2014 - No Reporting of G8553

Individual eligible professionals and group practices participating in the eRx Group Practice Reporting Option (GPRO) who are 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 would have had to have been a successful electronic prescriber in 2012 or will need to report the G8553 code via claims for at least 10 billable Medicare Part B PFS services provided January 1, 2013 through June 30, 2013. Please review the factsheet titled "2013 eRx Incentive Program: 2014 Payment Adjustments" on the "Payment Adjustment Information" section page to the left for more detailed information, including how an eligible professional or group practice can quality and request a hardship exemption to the 2014 eRx payment adjustment.

Therefore, it will not be necessary to report G8553 during FY 2014 since no incentive is eligible and the penalty for 2014 will be determined on data received from 2013.  The 2% ePrescribe adjustment will not be continuing into the successive years of 2015 and beyond.