Saturday, June 13, 2009

Medicare E-Prescribing Incentive Program Guide

To assist providers who plan to participate in the Medicare E-Prescribing Incentive Program, CMS recently issued an instruction sheet explaining how to report the e-prescribing measure on CMS-1500 claim forms. In general, the G-code for the reporting measure must be listed as a separate line-item on the same claim form as the CPT code, for the same beneficiary, same prescriber and same date of service. The G-code should include a line-item charge of 000.

In addition, members interested in receiving the 2% incentive payment for the 2009 reporting period should begin e-prescribing as soon as possible. In order to be a successful e-prescriber, the provider must report an e-prescribing G-code in at least 50% of applicable cases. A provider who begins e-prescribing too late in the reporting period may be less likely to qualify for the 50% minimum requirement.

Additional information can be found at:

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