Statute Regulations Program Instructions

2013 Medicare Physician Fee Schedule Final Rule CMS-1590-F  

On November 1, 2012, CMS issued the final regulations updating Medicare payment rates and policies in calendar year (CY) 2013 for services furnished by physicians and other practitioners.  The rule will be published on November 16, 2012.  It will take effect January 1, 2013 with a comment period that closes on December 31, 2012.   To view the entire 2013 Medicare Physician Fee Schedule (PFS) final rule, click on the "2013 Medicare Physician Fee Schedule Final Rule" link in the "Related Links" section below.

2013 Medicare Physician Fee Schedule Proposed Rule CMS-1590-P

CMS' proposals for the 2013 Physician Quality Reporting System and Electronic Prescribing Incentive Program can be found in the 2013 Medicare Physician Fee Schedule (PFS) proposed rule. The 2013 Medicare PFS proposed rule was displayed in the Federal Register on July 6, 2012 and was  published on July 30, 2012.  CMS will accept comments on the proposed rule until September 4, 2012 and will respond to the comments in a final rule with comment period to be issued by November 1, 2012. To view the entire 2013 Medicare PFS proposed rule, click on the "2013 Medicare Physician Fee Schedule Proposed Rule" link in the "Related Links" section below.

2012 eRx Incentive Program Regulations

On November 1, 2011, CMS issued a final rule with comment period that updates payment policies and rates for physicians and nonphysician practitioners (NPPs) for services paid under the Medicare Physician Fee Schedule (MPFS) in calendar year (CY) 2012. This rule includes updates to the 2012 Physician Quality Reporting System as well as provisions for the 2012, 2013, and 2014 Electronic Prescribing (eRx) Incentive Program. The final rule was published on November 28, 2011 in the Federal Register. CMS will accept comments through January 3, 2012. To view this final rule, click on the link titled "2012 Medicare PFS Final Rule - CMS-1524-FC" in the "Downloads" section below.

The 2012 Medicare Physician Fee Schedule proposed rule was published in the July 19, 2011 edition of the Federal Register. The comment period ended August 30, 2011. To view the 2012 PFS proposed rule, click on the "2012 Medicare PFS Proposed Rule - CMS-1524-P" in the "Related Links" section below.

2011 eRx Incentive Program Regulations

Changes to the 2011 Medicare eRx Incentive Program Final Rule

The Centers for Medicare & Medicaid Services released the final rule for changes to the 2011 Medicare eRx Incentive Program. The final rule was published in the Federal Register on September 6, 2011. To view the final rule, see link titled "2011 Medicare eRx Incentive Program Final Rule -- CMS-3248-F" in the "Related Links" section below.

Changes to the 2011 Medicare eRx Incentive Program Proposed Rule

The Centers for Medicare & Medicaid Services released a proposed rule for changes to the Medicare Electronic Prescribing (eRx) Incentive Program. The rule was published in the Federal Register on June 1, 2011. To view the proposed rule, see link titled "2011 PFS Proposed Rule -- CMS-3248-P" in the "Related Links" section below.

The 2011 eRx Incentive Program, including the requirements related to the eRx payment adjustment that begins in 2012, was finalized in the 2011 PFS final rule with comment. The final rule was published in the Federal Register on November 29, 2010. To view the entire 2011 PFS final rule with comments, see "2011 PFS Final Rule -- CMS-1503-FC" in the "Related Links" section below.

CMS' proposals for the 2011 eRx incentive as well as our proposals for implementing the eRx payment adjustment that begins in 2012 can be found in the 2011 Medicare Physician Fee Schedule (PFS) proposed rule. The 2011 PFS proposed rule was published in the Federal Register on July 13, 2010. To view the entire 2011 PFS proposed rule, click on the "2011 PFS Proposed Rule -- CMS-1503-P" in the "Related Links" section below.

Electronic Prescribing (eRx) Incentive Program Statutory Authority

Section 132 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) authorized a new and separate program for eligible professionals who are successful electronic prescribers for 2009 through 2013, as detailed in MIPPA. A link to the MIPPA legislation can be found in the "Related Links" section below.

Previous Electronic Prescribing (eRx) Incentive Program Year Documents
___________________________________________________________________________

Location of Previous Program Year Documents

All previous program year documents have been moved from this page and are now available on that specific program year section page at left. Those section pages are:

• 2009 eRx Incentive Program
• 2010 eRx Incentive Program