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:
Have additional question?
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:
- 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
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:
- 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
- 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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How can I stay abreast of changes to the CMS ePrescribe program?
CMS makes changes periodically to this program. You should review all notices sent by CMS via their normal communication channels. In addition, regulations for each year can be found at http://www.cms.gov/ERxIncentive/06_E-Prescribing_Measure.asp#TopOfPage. As an example of potential changes, additional exemptions have been proposed and are currently under review by CMS.
NOTE: It is the responsibility of all ePrescribe users to stay abreast of all CMS ePrescribe reporting requirement updates.
What if a pharmacy is not connected to the Pharmacy Health Information Exchange, operated by SureScripts?
Allscripts provides and maintains a directory of pharmacies nationwide, which is what the ePrescribe application searches for when a prescriber is looking for a pharmacy. Please note most of the time if a user cannot find a pharmacy, it is due to an error in their search criteria. Try searching by city and state or state and zip code. Pharmacies receive prescriptions either electronically or by fax. If a user can't find the desired pharmacy:
The important point is that pharmacies do not need to update their technology to participate. If they have a fax machine, they're already part of the program of improving patient safety.
How do I get my patients into the ePrescribe application?
- Print the prescription: why make the patient wait?
- On the right-side panel, you will see Can't Find A Pharmacy? A user can complete this form with the pharmacy that they would like added in our network. Allscripts and its partners make every effort to find the pharmacy and add them to our database.
How can I sign up for additional training?
You may attend free, regularly scheduled, bi-weekly webinar sessions, or you may purchase on-site training or one-on-one webcast trainings. Please click on the following link for training details. Click here to visit our services page to purchase training sessions.
Where can I review the End-User License Agreement and Business Associate Agreement for ePrescribe?
Our End-User License Agreement includes the Business Associate Agreement. You will be prompted to review and agree to the terms during the registration process. To review our End-User License Agreement, please click here.
Does a patient’s medication history include prescriptions written by other providers?
Yes, it can. When you add or search for a patient, an eligibility request is sent out by Sure Scripts who searches nationally for all reported prescriptions and insurance plan information. If the patient is identified, you will be able to see prescriptions written by other providers. The list will appear when you select a patient’s name and click Review History.
How will insurance plans be added?
Search and select a patient. In the patient header, click Edit next to the patient’s name. Click the Add Plan button at the bottom of the Patient Information Screen. You may also be able to retrieve some plan information from the 271 eligibility response, which happens automatically when you add a patient.
What are the features of ePrescribe Deluxe that I currently do not have access to with ePrescribe Basic?
New features include:
- Manually enter in patients demographics. Login to ePrescribe and click Add Patient.
- MPL (Master Patient Load): enter patients information from your PM system in an excel spreadsheet and save as a CSV file. You will then use a hyperbridge to transfer patient information into ePrescribe. Once your file is created, click the Help Icon (?) in the upper right corner. Click Importing Patient Data Automatically. Under the Import From a File section, hit Click Here to Get Started.
- RTI (Real Time Interface): This is a one-time patient load that will sync your PM system with ePrescribe to automatically import patient information. It will also automatically update changes in ePrescribe that are made in your PM system. To request an interface, click the Help Icon (?) in the upper right corner. Click Importing Patient Data Automatically. Under the Automated Patient Import Systems section, hit Click Here to Get Started. Select your PM system and hit continue. Enter your contact information and hit Contact Me. You are now in queue for an interface.
What is the pricing structure for ePrescribe Deluxe?
The service is offered at a low monthly rate of $20 per provider. A provider is someone authorized to write prescriptions. Therefore, if there are four physicians in your practice who write prescriptions and they all wish to use ePrescribe Deluxe, each will need to be registered in the system, and the monthly fee for the four users of the system will be $80.
I currently use ePrescribe Basic. How do I upgrade to ePrescribe Deluxe?
Signing up for ePrescribe Deluxe is easy to do through your existing ePrescribe Basic application. Simply click on the Tools tab and then click on ePrescribe Deluxe. Follow the prompts and you will be using the new features in just a few minutes.
Where can I find the certificate showing Allscripts ePrescribe complies with the required DEA requirements and has passed the 3rd party audit?
Contact Allscripts ePrescribe Customer Support at ePrescribeSupport@allscripts.com to request.
How do I begin EPCS?
Electronic prescribing of controlled substances (EPCS) is available in Allscripts ePrescribe with an upgrade to the Deluxe EPCS edition. To begin transmitting controlled substance prescriptions to enabled pharmacies, either contact the ePrescribe sales team at ePrescribe@allscripts.com or purchase online using your credit card. EPCS requires an additional fee to the existing Allscripts Deluxe edition. Each provider enrolling for EPCS in the Deluxe EPCS edition will be required to go through an online identity proofing process and will receive a key fob token that generates a one-time password required for signing the electronically sent controlled substance prescriptions.
What is the monthly charge for a provider for EPCS?
A $5 recurring monthly charge for each provider registered to electronically prescribe controlled substances will be added to the existing deluxe account charge of $20 a month for a total of $25 per provider per month for Deluxe EPCS. Note, unlike the initial Deluxe charge and the EPCS One Time setup charge which is calculated based on the total number of active providers in your practice, the monthly EPCS Service fee will only be for the DEA registrants in your practice that are registered for the EPCS service. Based on this monthly charge may vary depending on the number of EPCS registered providers.
How does Allscripts ePrescribe comply with federal and state regulation?
Allscripts ePrescribe enables EPCS in compliance with both federal and state regulation. At a federal level, the application passed the U.S. Drug Enforcement Agency’s third-party audit requirement. At a state level, the application allows or prohibits providers to electronically prescribe controlled substances based on the state regulation for the sending and receiving destinations. For example, if a physician attempts to electronically prescribe a schedule 2 medication in a state where it’s prohibited, the application won’t allow EPCS and the prescription must be printed.
What is an OTP Hard Token Key Fob
In compliance with DEA regulation, each provider who electronically signs and transmits controlled substance prescriptions must be authenticated using 2 forms; this is referred to as “2nd factor authentication”. The first form of authentication is entering your username and password, the 2nd form ePrescribe supports is referred to as a “one time password” or OTP token. The OTP hard token is a small key fob device (shown above) that generates a 6 digit password that you must have in your possession (proofing you are who you say you are) and is used when signing and electronically sending controlled substance prescriptions to enabled pharmacies. We recommend receiving one key fob token for each provider desiring to register for EPCS.
- Dedicated toll-free Support number
- Medicare Incentive Report
- Capability to ePrescribe directly from your iPhone or mobile device
- 1-Click access to the best drug reference library on the market
- Ability to print up to 4 prescriptions at once on a single sheet of paper
- 1-Click convenience for printing prescriptions
- Electronic Prescribing of Controlled Substances (an add-on option with additional fee to Deluxe)
In addition to the key fob hard token, ePrescribe supports the ability for you to receive the one-time 6 digit password over your mobile device either through use of a registered mobile App or by registering your cell to receive it via SMS text.
To learn more about downloading and registering either the mobile app or using the SMS text option, please refer to the Getting Started EPCS User Guide.
Where can I learn more about EPCS?
Login in to ePrescribe and view the EPCS USER Guide under the Help/Getting Started section for a complete overview of EPCS.
To see additional FAQ's, Please login above