Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
of 2010 and will be performed by dividing the individual’s
total 2009 charges submitted for the measure’s HCPCS codes
by the individual’s total Medicare Part B charges (as
assessed at the NPI/TIN level). If the result is 10
percent or more, then the statutory limitation does not
apply and a successful electronic prescriber would earn the
electronic prescribing incentive payment. If the result
were less than 10 percent, then the statutory limitation
would apply and the eligible professional could not receive
an electronic prescribing incentive payment.
As discussed previously, this limitation will be
applied by CMS in determining whether the individual
professional meets the requirements for the incentive
payment. Although individual eligible professionals may
decide about whether to report based on their own
assessment of what portion of their allowed charges for
Part B services are likely to be made up of services
represented by the denominator codes, individual
professionals may report the numerator codes without regard
to the statutory limitation for the incentive payment.
If an eligible professional meets the 10 percent
threshold for 2009, we will determine whether the
professional is a successful electronic prescriber by
reporting the numerator codes for 50 percent of applicable
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