How are electronic prescription(s) counted when reporting the Electronic Prescribing (eRx) Incentive Program?Instances of eRx on Medicare Part B eligible patient encounters are counted to determine successful reporting under eRx.

Depending on the reporting mechanism selected, please refer to the measure specification for either reporting individual claims and registry, EHR, or Group Practice Reporting Option (GPRO) I and II.

Additional criteria for successful reporting is included in each measure specification.

Claims-based reporting example: Medicare Part B patient A sees Dr. X for an office visit on January 14. Dr. X generates and transmits 3 eRx prescriptions. Dr. X bills encounter code 99215 and submits quality-data code (QDC) G8553 on the claim. Even though Dr. X generated and transmitted 3 eRx prescriptions, this would count as 1 instance of eRx reporting. If patient A returns to see Dr. X January 28 AND Dr. X generates and transmits 2 eRx prescriptions, bills 99212, and submits QDC G8553 on the claim, this would count as 1 instance of eRx reporting.

To avoid being subject to the 2012 eRx Payment Adjustment, participating eligible professionals must submit at least 10 eRx G-codes (G8553 - at least one prescription created during the encounter was generated and transmitted electronically using a qualified eRx system) on eligible claims with dates of service between January 1, 2011 and June 30, 2011. How long do eligible professionals have to actually submit those claims for ensuring the data is processed into the National Claims History (NCH) file for analysis?

For 2012 eRx Payment Adjustment analysis, the 10 required G8553 events MUST be reported via the claims reporting option, NOT via a CMS-qualified registry or qualified EHR. The six-month claims reporting period ends after June 30, 2011. As CMS is allowing just one month to receive submitted claims into the NCH file, the deadline is July 31, 2011.

Please be aware that Medicare Part B Carriers/Medicare Administrative Contractors (MACs) only submit claims to the NCH every Friday, so the last Friday would be July 29, 2011. Participating eligible professionals are encouraged to ensure their claims have been submitted to Carriers/MACs by mid-July 2011 or earlier.


Details Needed for Registration

Company: GeniusDoc, Inc.
Tested Version: GeniusDoc EHR 9.0
Certificate Number: 06092011-8304-6

You can Register by visiting this link:
https://ehrincentives.cms.gov/hitech/login.action

You can use the Registrations Guides from the Links below as well:

Registration Information for Eligible Professionals – Medicare Electronic Health Record (EHR) Incentive Program.
Registration User Guide for Eligible Professionals – Medicare Electronic Health Record (EHR) Incentive Program.

For more information about GeniusDoc Inc, visit www.geniusdoc.com.

Contact: Shane Bien,  Director, Sales & Marketing,  GeniusDoc Inc, 
             shane@geniusdoc.com, sales@geniusdoc.com or call (866) 4 – GENDOC