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In order to receive 2013 incentive payment of 0.5 percent of all Medicare Part B, Medicare as a secondary payer and Railroad Medicare, less durable medical equipment or any drug injected, HCPCS code G8553 must be billed in association with an exam a minimum of 25 times with dates of service between Jan. 1 and Dec. 31, 2013.
Be sure to confirm that G8553 was successfully received by verifying the remittance advice codes N365 and/or CO93.
Remember that if the exam is denied, G8553 is denied too and must be submitted again on the corrected resubmitted claim.
Practices who report successfully will receive an incentive payment in the fall of 2014. The check will be sent to the group practice TIN number. In order to receive a report indicating the percentage of dollars achieved by each physician of the practice, contact QualityNet Help Desk:
E-prescribe at least 10 times between now and June 30, 2013 dates of service by submitting HCPCS code G8553 along with any billable service. The billable service could be an exam, a test, or a surgical procedure. Reporting must be from your office - not through a registry.
NOTE: Any item carried by a pharmacy can be e-prescribed.
E-Prescribing may be reported through a qualified CMS registry. The Academy has partnered with Outcome Registry. To contact Outcome for PQRS or E-Prescribing assistance: