2009 Electronic Prescribing (eRx) Incentive Program Update

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce that 
incentive payments for the 2009 Electronic Prescribing (eRx) Incentive Program 
are being made to eligible professionals who met the criteria for successful 
reporting.



The 2009 eRx incentive payments are currently being processed and distributed 
by Carriers and Medicare Administrative Contractors (MACs). Distribution of the 
2009 eRx incentive payments are scheduled to be completed by October 22, 2010.

E-prescribing incentives earned by individual participating physicians and 
other eligible professionals are paid as a lump-sum to the Taxpayer 
Identification Number (TIN) under which the EP's claims were submitted. It is 
then up to the TIN to decide how to distribute the incentive within the 
practice.
Effective January 2010, CMS revised the manner in which incentive payment 
information is communicated to eligible professionals receiving electronic 
remittance advices. CMS has instructed Medicare contractors to use a new 
indicator of LE to indicate incentive payments instead of LS. LE will appear on 
the electronic remittance advice. Additionally the paper remittance advice will 
read "This is an eRx incentive payment."  It will not include the year and 
indicator LE in the paper remittance.   In an effort to further clarify the 
type of incentive payment issued (either PQRI or eRx incentive), CMS created a 
4-digit code to indicate the type of incentive and reporting year. For the 2009 
eRx incentive payments, the 4-digit code is RX09. This code will be displayed 
on the electronic remittance advice along with the LE indicator. For example, 
eligible professionals will see LE to indicate an incentive payment, along with 
RX09 to identify that payment as the 2009 eRx incentive payment.
2009 Electronic Prescribing (eRx) Incentive Program Feedback Reports

The 2009 eRx feedback reports will be available on the Physician and Other 
Health Care Professionals Quality Reporting Portal at 
http://www.qualitynet.org/pqri on the internet, starting the second week of 
November. TIN-level reports on the Portal require an Individuals Authorized 
Access to CMS Computer Services (IACS) account. Participants may also contact 
their Carrier or MAC to request individual NPI-level reports via an alternate 
feedback report fulfillment process, please visit 
http://www.cms.gov/MLNMattersArticles/downloads/SE0922.pdf on the CMS website.

Who to Contact for Questions?

If you have questions about the status of your eRx incentive payment (during 
the distribution timeframe), please contact your Provider Contact Center. The 
Contact Center Directory is available at 
http://www.cms.gov/MLNProducts/Downloads/CallCenterTollNumDirectory.zip on the 
CMS website.

Feel free to contact the QualityNet Help Desk with any of the following:

*      Physician Quality Reporting Initiative (PQRI) Portal password issues

*      PQRI/eRx feedback report availability and access

*      PQRI-IACS registration questions

*      PQRI-IACS login issues


The QualityNet Help Desk is available Monday through Friday from 7:00 a.m. - 
7:00 p.m. CST at 1-866-288-8912 or via 
[email protected]<mailto:[email protected]> on the internet. The 
QualityNet Help Desk is also available to assist with PQRI and eRx 
measure-specific questions.

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September Flu Shot Reminder



Vaccinate Early to Protect Against the Flu. The Centers for Disease Control and 
Prevention (CDC) recommends a yearly flu vaccination as the first and most 
important step in protecting against flu viruses. Medicare pays for the flu 
vaccine and its administration for seniors and other Medicare beneficiaries 
with no co-pay or deductible. This year's vaccine will protect against three 
different flu viruses, including the H1N1 virus that caused so much illness 
last flu season. Take advantage of each office visit and start protecting your 
patients as soon as your 2010-2011 seasonal flu vaccine arrives. And, don't 
forget to immunize yourself and your staff. Get Your Flu Vaccine - Not the Flu.



Remember - Influenza vaccine plus its administration are covered Part B 
benefits. Note that influenza vaccine is NOT a Part D covered drug. For 
information about Medicare's coverage of the influenza vaccine and its 
administration, as well as related educational resources for health care 
professionals and their staff, please visit 
http://www.cms.gov/AdultImmunizations.



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