decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 11 (November)
Look to e-prescribing for extra bonus
Subscribe or sign in to view the full article.
Article Overview
This article explains how Medicare’s e-prescribing initiative was separated from PQRI, what kinds of incentive and disincentive changes were being introduced, and why practices were being encouraged to prepare early. It also summarizes the reporting framework, the measure’s qualifying service categories, and the general system capabilities CMS expected from compliant e-prescribing software. The piece is useful for physicians, practice managers, coders, and compliance staff tracking Medicare quality reporting changes and e-prescribing readiness.
Why This Topic Matters
It helps readers understand a Medicare reporting program that could affect incentive payments, future penalties, and practice workflow requirements. It is relevant for organizations evaluating whether their systems and reporting processes align with CMS expectations for electronic prescribing.
Article Sections
-
Medicare e-prescribing incentive program overview
Introduces the standalone Medicare e-prescribing program and its relationship to broader quality reporting efforts. Covers the general policy context and why practices were being urged to prepare.
-
Incentive and disincentive timeline
Summarizes the program’s phased incentive structure and the later move toward penalties for non-participation. Focuses on the general schedule of payment changes.
-
Reporting requirements and qualifying services
Describes the measure reporting framework and the broad categories of services that could qualify for reporting. Includes discussion of the denominator concept and participation thresholds.
-
Current reporting G-codes
Lists the reporting options used for the measure and explains that the article is tracking the codes tied to encounter-level reporting. The section is relevant for readers comparing the reporting choices described in the article.
-
Measure updates and CMS resources
Notes that reporting specifications may change and points readers to CMS-hosted materials. Also references where the measure documentation was expected to be posted.
-
CMS system requirements for e-prescribing
Outlines the general capabilities CMS expected from an electronic prescribing system. Covers functional areas such as medication lists, transmission, safety checks, and formulary-related information.
What You Will Learn
- How Medicare’s e-prescribing initiative was structured as a separate program
- How the program related to PQRI and broader quality reporting
- What general reporting categories were associated with the measure
- What types of system capabilities CMS expected from compliant e-prescribing software
- Why practices were being encouraged to prepare for changes in future years
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Compliance staff
- Healthcare billing staff
- Quality reporting personnel
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com