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RESPONSES / COMMENTS (EMR)

06/30/2012     




RE: E-Prescribing (Martin G. Miller, DPM)
From: James R. Christina, DPM

The G8553 can be reported for a Medicare patient any time an eRx is done, however, this applies only to accumulating the required 10 eRxs by June 30, 2012 to avoid the eRx payment reduction in 2013. To qualify for the eRx incentive payment in 2012, use only qualified visits, i.e. those visits that are listed in the denominator of the eRx measure (Patient encounter during the reporting period (CPT or HCPCS): 90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90862, 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). 

So, after Saturday June 30, 2012, the only reason to report eRx (G8553) would be if you are attempting to receive the eRx incentive payment for 2012 (1% bonus for all Medicare Part B charges for the year) and you would report in conjunction with one of the qualifying CPT or HCPCS codes listed above. To qualify for the incentive payment, you must report 25 (or more) unique qualified eRxs for the entire year.  Finally, remember if you qualify for the EHR Meaningful Use incentive payment, you will not receive the eRx incentive payment.
 
James R. Christina, DPM, Bethesda, MD, JRChristina@apma.org