EHR Incentives Payment Chart – Medicare and Medicaid
The American Recovery and Reinvestment Act of 2009 (Recovery Act) authorizes the Centers for Medicare & Medicaid Services (CMS) to award EHR incentives to eligible professionals who demonstrate Meaningful Use of a certified electronic health record (EHR).
It pays to get started as soon as possible! Medicare providers must have participated by 2012 in order to receive maximum EHR incentives. Total payments are just slightly reduced for eligible Medicare providers who begin participation in 2013, and go down substantially for those starting in 2014.
Additionally, reimbursement penalties for failing to achieve meaningful use will begin on January 1, 2015. Learn more about the reimbursement penalties for not achieving meaningful use.
EHR Incentive Calculator from CMS
Not sure what stage you will start participation? Would you like to determine what your maximum EHR incentive payment could be? Check out this handy new tool from CMS!
Medicare EHR Incentive Program
The Medicare EHR Incentive Program provides EHR incentives to eligible professionals, eligible hospitals, and CAHs that demonstrate meaningful use of certified EHR technology.
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).To get the maximum incentive payment, Medicare eligible professionals must have begun participation by 2012. Payments are slightly reduced for eligible providers who begin participation in 2013 and go down substantially for those starting in 2014.
Download the Medicare EHR Incentive Program Guide for Beginners
Medicaid EHR Incentive Program
The Medicaid EHR Incentive Program provides EHR incentive payments to eligible professionals 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.
To be eligible to participate in the Medicaid EHR Incentive Program, an EP must either: (1) Meet certain Medicaid patient volume thresholds or (2) practice predominantly in an FQHC or RHC where 30 percent of the patient volume is derived from needy individuals. Note: The total for pediatricians who meet the 20 percent patient volume but fall short of the 30 percent patient volume is $14,167 in the irst year and $5,667 in subsequent years. This adds up to a maximum Medicaid EHR incentive payment of $42,500 over a six-year period.
Download the Medicaid EHR Incentive Program Guide for Beginners