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eRx an option in EMR, but Mail-in Pharmacy not eRx-able --> Re: eRx for Medicare --> # of patients needed to report in 2011 to avoid penalty in 2012

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i have ecw.. i did get charged for it to be set up but we are hooked up with the

mail order pharmacies for erx.. SWEET!!

> > >

> > > I wasn't clear on my original post -- I was curious about the total # of

> > > patients that have to be reported during the year - not the CPT code (

> > > G8553)

> > >

> > >

> > >

> > > I understand we can only try for one of the incentive plans -- but wasn't

> > > there some mention that if we didn't prove we are using eRx, we could get

> > > docked on Medicare pay for next year?

> > >

> > >

> > >

> > > Does anyone understand this?

> > >

> > >

> > >

> > > I got the impression that even if you weren't going for incentive pay for

> > > the eRx - you had to do the codes in 2011 to prevent a Medicare fee cut in

> > > 2012..

> > >

> > > ================

> > >

> > > Further googling suggests...

> > >

> > >

> > >

> > >

> > >

http://www.cms.gov/ERxIncentive/Downloads/2011eRxIncentiveProgramUpdatefor2012Pa\

ymentAdjustment.pdf

> > >

> > > Since 2009, the Centers for Medicare and Medicaid Services has offered an

> > > incentive for eligible professionals (EP) to implement and use electronic

> > > prescribing (eRx) in order to improve the quality, efficiency and safety

of

> > > healthcare delivered to beneficiaries. This initiative will continue in

2011

> > > with successful e-prescribers earning a bonus of 1% of their total allowed

> > > charges for professional services covered by the Medicare Part B Physician

> > > Fee Schedule. *However, for the first time, the 2011 eRx program now

> > > includes a payment-adjustment or penalty component. EPs who do not

implement

> > > and use an eRx system in 2011 will be penalized in 2012 and 2013 through a

> > > cut to their Medicare payments! You have only until June 30, 2011 to avoid

a

> > > 1 % cut in your 2012 allowable Physician Fee Schedule billings and until

> > > December 31, 2011 to avoid a 1 1/2 percent penalty for 2013 billings!* A

> > > full description of the 2011 eRx incentive program and related penalties

is

> > > available at

> > >

http://www.acponline.org/running_practice/technology/eprescribing/medicare_progr\

am_overview.pdf[image:

> > > [PDF]].

> > >

> > > Even if you are planning to participate in the e-prescribing incentive

> > > program and/or the EHR incentive program, you can still be liable for the

> > > cut. *The only way to avoid the 2012 cut is to file Medicare claims that

> > > document 10 qualifying e-prescription events prior to June 30, 2011 – only

a

> > > few months from now*. While you may plan to meet the incentive

> > > requirements by the end of 2011 via claims or any other method, be certain

> > > that you successfully file your 10 claims before the end of June.

> > >

> > > To avoid the 2013 penalty of 1 ½ % of total allowed charged under Medicare

> > > Part B, you will need to file Medicare claims that document 25 qualifying

> > > e-prescription events prior to December 31, 2011. Thus, you may want to

file

> > > the full 25 claims as soon as possible to avoid all eRx related penalties

> > > for both 2012 and 2013.

> > >

> > > ==============================

> > >

> > > Good article from ACP here..

> > >

> > >

> > >

<http://www.acponline.org/running_practice/technology/eprescribing/medicare_prog\

ram_overview.pdf>

> > >

http://www.acponline.org/running_practice/technology/eprescribing/medicare_progr\

am_overview.pdf

> > >

> > > ==================================

> > >

> > > Excellent review here...

> > >

> > > *Understanding the basics of Medicare's Electronic Prescribing Incentive

> > > Program *

> > >

> > >

> > >

http://www.ama-assn.org/ama1/pub/upload/mm/472/faq-cms-incentive-program.pdf

> > >

> > > ====================================

> > >

> > >

> > >

http://www.managemypractice.com/e-prescribing-use-it-10-times-for-medicare-patie\

nts-between-now-and-june-30-2011-or-lose-money-in-2012/

> > >

> > > =====3

> > >

> > >

> > >

> >

> >

> >

> > --

> >

> >

> >

> > MD

> >

> >

> > ph fax

> >

> >

>

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