One additional twist I just heard the other day about eRx. If the pharmacy you're eRx'ing to isn't set up to receive electronic prescriptions, the Rx clearinghouse falls back to faxing the script. Apparently, this is something that you won't see on your end, but because the pharmacy doesn't do things electronically, you don't get credit for the eRx, as far as Medicare is concerned, even if you bill the G8553 code.
Michael Jacobson
How would Medicare even know what happens at the Rx clearinghouse? You send the G8553 code to medicare when you submit your bill, right along with the ICD-9 and E&M code. Medicare doesn't know what EMR or eRx clearinghouse is being used, they just know that you are saying that you performed electronic submission of prescriptions.
