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E-Prescribing Compliance

  1. Default E-Prescribing Compliance
    Exam Training Packages
    Does anyone have an answer to the problem of compliance to the e-prescribing requirements to avoid penalty? General Surgeons often do not prescribe in the office but instead write the prescription in the hospital upon discharge. How will these providers be able to comply with the minimum electronic prescriptions?

  2. #2
    Smile They may not qualify...
    Per CMS: "The payment adjustment does not apply if <10% of an eligible professional's allowed charges for the January 1, 2011 through June 30, 2011 reporting period are comprised of codes in the denominator of the 2011 eRx measure." (From the "Avoidng the Payment Adjustment" emails from CMS)

    If you run your numbers for the first quarter of 2011 and then double it to estimate the reporting period, you might find your surgeons don't have that 10% of "denominator" allowed charges (i.e., office based E&M codes). That's what we found for our spine surgeons. The allowed amounts for their surgeries were big and most of the office visits were no charge post-op visits in the global period. We ran these numbers to know who to focus our efforts on. Hope it helps.
    Melanie Zinser, RMC, CPMA, CPC-I, CANPC
    Coding Educator & Quality Analyst
    OhioHealth Physician Group

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