For purposes of the 2012 payment adjustment, you need to report electronic prescribing data for January 1, 2011 through June 30, 2011 via claims.
Electronic Prescribing Measure Denominator Codes (Eligible Cases)
Patient visit during the reporting period (Current Procedural Terminology [CPT] or Healthcare Common Procedure Coding System [HCPCS] G-codes):
90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90862, 92002, 92004, 92012, 92014, 96150, 96151, 96152, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99345, 99347, 99348, 99349, 99350, G0101, G0108, G0109
You should report the following G-code (or numerator code) on the claim form that is submitted for the Medicare patient visit.
G8553 - At least one prescription created during the encounter was generated and transmitted electronically using a qualified electronic prescribing system.
eRx Incentive payment
To be a successful electronic prescriber and be eligible to receive an eRx incentive payment, you must generate and report one or more electronic prescriptions associated with a patient visit; a minimum of 25 unique visits per year.
eRx Payment adjustment
To avoid the 2012 eRx payment adjustment, you must report on a minimum of 10 unique visits via claims from January 1, 2011 through June 30, 2011.
We encourage you to report the G-code listed above on all of your patient visit claims along with one (or more) of the eligible denominator codes noted above.
The above requirements are per Provider/EP, so for group practices with multiple Providers these guidelines have to be met by each Provider/EP.
Each visit must be accompanied by the electronic prescribing G-code attesting that during the patient visit at least one prescription was electronically prescribed. Electronically generated refills do not count and faxes do not qualify as an electronic prescription. New prescriptions not associated with a code in the denominator of the measure specification are not accepted as an eligible patient visit and do not count towards the minimum unique electronic prescribing events.
Additionally, 10 percent of an eligible professional's Medicare Part B PFS charges must be comprised of the codes in the denominator of the measure to be eligible for an incentive or payment adjustment.
There is NO need to register to participate in this reporting program.
For more information on ePrescribing please check out this link : http://www.cms.gov/ERxIncentive/03_How_To_Get_Started.asp#TopOfPage
Source CMS
Electronic Prescribing Measure Denominator Codes (Eligible Cases)
Patient visit during the reporting period (Current Procedural Terminology [CPT] or Healthcare Common Procedure Coding System [HCPCS] G-codes):
90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90862, 92002, 92004, 92012, 92014, 96150, 96151, 96152, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99345, 99347, 99348, 99349, 99350, G0101, G0108, G0109
You should report the following G-code (or numerator code) on the claim form that is submitted for the Medicare patient visit.
G8553 - At least one prescription created during the encounter was generated and transmitted electronically using a qualified electronic prescribing system.
eRx Incentive payment
To be a successful electronic prescriber and be eligible to receive an eRx incentive payment, you must generate and report one or more electronic prescriptions associated with a patient visit; a minimum of 25 unique visits per year.
eRx Payment adjustment
To avoid the 2012 eRx payment adjustment, you must report on a minimum of 10 unique visits via claims from January 1, 2011 through June 30, 2011.
We encourage you to report the G-code listed above on all of your patient visit claims along with one (or more) of the eligible denominator codes noted above.
The above requirements are per Provider/EP, so for group practices with multiple Providers these guidelines have to be met by each Provider/EP.
Each visit must be accompanied by the electronic prescribing G-code attesting that during the patient visit at least one prescription was electronically prescribed. Electronically generated refills do not count and faxes do not qualify as an electronic prescription. New prescriptions not associated with a code in the denominator of the measure specification are not accepted as an eligible patient visit and do not count towards the minimum unique electronic prescribing events.
Additionally, 10 percent of an eligible professional's Medicare Part B PFS charges must be comprised of the codes in the denominator of the measure to be eligible for an incentive or payment adjustment.
There is NO need to register to participate in this reporting program.
For more information on ePrescribing please check out this link : http://www.cms.gov/ERxIncentive/03_How_To_Get_Started.asp#TopOfPage
Source CMS
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