Just an FYI: According to my biller you can only get credit for e-prescribing if it is within a visit. So any refills done electronically out of a visit (for me that is anywhere bet 10-20 RX's a day) do not count and do not have a code.

Typical Medicare - never paid for anything not face to face.

In my view the 2% is not worth pissing off a bunch of patients and potentially losing them, especially after I have spent years training them to call their pharmacy and not my office for refills. (We of course try to keep the refills in synch with the visits, yet we are probably not strict enough and we all know this isn't always successful anyways esp. with some patients and caregivers).

I guess it is possible to still get the 2% if you use the G8443 code on all your medicare visits if you do electronic refills for the pt, yet I'm sure if you didn't do it the day of the visit that would be fraud in the legal definition.