for physicians who participate in medicare
If you did not do e-Prescribing by June 30, 2011, read article ‘MIPPA e-Prescribing Incentive Program: How to Avoid Medicare 2011 eRx Penalty?’
You only have until November 1, 2011 to apply for the Medicare eRx penalty exemption!
The government gives and the government takes.
The MIPPA (Medicare Improvements for Patients and Providers Act of 2008) program was designed to reward Medicare physicians for e prescribing http://www.tn.gov/ehealth/docs/eprescribing.pdf over a 5 year period: 2009 – 2013. Like the Health Information Technology for Economic and Clinical Health Act or HITECH Act EHR incentive program, there are both rewards for compliance and penalties for non-compliance.
What are the MIPPA e-Prescribing Incentives?
How do I submit
e-Prescribing Incentive Claims?
You must submit prescriptions using standalone e-Prescribing software or
You must e-prescribe using cpt code G8553
G-code G8553 must be reported on a line item with a charge of $0.00
However, the total charge for the claim must NOT be $0.00
What is code G8553 and when do I report it?
G8553 indicates that at least one prescription created during the encounter was generated and transmitted electronically using a qualified eRx system.
The eRx G-code G8553, which supplies the numerator, must be reported:
• on the claim(s) with the denominator billing code(s) that represent the eligible encounter
• for the same beneficiary*
• for the same date of service (DOS)
• by the same eligible professional (individual NPI) who performed the covered service as the payment codes which supply the denominator (codes listed below)
• with a charge of zero dollars ($0.00) or if your billing system/clearinghouse require an amount of more than zero with a nominal amount (e.g., $0.01) that will be denied
What are the denominator codes?
Psychiatry -90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90862
Ophthalmology -92002, 92004, 92012, 92014
Behavioral Health – 96150, 96151, 96152
Office visits – 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215
Nursing facility care – 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316
Assisted Living/Domiciliary – 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
Home visits – 99341, 99342, 99343, 99345, 99347, 99348, 99349, 99350
Pelvic/clinical breast exam – G0101
Diabetes Self-management training – G0108, G0109
Consult CMS.gov e-prescibing for more details on the Medicare eRx incentive program. But if you use qualified eRx software, it should be painless to get your e-Prescribing incentive money.
I invite you to claim free access to an informative interview audio titled
How To Convert To Electronic Health Records,
When I’m Completely Technology Adverse,
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Is electronic health record adoption a mystery to you?
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NOBLE & ASSOCIATES CONSULTING, INC