EMR Incentives

What is the Federal Governments Incentive Program?

• American Recovery & Reinvestment Act of 2009 - This Federal Program was established by U.S. Federal law
• Incentive programs for Eligible Providers whom participate and see patients from Federal Medicare or State Medicaid programs.
• The Medicaid incentive program is run by States and is voluntary and the Medicare program is Federal and managed by Center for Medicare Services (CMS)
• Incentive programs are for hospitals and eligible professionals
• Providers and hospitals must use certified EHR technology AND demonstrate adoption, implementation, upgrading or meaningful use
• Programs differ between Medicare and Medicaid

Who is Elligible

• EP's can choose to get paid by CMS based on either their Medicare collections or their Medicaid patient volume, but not both.
  EP's = Any Doctor (MD, DO, CNM, NP, and certain PA's) and Dentists (DDS, DMD, DDM)

Medicaid

• At least 30% of patient population should be medicaid beneficiaries.
• Pediatricians - At least 20% of patient population.

Medicaid Penalties

- No penalties for failing to adopt certified EHR.

Medicare:

• Medicare - EP's = Any Doctor (MD, DO, DPM, OD, DC) or Dentist (DDS, DMD, DDM).
• Based on annual medicare collections.
• Incentive amount equal to 75% of annual medicare collection or $44,000 which ever is less.
• To get $44,000 you need to annually collect at least $24,000 from medicare.

Medicare Penalties

• Must demonstrate Meaningful Use by 2014 or penalties will begin in 2015
• 1% reduction in the Medicare Physician Fee Schedule

Register for Incentives

Guide to Register for Incentives