To obtain the incentive in 2009, you have to report on the e-prescribing quality
measure for 50% of applicable cases. The e-prescribing measure has two basic elements: (1) a reporting denominator consisting of a specified set of service codes that defines the circumstances when the measure is reportable; and (2) a reporting numerator consisting of a set of specific “G” -codes, one of which must be reported for successful reporting.
When you have an applicable case (defined by engaging in one of the service codes listed in Step 1 below for a Medicare Part B Fee-For-Service beneficiary), you report on the e-prescribing measure with two steps:
Step 1. Bill on one of the following service denominator codes:
*Codes in bold typically billed by internists.
Step 2. Report one of the three G-codes listed below on more than 50% of applicable
cases for the numerator. All three codes (even the code for not generating prescriptions)
count toward the e-prescribing incentive. One of the G codes must be reported on the
same claim as the denominator billing code.
E-prescribing Incentive Program Quick Reference: G -Codes
|Used a qualified e-prescribing system for all of the prescriptions||G8443|
|Had a qualified e-prescribing system, but didn’t generate any prescriptions during this encounter||G8445|
|Had a qualified e-prescribing system, but could not electronically submit one or more of the generated prescriptions because: • The prescription was for narcotics or other controlled substances.
• State or Federal law required you to phone in or print the prescriptions.
• The patient asked that you phone in or print the prescriptions.
• The pharmacy system was unable to receive an electronic transmission.
*** Work Flow Suggestion—Add the three e-prescribing measure numerator G-Codes to your superbill.