Medicare Quality Reporting Incentive programs Manual (Pub. 100-22), Ch. 2 § 60.2.2

Criteria for Determination of Successful Electronic Prescriber

Last amended: 2012Year: 2012Length: 322 wordsOfficial source
60.2.2 – Criteria for Determination of Successful Electronic Prescriber for the Payment Adjustments – Group Practices (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) For the 2012 payment adjustment, a group practice is considered a “successful electronic prescriber” if, depending on the group’s size, the group practice reports the eRx measure via claims on 75-2,500 unique eRx events for patients in the denominator of the measure for services occurring between January 1, 2011 and June 30, 2011. The following table shows the required number of instances a group practice must report the eRx measure according to group size: 20 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 2013 payment adjustment, a group practice is considered a “successful electronic prescriber” if the group meets the criteria for the 2011 incentive. A group practice may also be considered a “successful electronic prescriber” if, depending on the group’s size, the group practice reports the eRx measure’s numerator via claims on 625 (for group practices comprised of 25-99 eligible professionals) or 2,500 (for group practices comprised of 100+ eligible professionals) unique eRx events, regardless of whether the event is associated with the eRx measure’s denominator, between January 1, 2012 and June 30, 2012. For the 2014 payment adjustment, a group practice is considered a “successful electronic prescriber” if the group meets the criteria for the 2012 incentive. A group practice may also be considered a “successful electronic prescriber” if, depending on the group’s size, the group practice reports the eRx measure’s numerator via claims on 625 (for group practices comprised of 25-99 eligible professionals) or 2,500 (for group practices comprised of 100+ eligible professionals) unique eRx events, regardless of whether the event is indicated in the eRx measure’s denominator, between January 1, 2013 and June 30, 2013.
Medicare Quality Reporting Incentive programs Manual (Pub. 100-22), Ch. 2 § 60.2.2: Criteria for Determination of Successful Electronic Prescriber | Justis AI