Posts Tagged ‘e-prescribe’

eRx Exemption Deadline Is Looming… Be Sure That You Are Not Hit With A 1% MPFS Penalty!

In Uncategorized on November 4, 2011 at 9:01 pm

This past summer, I communicated with you all about the need to either start begin a consistent regimin of e-prescribing (a minimum of 25 prescriptions must have been electronically prescribed by the end of 2011), or apply for an exemption.  Initially the deadline for filing this exemption was October 1, 2011; however CMS extended it until November 1, 2011.  Just this week, CMS once again extended the deadline to November 8, 2011 — next Tuesday.  The following link is to the Medical Society of Virginia’s publication regarding this extension:–.aspx.   (see also, – this is the AMA’s information relating to the eRx exemption).

In order to qualify for the exemption, a provider must fall squarely into one of six specific categories: 

  • Registered to participate in the Medicare or Medicaid electronic medical record incentive program and have adopted certified EMR technology.
  • Were unable to prescribe electronically because of a local, state or federal law or regulation. (if possible, reference the actual code/statute that prohibits your e-prescriptions)
  • Had limited prescribing activity.
  • Had insufficient opportunities to report e-prescribing for eligible patient visits.
  • Practiced in a rural area without sufficient high-speed Internet access.
  • Practiced in an area without a sufficient number of pharmacies that accept electronic prescriptions.

Once you have determined that you do in fact qualify under one of these aforelisted categories, then you must submit a specific form, which is located at    Click “Communication Support Page” (at the bottom of the top box on the left side of the page) and fill out the exemption request form per individual NPI. 

Should you have issues accessing the actual form (I did, but the QualityNet Help Desk, walked me through setting preferences to access the document), follow these steps: 

  • Click Tools drop down
  • Select Internet Options (bottom of list)
  • Select “Advanced” tab (far right)
  • Scroll down to the bottom and check the box “Use TLS 1.0”
  • Click APPLY
  • Then try accessing the page again…  it should work

I was advised that only the individual associated to the NPI is available to complete the exemption form…  office staff are NOT allowed to do this on the behalf of the doctors.  The email must be the individual provider’s own email address and the requestor relationship field must have Health Care Provider marked when filing for an eRx Hardship Exemption.  The other options on the requestor relationship field are there merely because anyone can request a feedback report. 

Providers failing to either e-prescribe or submit an exemption are at risk of incurring a 1% Physician Medicare Fee Schedule payment penalty on all claims.