Certified Ophthalmic Scribes Can Enter CPOE Due to ASCRS•ASOA Advocacy Efforts; Energy and Commerce Committee Ranking Member Henry Waxman (D-CA) Supports Efforts 
Per our recent Regulatory Alert, due to ASCRS•ASOA advocacy efforts, CMS agreed that certified ophthalmic scribes can enter CPOE for the purposes of attesting to Stage 2 EHR Meaningful Use.
As part of this advocacy effort, ASCRS alerted the House Committee on Energy and Commerce to the importance of scribes in ophthalmology practices and the need for clarification in the ophthalmology community as to whether scribes could enter CPOE data for Meaningful Use. As a result, Energy and Commerce Committee Ranking Member Henry Waxman (D-CA) sent a letter to CMS , requesting that they allow scribes to perform EHR order entry.
By way of background, ASCRS•ASOA took the position that certified scribes were able to enter CPOE information based on the Frequently Asked Question (FAQ) issued by CMS after the Meaningful Use Stage 2 2012 Final Rule was released. The FAQ provided additional guidance on who was able to enter CPOE information. In addition, CMS staff informed ASCRS and the certifying body, the American College of Medical Scribe Specialists (ACMSS), that as long as scribes were certified and performed similar functions as a medical assistant, they could enter CPOE information.
Despite the FAQ, conflicting information was circulated that scribes were in fact not able to enter CPOE data for EHR Meaningful Use, thus ASCRS•ASOA continued conversations with CMS and ACMSS on this issue. CMS requested we provide a crosswalk between the administrative and clinical duties, functions and educational areas of a medical assistant versus an ophthalmic scribe. With input from the ASOA Board, we provided CMS with a crosswalk (the crosswalk can be viewed by ASOA members here  and ASCRS members here ).
As a result of these efforts, CMS stated that ophthalmic certified scribes will qualify to enter CPOE data under FAQ 9085 , which states that "If a staff member of the eligible provider is appropriately credentialed and performs similar assistive services as a medical assistant, but carries a more specific title due to either specialization of their duties or to the specialty of the medical professional they assist, he or she can use the CPOE function of CEHRT and have it count towards the measure."
CMS has asked that each provider or practice retain a copy of the crosswalk documentation in their files, just as they would retain documentation outlining their individual approach and method, as well as staffing protocols for audit purposes.
Please note that this only applies to those ophthalmic scribes who have been certified.
If you have any questions, please contact Ashley McGlone  at 703-591-2220.