Posts Tagged ‘electronic prescribing’

E-Prescribing Increases in….Alaska!

Posted on: November 26th, 2012 by admin No Comments

File:Alaska-StateSeal.svg

According to a recent news article, the number of physicians that are eprescribing is increasing. Something that has helped in this new trend is that 94% of the state’s pharmacies are capable to receive electronic prescriptions now. Another important factor may be the state legislature passing a statute in 2009 to help promote an electronic health information exchange. We have seen these results as well, through a number of RxCure clients adopting eprescribing in Alaska.

In addition to the benefits of increasing efficiency for both pharmacies and physician offices, eprescribing also benefits the patients. Some of the benefits the patients can take advantage of through eprescribing include improvements in safety; eprescribing a medication will allow a doctor to check the patient’s medication history as well as their allergy list to make sure the medication being prescribed is not counter-indicative. In addition, patients may not have to wait in line as long to drop off the paper scripts, thus making it more timely for them.

This news is a breath of fresh air, as Alaska ranks fiftieth in the national Safe Rx rankings by Surescripts. So there is definitely room to grow and nowhere to go but up. We applaud the state of Alaska as it builds the momentum to go paperless!

Hardship Exemptions for Medicare E-Prescribing Penalty

Posted on: June 18th, 2012 by admin No Comments

The Center for Medicare & Medicaid Services (CMS) implemented the Electronic Prescribing (eprescribing) Incentive Program in 2009. This goal of this program is to encourage more providers to start eprescribing. It uses incentive payments (bonuses) and payment adjustments (penalties) to encourage the use of eprescribing.

There is a penalty for providers who do not eprescribe in 2012, as well as 2013 and 2014. This penalty will increase every year, such that the penalty will be 1.0% in 2012, 1.5% in 2013, and 2.0% in 2014.

Exclusion Criteria

According to CMS, the 2013 eprescribing penalty only applies to certain individual eligible professionals. CMS will automatically exclude those individual eligible professionals who meet the following criteria:

  • The eligible professional is a successful electronic prescriber during the 2011 eprescribing 12- month reporting period (January 1, 2011 through December 31, 2011).
  • The eligible professional is not an MD, DO, podiatrist, Nurse Practitioner, or Physician Assistant by June 30, 2012, based on primary taxonomy code in the National Plan and Provider Enumeration System (NPPES).
  • The eligible professional does not have at least 100 Medicare Physician Fee Schedule (MPFS) cases containing an encounter code in the measure’s denominator for dates of service from January 1, 2012 through June 30, 2012.
  • The eligible professional does not have 10% or more of their MPFS allowable charges (per TIN) for encounter codes in the measure’s denominator for dates of service from January 1, 2012 through June 30, 2012.
  • The eligible professional does not have prescribing privileges and reported G8644 on a billable Medicare Part B service at least once on a claim between January 1, 2012 and June 30, 2012.

Avoiding the 2013 eRx Payment Adjustment

Individual eligible professionals who were not successful electronic prescribers in 2011 can avoid the 2013 eprescribing penalty by meeting the specified reporting requirements between January 1 and June 30, 2012.

6-month Reporting Requirements to Avoid the 2013 eprescribing penalty:

  • Individual Eligible Professionals – 10 eRx events via claims

For more information on reporting requirements, please see the MLN Article SE1206 – 2012 Electronic Prescribing (eRx) Incentive Program: Future Payment Adjustments.

CMS may exempt individual eligible professionals from the 2013 eprescribing penalty if it is determined that compliance with the requirements for becoming a successful electronic prescriber would result in a significant hardship.

Significant Hardships

The significant hardship categories are as follows:

  • The eligible professional is unable to electronically prescribe due to local, state, or federal law, or regulation
  • The eligible professional has or will prescribe fewer than 100 prescriptions during a 6-month reporting period (January 1 through June 30, 2012)
  • The eligible professional practices in a rural area without sufficient high-speed Internet access (G8642)
  • The eligible professional practices in an area without sufficient available pharmacies for electronic prescribing (G8643)

Submitting a Significant Hardship Code or Request

To request a significant hardship, individual eligible professionals must submit their significant hardship exemption requests through the Quality Reporting Communication Support Page on or between March 1 and June 30, 2012. Please remember that CMS will review these requests on a case-by-case basis. All decisions on significant hardship exemption requests will be final.

Significant hardships associated with a G-code may be submitted via the above link or on at least one claim during the 2013 eprescribing reporting period (January 1 through June 30, 2012). If submitting a significant hardship G-code via claims, it is not necessary to request the same hardship through the link above.

For more information please see the below links:

For additional information and resources, please visit the website for the E-Prescribing Incentive Program.

(Most of the information in this post is taken directly from CMS)

The Intricacies of E-prescribing Controlled Substances

Posted on: June 15th, 2010 by Omar Ahmed No Comments
As you may have noticed, on June 1st the DEA recently made effective the electronic prescribing of controlled substances. This is great news for the entire Health IT industry and OA Systems applauds the DEA for taking these much anticipated steps. This will definitely help overcome one of the major hurdles for e-prescribing. However, because of the complexity of the criteria set forth by the DEA for certification of both prescriber and pharmacy applications, it may take a while before the industry actually sees the electronic transmission of controlled substances.

We at OA Systems are currently exploring what needs to be altered in RxCure, our patented e-prescribing software, in order to allow for the electronic transmission of controlled substances.

Because these changes may take some time, we cannot determine when you will be able to prescribe controlled substances electronically through RxCure. However, we will keep you updated through our communication streams such as our newsletter and blog.

Thank You for your understanding. If you have any questions, please feel free to contact us.

For further information, please see FAQs from the DEA and Surescripts Statement on DEA Interim Final Rule.

New York State Medicaid Offers Incentive For E-Prescribing

Posted on: June 3rd, 2010 by Hanif Wardak No Comments

The New York State Medicaid has rolled out its electronic prescribing incentive program this month.

While the HITECH ACT is taking shape, New York wants to accelerate the adoption of technology in healthcare. Isn’t it nice to have forward thinking states such as New York?

This incentive program offers Medicaid prescribers $0.80 per dispensed ambulatory Medicaid e-prescription. In addition, pharmacies are going to benefit financially by receiving $0.20 per dispensed ambulatory Medicaid e-prescription. Any enrolled physician (MD, DO), Dentist, NP, Podiatrist, Optometrist, and licensed Midwife is eligible. Furthermore, this program is going to promote patient medication adherence, because the incentive is payable when the prescription is dispensed to the beneficiary. All prescriber incentives are going to be bundled into quarterly payments.

This program should encourage other states (California, I can’t see you!) to promote healthcare technology as New York is certainly doing its part in promoting the early adoption of technology in healthcare.

Source PDF.

Impact of Controlled Substances on E-Prescribing

Posted on: May 17th, 2010 by Hassaan Latif No Comments

A lot of times we come across doctors who are interested in e-prescribing but when they explore the technology in depth to find a comfortable fit, some find out that they are unable to prescribe scheduled drugs through any of the e-prescribing solutions.

Federal and state governments as well as the private sector are investing tens of billions of dollars to push e-prescribing and EHR technologies past the tipping point. With so much momentum building towards e-prescribing and EHR, the DEA will finally allow doctors to prescribe scheduled drugs electronically this summer.

What will this mean for doctors? A lot of practitioners from psychiatrists to pain management doctors will now gush towards embracing e-prescribing which will help the health IT industry move closer to the tipping point.