EHR Incentive Payments

EHR Incentives Payment Chart – Medicare and Medicaid

EHR Incentive Program CMSThe 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! Providers can still get payments, and reimbursement penalties for failing to achieve meaningful use 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 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 had been able to 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).

Medicare EHR Incentive Payment Chart Timeline

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.

Medicaid Patient Volume Thresholds for EHR Incentives

Medicaid EHR Incentive Payment Chart