Certification and the CMA (AAMA) Credential, Computerized Provider Order Entry (CPOE), On the Job

Scribes Not Permitted to Enter Orders for Meaningful Use

The Centers for Medicare and Medicaid Services (CMS) recently issued an important clarification regarding meaningful use order entry. See the following quote from a report by the American Academy of Ophthalmologists:

EHR Meaningful Use Update: CMS Comes Out Against Scribes
Despite Academy efforts, the Centers for Medicare & Medicaid Services clarified this week that medical scribes − even those who are certified − are not permitted to enter electronic medication, laboratory, or radiology orders into electronic health record systems. The Academy believes that changes to the criteria for satisfying the EHR Meaningful Use Program’s Computerized Provider Order Entry measure lacked clarity regarding appropriate personnel who may perform this task.

In communication to the Academy, CMS explained that it is not permitting scribes to enter medical data under the CPOE measure. Medical staff entering orders into EHRs for purposes of satisfying the CPOE measure must be, at minimum, a certified medical assistant or equivalent, which includes certified ophthalmic technicians, certified ophthalmic technologists, and certified ophthalmic assistants.