Have You Heard About the E-Prescribing Incentive?


Under Section 132 of the Medicare Improvements for Patients and Provider Act of 2008 (MIPPA), eligible professionals (EPs) who are successful electronic prescribers from 2009 through 2013 as defined by MIPPA,  may qualify to receive an incentive payments from 0.5% - 2 % of the total estimated allowed  charges submitted not later than the end of the reporting. This new incentive program is in addition to the quality reporting incentive program authorized by Division B of the Tax Relief and Health Care Act of 2006 – Medicare Improvements and Extension Act of 2006 (MIEA-TRHCA) and known as the Physician Quality Reporting Initiative (PQRI).










How much are the incentive amounts?

The e-prescribing incentive percent amount is based on the Secretary’s estimate (based on claims submitted not later than 2 months after the end of the reporting period) of the allowed charges for all such Physician Fee Schedule covered professional services furnished by the eligible professional during the reporting year.  The incentive amount for reporting years is:




2009 - 2010 is 2%
2011 – 2012 is 1%
2013 is 0.5%


How do I participate in the eRx Incentive program?

Individual Eligible Professionals may choose to report on their adoption and use of a qualified eRx system by submitting information on one eRx measure:


to CMS on their Medicare part B claims


to a qualified registry


to CMS via a qualified electronic health record (EHR) product


How can I be considered a successful electronic prescriber for the eRx Incentive Program?

Individual eligible professionals must report the eRx measure at least 25 unique electronic prescribing events in which the measure is reportable by the eligible professional during 2010.


Who are Eligible Professionals?


Medicare physicians

Doctor of Medicine

Doctor of Osteopathy

Doctor of Podiatric Medicine

Doctor of Optometry

Doctor of Oral Surgery

Doctor of Dental Medicine

Doctor of Chiropractic



Physician Assistant

Nurse Practitioner

Clinical Nurse Specialist

Certified Registered Nurse Anesthetist (and Anesthesiologist Assistant)

Certified Nurse Midwife

Clinical Social Worker

Clinical Psychologist

Registered Dietician

Nutrition Professional

Audiologists (as of 1/1/2009)



Physical Therapist

Occupational Therapist

Qualified Speech-Language Therapist (as of 7/1/2009)
***If an Eligible Professional chooses to participate in the Medicare Rx Incentive Program, they cannot participate in the Medicare EHR Incentive Program simultaneously in the same program year.***