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Nationwide adoption of the Electronic Health Records(EHR) is the goal of the Health Information Technology for Economic and Clinical Health Act (HITECH) included in the American Recovery and Reimbursement Act of 2009(also referred to as the stimulus bill). Legislation has provided significant financial incentives through the Medicare and Medicaid programs to encourage health care providers to adopt and use certified EHR. Physicians that are demonstrating meaningful use with the EHR systems being validated by quality measures, may qualify for tens of thousands of dollars. Hospitals may qualify for several million dollars with incentive payments for achieving meaningful use successfully.

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Providercompliance.org is a resource for hospitals and providers to gain more insight on this nationwide goal. Providercompliance.org consists of a team of experienced companies helping to "fill the gaps" in understanding what these quidelines mean to your facility. We also can easily assist you with a smooth transition in meeting necessary time frames to qualify for your incentive payment. Incentive payments will continue for some time for hospitals and physicians but will be phased out over time. An important date to remember is 2016 in which Medicare is proposing to penalize health care providers who fail to achieve meaningful use of certified EHR technology.
The Medicare EHR Incentive Program
- The Medicare EHR Incentive Program will provide incentive payments to eligible professionals, eligible hospitals, and CAHs that demonstrate meaningful use of certified EHR technology.
- Participation can begin as early as 2011.
- Eligible professionals can receive up to $44,000 over five years under the Medicare EHR Incentive Program. There's an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area (HSPA).
- To get the maximum incentive payment, Medicare eligible professionals must begin participation by 2012.
- Incentive payments for eligible hospitals and CAHs may begin as early as 2011 and are based on a number of factors, beginning with a $2 million base payment.
- Important! For 2015 and later, Medicare eligible professionals, eligible hospitals, and CAHs that do not successfully demonstrate meaningful use will have a payment adjustment in their Medicare reimbursement.
- Note: If you are a Medicare Advantage Plan (like an HMO or PPO), please visit our Medicare Advantage page.
The Medicaid EHR Incentive Program
- The Medicaid EHR Incentive Program will provide incentive payments to eligible professionals, eligible hospitals, and CAHs as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology in their first year of participation and demonstrate meaningful use for up to five remaining participation years.
- The Medicaid EHR Incentive Program is voluntarily offered by individual states and territories and may begin as early as 2011, depending on the state.
- Eligible professionals can receive up to $63,750 over the six years that they choose to participate in the program.
- Eligible hospital incentive payments may begin as early as 2011, depending on when the state begins its program. The last year a Medicaid eligible hospital may begin the program is 2016. Hospital payments are based on a number of factors, beginning with a $2 million base payment.
- There are no payment adjustments under the Medicaid EHR Incentive Program.
Assess Your Current Environment.
Ask Yourself 10 Questions:
1. Does your clinical system or systems require replacing or updating?
2. Does your billing system require replacing or updating?
3. Does your network require more speed, security or wireless capabilities?
4. Should you build a computer center or get EHR/PM from a MSO?
5. How do you know if your data requires conversion or manual re-entry?
6. How do you get information from your charts into your EHR prior to the patient visit?
7. What can you do to keep cash flow and productivity going during the transformation?
8. Am I paying my EHR/PM vendor for services I should get locally?
9. Is business office outsourcing the right decision for me?
10. How can I be guaranteed to get my Federal and State bonus money?