"To be eligible for the incentive in 2009, you must be an eligible professional whose estimated allowed Medicare Part B charges for the e-prescribing measure codes are at least 10% of their total Medicare Part B allowed charges."
The applicable codes are all E&M, and that has to add up to 10% of your total Medicare billing for you to qualify for the bonus. I do not qualify for the bonus and I doubt any procedure-based doctor will. My Medicare E&M encounters only generate 5% of my total Medicare bills.
In reality this is a bonus for internists, pediatricians, etc. Fine with me - you guys get the short end of the stick anyway when it comes to reimbursement. More power to you. However, masochistic fool that I am I kept reading anyway and found a very interesting set of rules that I think will help you all maximize your bonus. The return on investment is infinite because it costs you nothing and you still get the bonus.
Without further ado, here is my holiday gift to those of you who want the bonus but are worried about the cost of implementation:
1. Code G8445 tells CMS that you saw a patient but didn't write any scripts. You still get e-prescribing credit for submitting this code.
2. Code G8446 tells CMS that you wrote a narcotic script or other script that could not be e-prescribed, that the patient requested a written script or a called-in script, or that the receiving pharmacy couldn't accept e-prescribing.
3. You only have to submit 50% of the encounters.
Conclusion: By being selective and using these two codes you can meet all of the criteria for the bonus without EVER doing an electronic prescription.
Happy Festivus to all!