Revenue Cycle Management Blog | GroupOne Health Source

Electronic Prescribing Requirements for Meaningful Use Stage 1

Written by Kaitlyn Houseman | September 5, 2013

Spotlight on the Electronic Prescribing Measure for Stage 1 Meaningful Use

Eligible professionals have sent more than 190 million electronic prescriptions for Stage 1 of meaningful use for the EHR Incentive Programs since the programs began in 2011. Learn more about the requirements for the Electronic Prescribing (eRx) core measure, and join these providers who are advancing our health care system through the meaningful use of certified EHR technology.

Criteria for eRx

Under Stage 1 of the EHR Incentive Programs, eligible professionals must send more than 40 percent of all prescriptions electronically through a certified EHR system to qualify for meaningful use. To make it easier for providers to meet the eRx requirement, CMS has outlined the details of the measure and included additional guidance below.

Objective: Generate and transmit permissible prescriptions electronically

Measure: More than 40 percent of all permissible prescriptions written by the eligible professional are transmitted electronically using certified EHR technology

Exclusion: Any eligible professional who writes fewer than 100 prescriptions during the EHR reporting period OR any eligible professional who does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the eligible professional’s practice location at the start of his/her EHR reporting period.



Meaningful Use Stage 2

In Stage 2 of Meaningful Use, the threshold for electronic prescriptions will increase to 50 percent. Stage 2 begins in 2014 for eligible professionals who have completed at least two years of Stage 1.

Additional Guidance on this Measure

  • Eligible professionals can transmit prescriptions electronically to either a pharmacy or an intermediary network. The prescription must be filled without the need for the provider to communicate the prescription in an alternative manner. FAQ ID#2857
  • Controlled substances that qualify as permissible prescriptions can be submitted electronically. The Department of Justice outlined guidelines and restrictions for permissible prescriptions. FAQ ID#2763
  • The eRx denominator consists of the number of prescriptions written for drugs requiring a prescription to be dispensed, other than controlled substances, during the EHR reporting period. The eRx numerator consists of the number of prescriptions in the denominator generated and transmitted electronically using certified EHR technology. FAQ ID#2939

Stage 1 Meaningful Use Objectives

For more information on Stage 1 meaningful use, view the Stage 1 Meaningful Use Specification Sheets for eligible professionals and eligible hospitals.