What are key benefits to using ePrescribe?
The key benefit to physicians and patients alike is improved safety. In addition, physicians will save their organization time and money in prescribing documentation, transmission, filing, billing and numerous telephone conversations. System benefits include:
  • Improves patient safety with automatic drug interaction checking, dosage checks, adverse reaction checks, and duplicate therapy checks
  • Provides access to patient medication history where and when you need it most û even from home
  • Reduces pharmacy phone calls
  • Simplifies the prescription renewal process
  • Provides formulary status on medications

How do I get started?
The process is fast and simple. You can register for ePrescribe by visiting our registration website. You will need your DEA license number, NPI number and state license number, as well as the expiration dates. You will be required to answer a series of questions to verify your identity and license information. Upon successful completion of the registration process, you will be sent an email to re-verify your DEA, last four of your social security and answer your secret question. Next, you will be asked to enter your practice location and create a username and password. At this point, you can login to ePrescribe and add additional providers or clinical staff at your site. You can begin prescribing right away.

Will this meet Medicare requirements for ePrescribe?
Yes, it will. Allscripts ePrescribe is CMS qualified meaning it can:
  • Generate a medication list
  • Select medications, transmit prescriptions electronically and conduct safety checks
  • Provide information on lower cost alternatives
  • Provide information on formulary or tiered formulary medications, patient eligibility and authorization requirements received electronically from the patient's drug plan
For more information, please visit: http://www.ama-assn.org/resources/doc/hit/faq-cms-incentive-program.pdf

How will Medicare know I am using Allscripts ePrescribe?
Providers need a single billing G-code (G8553) for prescriptions transmitted electronically for Medicare patients. Providers will need to include this G-code on their claims to CMS for Medicare Part B. A G-code can be reported for a Medicare patient office visit where electronic prescribing occurred. Additionally, CMS introduced new changes to the coding of orders for the ePrescribe incentive program. CMS released two new codes identified as Hardship Codes for eligible professionals to account for conditions where orders could not be transmitted electronically. The codes include:
  • G8553 – At least one prescription created during the patient encounter was generated and transmitted electronically using a qualified ePrescribe system.
  • G8642 – The eligible professional practices in a rural area without sufficient high speed internet access and requests a hardship exemption from the application of the payment adjustment under section 1848(a)(5)(A) if the Social Security Act.
  • G8643 – The eligible professional practices in an area without sufficient available pharmacies for electronic prescribing and requests hardship exemption from the application of the payment adjustment under section 1848(a)(5)(A) of the Social Security Act. G

NOTE: Eligible providers who do not adequately report under the ePrescribe program will be subject to a 1.5% penalty in 2013. The penalty will increase to 2% in 2014.

For more information, please visit: http://www.ama-assn.org/resources/doc/hit/faq-cms-incentive-program.pdf

How can I ensure my G-codes are reaching Medicare successfully?
If you are submitting zero $ G-codes on your Medicare claims and not receiving the N365 Denial Remark Codes on your EOMBs then your codes are not reaching Medicare and you should take immediate action.

The most important thing you can do to be sure that Medicare is receiving and recognizing your G-codes is to regularly review your Remittance Advice Notices. Currently G-codes are returned on a Remittance Advice with a Denial Code of N365 which indicates “This procedure code is not payable. It is for reporting/information purposes only.” This is a denial you want to see because it means that Medicare has processed your G-codes - not seeing this N365 Denial means that Medicare is not receiving your G-codes.
If you are not seeing the N365 Denial, please first check that your data entry representative(s) are not manually suppressing the $0.00 (zero dollar) line items. You will want to make sure the $0.00 (zero dollars) line items are present on your Medicare claims.

If you are unsure about your Practice Management G-code setup and are not receiving the N365 Remark Codes on your Explanation of Medicare Benefits (EOMB) contact Client Support for your Practice Management system immediately for assistance with your G-code setup.

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