Are you losing 1% of your Medicare payments for not sending Electronic Prescriptions (eRx)?

Stop losing 1% of your Medicare payments for your Medicare patients by ePrescribing their medications during their office visits.  Good news- No registration is required.  You just need to report the following G-Code on the Medicare claim form - G8553 and submit a minimum of 25 eligible eRx events between January 1st and December 31st, 2013.  You can use the following criteria to determine your eligibility.

Becoming Incentive Eligible

• Each visit must be accompanied by the eRx G-8553 indicating at least one prescription was electronically prescribed during the office visit.
• Electronically generated refills not associated with a face-to-face visit DO NOT qualify as an eRx event.
• Faxes do not qualify as an eRx event.
• Submit a minimum of 25 eligible eRx events between January 1st and December 31st, 2013.

How to Start Reporting

1. Bill one of the CPT or HCPCS codes noted in the eRx measure for eligible patient visits (Medicare Part B PFS patient face-to-face visit only qualify as an eligible patient).  *See qualifying CPT or HCPCS codes below.
2. If you electronically prescribed during the eligible patient visit, report the following G8553 code on the Medicare claim form or via another applicable reporting method.

*Qualifying CPT or HCPCS codes to be associated with the G8553: 90791, 90792, 90832, 90834, 90837, 90839, 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, 99344, 99345, 99347, 99348, 99349, 99350, G0101, G0108, G0109

2013 eRx Payment Adjustment
Individual eligible professionals and group practices participating in the eRx Group Practice Reporting Option (GPRO) who are not successful electronic prescribers will be subject to a 1.5% payment adjustment on their Medicare Part B services provided January 1, 2013 through December 31, 2013