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CMS-1403-FC
outpatient setting. While outpatient services are an
imperfect marker, outpatient services are likely to
represent the largest opportunity to expand electronic
prescribing where prescribing is frequent and the decision
to adopt electronic prescribing systems is also dependent
on the choices, practices and funding by eligible
professionals. Fourth, the statutory limitation that
applies to eligibility for the incentive also applies to
the future differential payment provisions. Extension of
the denominator codes to hospital-based settings of care,
may cause professionals who exclusively practice in such
settings to be liable for a differential payment for
services furnished in a setting where they have limited
ability to influence the adoption of electronic
prescribing.
ii. Qualified Electronic Prescribing System – Required
Functionalities and Part D E-Prescribing Standards
To report Measure #125 the eligible professional must
report one of three “G” codes, as will be discussed below,
on the same claim for which one of the denominator codes is
billed. In reporting any of the G codes, however, and
thereby qualifying for the incentive payment for
e-prescribing in 2009, the professional must have and
regularly use a “qualified” electronic prescribing system
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