EHR Incentive Program

Overview

Registration begins January3, 2011 and Key to Maximum Incentive Payments is early Participation.

Medicare Incentive Program

• 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).
• 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.

For more information please visit http://www.cms.gov

Medicare Incentive Schedule

Medicaid EHR Incentive Program

The Medicaid EHR Incentive Program is voluntarily offered by individual states and territories and may begin as early as 2011, depending on the state. It 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.

• 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.

For more information please visit http://www.cms.gov

Eligibility for Incentive Payments

Medicare EHR Incentive Program Eligibilty

• Incentive payments for eligible professionals are based on individual practitioners.
• Each eligible professional within a practice may qualify for an incentive payment as long as each eligible professional successfully demonstrates meaningful use of certified EHR technology.
• Each eligible professional is only eligible for one incentive payment per year, regardless of how many practices or locations at which he or she provide services.
• Hospital-based eligible professionals are not eligible for incentive payments. An eligible professional is considered hospital-based if 90% or more of his or her services are performed in a hospital inpatient (Place of Service code 21) or emergency room (Place of Service code 23) setting.

Eligible Professionals under the Medicare EHR Incentive Program Include

• Doctor of medicine or osteopathy
• Doctor of dental surgery or dental medicine
• Doctor of podiatry
• Doctor of optometry Chiropractor

Medicaid EHR Incentive Program

Eligibility Requirements for Professionals

• Have a minimum 30% Medicaid patient volume*
• Have a minimum 20% Medicaid patient volume, and is a pediatrician*
• Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30% patient volume attributable to needy individuals

* Children's Health Insurance Program (CHIP) patients do not count toward the Medicaid patient volume criteria.

What if the EP is Eligible for Both Programs?

Eligible professionals eligible for both the Medicare and Medicaid EHR Incentive Programs must choose which incentive program they wish to participate in when they register. Before 2015, an eligible professional may switch programs only once after the first incentive payment is initiated. Most eligible professionals will maximize their incentive payments by participating in the Medicaid EHR Incentive Program.

Eligibility Requirements for Hospitals

Some hospitals may receive incentive payments from both Medicare and Medicaid if they meet all eligibility criteria. Please visit www.cms.gov/EHRincentiveprograms

Eligible Hospital under the Medicare EHR Incentive Program

• "Subsection (d) hospitals" in the 50 states or DC that are paid under the Inpatient Prospective Payment System (IPPS)
• Critical Access Hospitals (CAHs)
• Medicare Advantage (MA-Affiliated) Hospitals

Registration

Registration for the Medicare and Medicaid EHR Incentive
Programs opens on January 3, 2011. In order to receive maximum incentive payments early registration is important. The time to register is NOW.

Click here for Registration.

Certified EHR Technology

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From EMR to practice management to electronic claims, Nortec EHR empowers healthcare organizations to effectively address their financial, administrative, clinical, and regulatory needs. Nortec also offers a comprehensive set of support services such as medical billing and transcription services as part of an integrated solution under one roof. This allows the physicians to do what they do the best, taking care of patients.

The Clinical Quality Measures to which Nortec EHR has been certified include:

• NQF 0421 Adult Weight Screening & Follow-Up
• NQF 0013 Hypertension: Blood Pressure Measurement
• NQF 0028 Tobacco Use Assessment and Cessation
• NQF 0041 Influenza Immunization
• NQF 0024 Weight Assessment and Counseling
• NQF 0038 Childhood Immunization Status
• NQF 0059 Diabetes: Hemoglobin A1c Poor Control
• NQF 0064 Diabetes: LDL Management and Control
• NQF 0061 Diabetes: BP Management

* certification number CC-1112-837410-1

Click here for the verfication of certificate.