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CMS-1403-FC
denominator of a measure and correctly reporting on that
measure. In the case of the E-Prescribing Incentive,
Program, however, section 1848(m)(2)(B) of the Act, as
added by the MIPPA, imposes a limitation. As discussed
above, for 2009, the limitation provides that the
electronic prescribing incentive is not available to an
eligible professional unless the eligible professional’s
total estimated allowed charges for covered Medicare Part B
services furnished for the codes in the denominator of the
2009 Electronic Prescribing Measure make up at least 10
percent of the eligible professional’s total allowed
charges for all covered Medicare Part B professional
services furnished by the eligible professional during the
2009 reporting period (that is, January 1, 2009 through
December 31, 2009). The statutory limitation also applies
to the future application of the payment differential,
which limits those to whom the differential will apply as
well.
Therefore, in determining whether an eligible
professional will receive an electronic prescribing
incentive payment, CMS will determine whether the 10
percent threshold is met based on the claims submitted by
the eligible professional at the NPI/TIN level. This
calculation is expected to take place in the first quarter
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