To qualify for a 2012 E-Prescribing Incentive, no sign up or registration is required. The eRx Incentive Programs are mandated by federal legislation. Individual eligible professionals may choose to report on their adoptions and use of a qualified eRx system (SOAPware Rx Manager) by submitting information on one eRx measure: (1) to CMS on their Medicare part B claims, (2) to a qualified registry, or (3) to CMS via a qualified electronic health record (EHR) product, or 4) to a qualified data submission vendor. There is a 1% bonus in 2011 and 2012 and a 0.5% bonus in 2013. Practices not e-Prescribing will face a 1% cut in 2012 and 2013. That cut will grow to 2% in 2014 and beyond.
What Do You Need To Do As a SOAPware User To Qualify? Simply add the following G-code to Medicare claims for patient encounters. This G-code is also commonly inserted in the SOAPnote Plan Field during patient encounter documentation:
**Explanation: All prescriptions created during the encounter were generated using a qualified ePrescribing system (SOAPware Rx Manager).
Shortcut code: eRx
G-code: G8553
Description: At least 1 Rx via qualified e-prescribing system
2012 eRx Incentive
Report the eRx measure for at least 25 unique electronic prescribing events in which the measure is reportable by the eligible professionals during 2012.
A group practice may also potentially qualify to earn an eRx incentive payment equal to 1.0% of the group practice’s total estimated Medicare Part B Physician Fee Schedule (PFS) allowed charges for covered professional services furnished during the 2012 eRx reporting year based on the group practice meeting the criteria for successful electronic prescriber specified by CMS. Click on the “Group Practice Reporting Option” link at left to learn more about this reporting option and to obtain instructions on how a group practice can sign up to participate in this reporting option.
2013 eRx Payment Adjustment
Individual eligible professionals and group practices participating in the eRx Group Practice Reporting Option (GPRO) who are not successful electronic presribers will be subject to a 1.5% payment adjustment on their Medicare Part B services provided January 1, 2013 through December 31, 2013.
To avoid the 2013 eRx payment adjustment, individual eligible professionals would have had to have been a successful electronic prescriber in 2011 or will need to report the G8553 code via claims for at least 10 billable Medicare Part B PFS services provided January 1, 2012 through June 30, 2012.
For more information regarding using this G-code for the Medicare eRx Incentive Program, click on the following links or email a Certified SOAPware trainer at clinicaltraining@soapware.com.
G-Codes for Medicare Electronic Prescribing Bonus
User Testimonials
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