RevolutionEHR Insights ™

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Promoting Interoperability

Electronic Prescribing
Posted: December 25, 2018


Use of e-Prescribing technology is at the core of the promoting interoperability program to assure that the transmission of medication orders and prescriptions from provider to fulfiller are delivered accurately and in a timely manner.

PI Objective and Calculation

The objective is to generate and transmit permissible prescriptions electronically (eRx).


  • >60% of all permissible prescriptions, or all prescriptions, written by the EP are queried for a drug formulary and transmitted electronically using Certified EHR Technology.

Denominator for calculation:  Number of prescriptions written for drugs requiring a prescription in order to be dispensed during the EHR reporting period.

Numerator for calculation:  Number of prescriptions in denominator that are generated, queried for a drug formulary, and transmitted electronically.


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


Promoting Interoperability Discussion

One of the earliest EHR technologies to undergo development and national interconnectivity was e-Prescribing.  The primary objectives of e-Prescribing systems were the reduction of errors and duplications.  Prior to the increased adoption of EHR technology for clinical patient care, stand-alone e-Prescribing software solutions were available for health care providers.  Today, many of those systems have become full-fledged EHR systems or have become tightly integrated into EHR systems.

RevolutionEHR users have the choice of becoming customers of RxNT, our e-Prescribing partner, to gain access to an integrated e-Prescribing process.  The cost of being an e-Prescriber is easily offset by the workflow efficiencies in creating and delivering prescriptions for patients.

To e-Prescribe with RxNT, RevolutionEHR users can click the “Launch RxNT” button on the patient encounter Medication screen or in the Rx component.  That process delivers RxNT with the necessary patient ID information and provider details necessary to start the prescription.  Upon completion of the e-Prescribing process, RxNT passes back the Rx detail information for display in RevolutionEHR.

Alternately, users have the option of engaging with a different electronic prescribing software with the understandings that: 1) the eRx system is certified, and 2) that the numerator will need to be manually tracked by the user for entry during attestation.

Official CMS Fact Sheet


Using the RevolutionEHR and RxNT integrated e-Prescribing offering, satisfaction of this objective should be easy.





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Updates Prior to 2018