Extra: CMS will debut a new e-prescribing numerator code. In particular, the Final Rule indicates that in 2010, you'll be able to earn a Physician Quality Reporting Initiative (PQRI) incentive payment of 2 percent of your estimated total Part B allowed charges -- and CMS will offer additional reporting options to help ease that process. CMS will add 30 individual PQRI measures and six measures groups on which individual eligible professionals may report, the Final Rule indicates. The Final Rule will also add an electronic health record (EHR)-based reporting mechanism, which will "promote the adoption and use of EHRs and provide both eligible professionals and CMS with experience on EHR-based quality reporting," CMS indicates. "In 2010, CMS will, for the first time, allow eligible professionals to count their submission of EHR-based measures toward their eligibility for a PQRI incentive payment," CMS notes in an Oct. 30 Fact Sheet. The facts: In the past, practices that submitted the EHR-based measures found that the submission didn't count toward incentive payment eligibility. The new incentive payments appear to be an attempt to motivate more practices to institute EHRs. However, many analysts believe that too much is standing in the way of those practices having a functional EHR at this point. "The problem isn't simply that providers are reluctant to adopt EHRs," says Kenny Engel, CPC, CHC, ACS-EM, CCP, chief compliance officer with Martin Gottlieb Associates in Jacksonville, Fla. "There is also the hurdle of finding a qualified vendor (one that has self nominated to complete the EHR vendor quality data submission qualification process)," he says. "At this point, only vendors who completed the 2009 EHR Testing Program will be qualified for 2010. CMS doesn't expect to post the list until early 2010 because they have yet to complete the 2009 EHR Testing Program." Plus: Cost concerns: Another consideration is the cost of other systems that will be required to interface with the EHR, Edelberg says. "I have concerns about how vendors will effectively keep their reporting packages consistent with PQRI reporting requirements," she notes. Bottom line: Look for E-Prescribing Changes Physicians who adopt e-prescription systems are eligible to earn a bonus of 2 percent of their total Medicare allowed charges, but the rules on how you'll report your e-prescribing will change next year. Effective Jan. 1, you'll report an e-prescribing code only when a visit results in an electronic prescription being placed. You'll need to report this code at least 25 times during the reporting period to be considered a successful electronic prescriber. CMS will issue a new numerator G code with the following descriptor, the Final Rule says: • Gxxxx: At least 1 prescription created during the encounter was generated and transmitted electronically using a qualified electronic prescribing system.