US · guidance
CMS Pub. 100-22, ch. 2, § 60.1.2
Criteria for Determination of Successful Electronic Prescriber
for the Payment Adjustments – Individual Eligible Professionals
(Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12)
For the 2012 payment adjustment, an individual eligible professional is considered a
“successful electronic prescriber” if the eligible professional reports the eRx measure’s
numerator via claims for at least 10 unique eRx events for patients in the denominator of
the measure between January 1, 2011 and June 30, 2011.
For the 2013 payment adjustment, an individual eligible professional is considered a
“successful electronic prescriber” if the eligible professional meets the criteria for being a
successful electronic prescriber for the 2011 incentive. Additionally, an individual
eligible professional may also be considered a “successful electronic prescriber” if the
eligible professional reports the eRx measure‘s numerator via claims for at least 10
unique eRx events (regardless of whether the event is one associated with the eRx
measure’s denominator) between January 1, 2012 and June 30, 2012.
For the 2014 payment adjustment, an individual eligible professional is considered a
“successful electronic prescriber” if the eligible professional meets the criteria for being a
successful electronic prescriber for the 2012 incentive. Additionally, an individual
eligible professional may also be considered a “successful electronic prescriber” if the
eligible professional reports the eRx measure‘s numerator via claims for at least 10
unique eRx events (regardless of whether the event is one associated with the eRx
measure’s denominator) between January 1, 2013 and June 30, 2013.
History
(Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
3a49b6bacf5c31170666fd10938669c511e57412040f8e5f4d98160f29c44b13
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