Visit www.rheumatology.org/HIT for further instruction on claims reporting and a sample claim.
Next Steps
Participating in the e-prescribing incentive program should be supported with appropriate office procedures. Implementing a system to ensure the e-prescribing G code is successfully reported to CMS for eligible encounters means implementing a process that ensures the G code is applied to the claim being submitted and reviewing explanation of benefits to verify that the G code was received and documented by CMS.
In the case that a patient’s preferred pharmacy cannot receive e-prescriptions, you can still receive credit for generating the e-prescription by listing the G code on the claim. CMS states that using a pharmacy that cannot receive an electronic prescription does not invalidate an e-prescribing event.
If you are not currently e-prescribing, you need to act fast to get a qualified system in place. If you are considering an investment in a full EHR system in the near future or if you would like to take more time to evaluate e-prescribing systems that might be the best long-term fit for your practice, then consider these temporary alternatives to help you gain compliance, qualify for incentives, and avoid penalties:
- Subscribe to an online solution that does not call for a long-term contract; or
- Implement the free National e-Prescribing Patient Safety Initiative system (visit www.nationalerx.com for complete information).
For more information on getting an electronic prescribing system or verifying that your current system is in compliance, visit www.getrxconnected.com. For more information on the CMS e-prescribing program, please visit www.rheumatology.org/HIT or contact Itara Barnes at [email protected].
