- RESOURCES & EDUCATION
- PRACTICE MANAGEMENT
Electronic prescribing, also known as e-prescribing or "e-Rx," is a prescriber's ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point-of-care. Erx technologies are often part of an EHR system, but they can also be purchased as a stand-alone system, therefore, you do not need to have an Electronic Health Record (EHR) to e-prescribe. Many times you can download e-prescribing programs from the internet right to your desktop. Some e-prescribing programs are free, and some are not. More information on e-prescribing will be posted to this site periodically.
ASCRS/ASOA compiled the eRx Incentive Program Guide for Ophthalmic Practices to assist our members in understanding the eRx program and provide a one-stop resource for eligible professionals (EPs). The Medicare e-Rx program, which pays EPs who successfully e-prescribe, bonuses through 2013. Physicians who don't e-prescribe by 2013 will see a 1% reduction in Medicare payment that increases to 2% in 2014 and each subsequent year. We have summarized the program and provided links to the relevant CMS webpages. You may also go directly to the CMS eRx Incentive Program website to obtain more information.
1. How to Get the 2013 Payment Incentive
2. How to Avoid the 2014 Payment Reduction
3. Reporting To Receive The E-Rx Incentive (Bonus) And Avoid The Reduction
4. Reporting To Only Avoid The E-Rx Reduction (Will Not Receive A Bonus)
5. Payment Reduction Exemptions
6. Reporting Mechanisms
7. eRx System Requirements
8. Participating In eRx, PQRS, and EHR
9. Informal Review
10. 2014 Electronic Prescribing (Erx) Payment Adjustment Feedback Report
How to Get an eRx Incentive Payment in 2013?
If you submitted submitted a minimum of 10 eRx codes (G8553) on your Medicare Part B claim forms, for any Medicare Part B physician fee schedule service provided between January 1, 2012 to June 30, 2012, using a qualifying eRx system or certified electronic health record (EHR), and the claims were received and processed by CMS by no later than July 31, 2012, you are a successful prescriber in 2012.
If you submitted 25 eRx claims (must be denominator eligible) between July 1, 2012 and December 31, 2012, becoming eligible for the 1% incentive for 2012, and avoiding an eRx penalty in 2014, using a qualifying eRx system or certified electronic health record (EHR), you are a successful prescriber in 2012.
All claims adjustments, re-openings, or appeals processed by the Carrier or A/B MAC must reach the national Medicare claims system data warehouse (National Claims History [NCH] file) by February 22, 2013 to be included in the 2012 eRx Incentive Program analysis.
Qualifying for an Exemption
Physicians may request a waiver of the 2014 penalty, by June 30, 2013, under any of the following categories:
Submitting an Exemption Request
Go to the Quality Reporting Communication Support Page to request a significant hardship exemption for the 2013 eRx payment adjustment. CMS notified ASCRS that EPs who use Apple computers may experience technical problems and encourages them to contact the Help Desk for assistance.
Important Things to Remember
Quality Support Page User Manual
ASCRS/ASOA eRx Webpage
CMS eRx Home Page
If you have questions regarding the eRx Incentive Program, eRx payment adjustments, or need assistance submitting a hardship exemption request, please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or via email@example.com. They are available Monday through Friday from 7:00 a.m.-7:00 p.m. CST.