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EHR / EMR Stimulus Incentives

The Government is investing 19 billion dollars into healthcare for physicians and hospitals. Most of this investment is toward modernizing healthcare technology – particularly by use of electronic health records (EHR).  Funding and Incentives are tied to meaningful use of a certified EMR, by a qualified provider. How You can Qualify for your Incentive Payment:

1. Demonstrating "meaningful use"
"Meaningful use" stage one has been defined. Other stages do not yet have a final ruling. See our details on the criteria and requirements based on the meaningful use criteria. Click Here for explanation

2. Certified EMR
Accredited Testing & Certification Bodies (ATCB) will test EHRs to certify that they meet requirements. Currently no testing has begun as there are no ATCBs to date. First certified systems expected "Fall 2010". No grandfathering of previous certifications supported by HHS. No Vendors are currently ARRA certified- all must apply for certification and be tested by an ATCB. ATCBs must strictly adhere to requirements established by HHS and cannot add requirements to HHS certification.

3. Qualified Provider
Physicians must be office-based and qualify under either the Medicare or Medicaid provision- they can not collect incentive payments from both.

Medicare Provision
Beginning in 2011, those qualified are entitled to receive up to $44,000 of total Medicare incentive payments over 5 years- from 2011 to 2015.
  • Year One- $15,000
  • Year Two- $12,000
  • Year Three- $8,000
  • Year Four- $4,000
  • Year Five- $2,000

Those that qualify for the program in 2011 or 2012 can qualify for a one-time, "early adopter" incentive of $3,000. Incentives are based on the lesser of either 75% of the provider’s Medicare Part B billings or the maximum allowable incentive.

Medicaid Provision

Beginning in 2011, those qualified can collect a sum total of $63,750 over 6 years- calculated as 85% of the EMR costs not exceeding $25,000 in the first year, followed by 85% of annual costs not exceeding $10,000 over the next 5 years. To be eligible more than 30% of their cases must be attributed to Medicaid. Or if they are a qualified pediatrician they are eligible for 2/3 of the maximum payment and 20% of their cases are Medicaid.

Penalties
For those that do not adopt an EMR, Medicare payments will be reduced.
  • 1% in 2015
  • 2% in 2016
  • 3% in 2017 and beyond
Click Here for frequently asked questions about the Stimulus and meaningful use

Click Here for  flash video of Medisoft Clinical

Click Here to Request Demo

Click Here to Calculate Your Incentive
 
 

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