EMR Incentives

  • PDF

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

Click here for a good flowchart

  • 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 Incentive Payment Details
Max Payment20112012201320142015
2011$21,250



2012$8,500$21,250


2013$8,500$8,500$21,250

2014$8,500$8,500$8,500$21,250
2015$8,500$8,500$8,500$8,500$21,250
2016$8,500$8,500$8,500$8,500$8,500
2017
$8,500$8,500$8,500$8,500
2018

$8,500$8,500$8,500
2019


$8,500$8,500
2020



$8,500
Total$63,750$63,750$63,750$63,750$63,750


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 Incentive Payment Details
Max Payment20112012201320142015
2011$18,000

0.00
2012$12,000$18,000

0.00
2013$8,000$12,000$15,000
0.00
2014$4,000$8,000$12,000$12,0000.00
2015$2,000$4,000$8,000$8,0000.00
2016$0.00$2,000$4,000$4,000
Total$44,000$44,000$39,000$24,000$0.00


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

Last Updated on Thursday, 28 April 2011 16:43