EMR Stimulus Payments - Medicare Medicaid
Medicare and Medicaid Stimulus Payments Begin 2011
QUICK LINKS
Medicare EMR Payment Schedule
Medicaid EMR Payment Schedule
Demonstrating meaningful use of a certified EMR is the key requirement for eligible professionals to meet in order to receive Medicare and Medicaid incentive payments under the American Recovery and Reinvestment Act of 2009.
EMR Stimulus Payments - Medicare
- Who is eligible? Physicians, dentists, podiatrists, optometrists, and some chiropractors.
- Meaningful use year: 1/1/2011. What does this mean to you? Implementation of a small practice should ideally start no later than early 2010 to ensure meaningful use can be demonstrated by 2011 - as it takes time to train, install, and begin to demonstrate and report on 'meaningful use'.
- Payout Starts: Payments expected to begin May of 2011 according to final rules released July 13th, 2010.
- Payment Details: Incentive payments equal 75% of allowed charges. $15,000 (1st year), $12,000 (2nd year), $8000 (3rd year), $4000 (4th year), $2000 (5th year), $0 for subsequent years. Note: early adopters (meaningful users in 2011, 2012) will be eligible for increased first year payment of $18,000. Example: Providers who bill $24,000 or greater annually will receive the maximum benefit ($18,000 - or 75% of allowable Medicare charges).
- Penalties/Deductions. Beginning in 2015 and accelerating in subsequent years, non-adopters who are not meaningfully using a Certified EHR, fee schedules will be reduced as follows:
- 2015 - 1% Reduction
- 2016 - 2% Reduction
- 2017 - 3% Reduction
- 2018 - 4% (Secretary of HHS Option if fewer than 75% of eligible professionals are not meaningfully using a certified EHR)
- 2018 - 5% (Secretary of HHS Option if fewer than 75% of eligible professionals are not meaningfully using a certified EHR)
MEDICARE ELECTRONIC MEDICAL RECORDS STIMULUSELECTRONIC HEALTH RECORDS SOFTWARE |
|||||
|---|---|---|---|---|---|
EHR Adoption 2011 |
EHR Adoption 2012 |
EHR Adoption 2013 |
EHR Adoption 2014 |
EHR Adoption 2015 |
|
| 2011 ($) |
$18,000 | 0 | 0 | 0 | 0 |
| 2012 ($) |
$12,000 | $18,000 | 0 | 0 | 0 |
| 2013 ($) |
$8,000 | $12,000 | $15,000 | 0 | 0 |
| 2014 ($) |
$4,000 | $8,000 | $12,000 | $15,000 | 0 |
| 2015 ($) |
$2,000 | $4,000 | $8,000 | $12,000 | 0 |
| 2016 ($) |
0 | $2,000 | $4,000 | $8,000 | 0 |
| TOTAL | $44,000 |
$44,000 |
$39,000 |
$35,000 |
0 |
EMR Stimulus Payments - Medicaid
- Who is eligible? Physicians, dentists, certified nurse mid-wife, nurse practitioners, and physician assistants practicing in a rural health clinic or Federally Qualified Health Clinic (FQHC). Eligible professionals cannot be hospital based, and patient volume must be comprised of at least 30% Medicaid patients. Pediatricians (again, non-hospital based) are eligible for Medicaid incentives with 20% Medicaid patient volume.
- Meaningful use year: 1/1/2010. What does this mean to you? Implementation of an EHR for Medicaid providers should begin immediately to ensure to be eligible for the earliest payments - as it takes time to train, install, and begin to demonstrate and report on 'meaningful use'.
- Payout Starts: Payments expected to begin mid-year 2011 according to final rules released July 13th, 2010. These are state-based payments, unlike the Medicare incentives that are paid at the federal level.
- Payment Details: Incentive payments equal 85% of net allowable charges, and based upon EHR expenditures. $15,000 (1st year), $12,000 (2nd year), $8000 (3rd year), $4000 (4th year), $2000 (5th year), $0 for subsequent years. Note: early adopters (meaningful users in 2011, 2012) will be eligible for increased first year payment of $18,000.
MEDICAID ELECTRONIC MEDICAL RECORDS STIMULUSELECTRONIC HEALTH RECORDS SOFTWARE |
|||||
|---|---|---|---|---|---|
EHR Adoption 2011 |
EHR Adoption 2012 |
EHR Adoption 2013 |
EHR Adoption 2014 |
EHR Adoption 2015 |
|
| 2011 ($) |
$21,250 | 0 | 0 | 0 | 0 |
| 2012 ($) |
$8,500 | $21,250 | 0 | 0 | 0 |
| 2013 ($) |
$8,500 | $8,500 | $21,250 | 0 | 0 |
| 2014 ($) |
$8,500 | $8,500 | $8,500 | $21,250 | 0 |
| 2015 ($) |
$8,500 | $4,000 | $8,500 | $8,500 | $21,250 |
| 2016 ($) |
$8,500 | $8,500 | $8,500 | $8,500 | $8,500 |
| 2017 ($) |
0 | $8,500 | $8,500 | $8,500 | $8,500 |
| 2018 ($) |
0 | 0 | $8,500 | $8,500 | $8,500 |
| 2019 ($) |
0 | 0 | 0 | $8,500 | $8,500 |
| 2020 ($) |
0 | 0 | 0 | 0 | $8,500 |
| TOTAL | $63,750 |
$63,750 |
$63,750 |
$63,750 |
$63,750 |
You can find the entire contents of the HITECH Act on the Committee on Ways and Means website.
Earn your financial EHR incentive with a CCHIT Certified product - Greenway PrimeSuite. MDS offers weekly 1 hour EMR software demonstration webinars on the billing, scheduling, and charting functionality of PrimeSuite in ambulatory physician practices.
Visit our EMR events calendar to register for an upcoming free webinar on Greenway PrimeSuite - the award winning EMR and practice management system .
* This is MDS Medical's interpretation of the stimulus act as described in Title XIII Health Information Technology portion of the American Recovery and Reinvestment Act. Please consult the United States government websites for additional information or specific details. MDS relies on information from third parties and accepts no responsibility or liability for the content provided herein.
