CMSA Today - Issue 5, 2012 - (Page 20)
EHR Incentive Programs
and Medicaid EHR
By Ethan Moore
Payment Information for the Medicare
ayments for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs1 are administered by the Centers for Medicare & Medicaid Services (CMS). Payments are distributed based on each year of participation, and follow a speciﬁc payment schedule, which can be found here. Below are payment details on the Medicare and Medicaid EHR Incentive Programs.
MEDICARE EHR INCENTIVE PROGRAM
• Eligible professionals (EPs): EPs can receive up to $44,000 over ﬁve years under the Medicare EHR Incentive Program if the begin participation by 2012. There’s an additional incentive for EPs who provide services in a Health Professional Shortage Area (HPSA). Eligible hospitals and critical access hospitals (CAHs): Incentive payments to 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.
INSTEAD: Call the EHR Information Center • Hours of Operation: 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays. • 888-734-6433 (primary number) or 888-734-6563 (TTY number). Make sure to visit the EHR Incentive Programs website at www.cms.gov/EHRIncentivePrograms for the latest news and updates on the EHR Incentive Programs. This article provides guidance to professionals and hospitals that may be eligible for EHR incentive payments. However, we urge readers to refer to the regulations for deﬁnitive rules on eligibility, payment, and other requirements. To the extent anything in this guidance conﬂicts with such rules and regulations, our rules and regulations would take precedence. Regulations are available at: www.cms.gov/ EHRIncentivePrograms/60_ RegulationsNotices. asp#TopOfPage
MEDICAID EHR INCENTIVE PROGRAM
• EPs: The Medicaid EHR Incentive Program is voluntarily oﬀered by states and territories. EPs can receive up to $63,750 over the six years that they choose to participate in the program. Medicaid EPs must initiate the program by 2016. • Eligible hospitals: Medicaid hospitals that qualify for incentive payments may begin receiving incentive payments as early as FY 2011, but must begin by 2016. Hospital payments are based on a number of factors, beginning with a $2 million base payment. IMPORTANT NOTE: Medicare Administration Contractors (MACs), carriers, and Fiscal Intermediaries (FIs) will not be making Medicare EHR incentive payments. CMS has contracted with a Payment File Development Contractor to make these payments. DON’T: Call your MAC/Carrier/FI with questions about your EHR incentive payment.
20 CMSA TODAY Issue 5 • 2012 • DIGITAL
1. The Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs were authorized under the Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009. The programs provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade, or demonstrate “meaningful use” of certiﬁed EHR technology in ways that improve quality, safety, and eﬀectiveness of patient-centered care. Under the Medicare EHR Incentive Program, eligible professionals can receive as much as $44,000 over a consecutive ﬁve-year period. Under the Medicaid EHR Incentive Program, eligible professionals can receive as much as $63,750 over six years. Under both the Medicare and Medicaid EHR Incentive Programs, millions of dollars are available for eligible hospitals and CAHs that satisfy program requirements.
Table of Contents for the Digital Edition of CMSA Today - Issue 5, 2012
So, You Want to Be Your Own Boss?
Case Management Innovation and Entrepreneurship
Entrepreneurship: The Less-traveled Road in Case Management
Payment Information for the Medicare and Medicaid E HR Incentive Programs
CMSA Corporate Partners
Index to Advertisers
CMSA Today - Issue 5, 2012