MSNVA News

Be a successful electronic prescriber and be eligible to receive an eRx incentive payment, you must generate and report one or more electronic prescriptions associated with a patient visit; a minimum of 25 unique visits per year. To avoid the 2013 eRx payment adjustment, you must report on a minimum of 10 unique visits via claims from January 1, 2012 through June 30, 2012. Each visit must be accompanied by the eRx G-code attesting that during the patient visit at least one prescription was electronically prescribed. Electronically generated refills do not count and faxes do not qualify as an electronic prescription. New prescriptions not associated with a code in the denominator of the measure specification are not accepted as an eligible patient visit and do not count towards the minimum unique eRx events.

 Eligible professionals must have adopted a "qualified" eRx system in order to be able to report the eRx measure.  There are two types of systems.

1) a system for eRx only (stand-alone)

2) an electronic health record (EHR system) with eRx functionality.

Regardless of the type of system used, to be considered "qualified" it must be based on ALL of the following capabilities:

• Generating a complete active medication list incorporating electronic data received from applicable pharmacies and pharmacy benefit managers (PBMs) if available.

• Selecting medications, printing prescriptions, electronically transmitting prescriptions, and conducting all alerts.

• Providing information related to lower cost, therapeutically appropriate alternatives (if any).  The availability of an eRx system to receive tiered formulary information, if available.

• Providing information on formulary or tiered formulary medications, patient eligibility, and authorization requirements received electronically from the patient's drug plan, if available.

To learn more about this program, click on this CMS link. 

For more information contact Jessica Torgerson, Membership and Outreach Associate.