drwolffe,
I am rather raw about eprescribing as I just got my wonderful letter from the department of health and human services informing me of the 1% reduction in the fee schedule. I had not decided to e-prescribe until choosing an electronic health record as it made no sense in my mind and even somewhat dangerous in my opinion to start escribing without and electronic record. With over 300+ choices out there, I was finally able to start escribing in November 2011 after choosing AC.
But it took alot of research and effort to choose the right one, its like getting married, you have to do it right the first time.
I think it is illogical and backwards--if the government wants to penalize do it logically, make the first penalty for not having electronic records, then if a provider chooses not to escribe or do the quality metrics, then penalize them. but to penalize escribing first is just another taxation that is labelled as a penalty.
Furthermore there is a base pharmacy that won't even let me escribe, but yet if I don't get my 40% of escripts, then I will suffer another penalty for this year. So I have a governmental run agency not allowing me to escribe but yet I am the one to suffer the penalty--
So, I don't have any good solutions for you other than to escribe at the time of the encounter and make sure you are coding out your G8553 on every patient you can. I have not had any problem with triamcinolone cream not going through, but have had problems with CVS/caremark from time to time not accepting escripts and then when I fax through updox, i then get a fax from CVS/caremark wanting me to fill out there faxed script--I have chosen only to escribe to CVS/caremark, and if they choose not to accept it I then print up a script and give to patient and tell them they are on their own, but if they want their med I will be happy to deal with another pharmacy that accepts escripts if they can't get their med through CVS/caremark. jimmie
