:
• 625 unique denominator-eligible events for group practices comprised of 25-99
eligible professionals or
• 2,500 unique denominator-eligible events for group practices comprised of 100+
eligible professionals.