STIMULUS
EMR & EHR - Medical Stimulus Package
The American Recovery and Reinvestment Act of 2009 (ARRA) President
Barack Obama on Feb. 17, 2009 signed into law the “American Recovery
and Reinvestment Act of 2009” (ARRA), authorizing $20 billion to
assist in the development of a robust health information technology
(IT) infrastructure. The Health Information Technology for Economic
and Clinical Health Act (‘‘HITECH“) includes $19 billion for health
information technology.
What
Does This Mean to You as a Provider?
Physicians can now be paid between $44,000 to $64,000 over five
years from Medicare/Medicaid if they are utilizing an EHR in 2011
and beyond
-
Late adopters will receive significantly less
-
Providers may receive incentives under only one of the programs
-
2015: penalty reductions in Medicare/Medicaid fees for non-EHR
users
Medicaid: Physicians
who see more than 30% of patients paying with Medicaid (20% for
pediatricians) are eligible for payments of up to $64,000 over six
years. The incentives will be calculated through a formula that
multiplies 85% by amounts ranging from $25,000 in the first year to
$10,000 in subsequent years. Additionally, those meeting the 30%
threshold can begin earning the incentive payments even as they
adopt, implement and upgrade their EHR software; they can begin
proving Meaningful Use of the EHR in the second year of their
program participation.
Medicare: Physicians
who implement a certified solution and become meaningful users
between 2010 and 2012 will be eligible for up to $44,000 each in
incentive payments. Physicians who wait to become meaningful users
between 2012 and 2014 will be eligible for lower payments.
Physicians who have not become meaningful users by 2015 will not
qualify for any payments and will be subject to increasing
penalties. Incentives are based on the lesser of either 75% of the
provider’s Medicare Part B billings or the maximum allowable
incentive.
Annual Incentives Schedule:
|
Adopt Yr 1 |
Adopt Yr 2 |
Adopt Yr 3 |
Adopt Yr 4 |
Adopt Yr 5 |
Adopt Yr 6 |
Total |
2011 |
$18,000 |
$12,000 |
$8,000 |
$4,000 |
$2,000 |
- |
$44,000 |
2012 |
-> |
$18,000 |
$12,000 |
$8,000 |
$4,000 |
$2,000 |
$44,000 |
2013 |
-> |
-> |
$15,000 |
$12,000 |
$8,000 |
$4,000 |
$39,000 |
2014 |
-> |
-> |
-> |
$15,000 |
$12,000 |
$8,000 |
$35,000 |
2015 |
Start Paying Penalties |
Payment Reduction
For office-based physicians who do not adopt EHR technology by 2015,
Medicare payments will be reduced by:
From Year |
Reduction in Medicare Payments |
2015 |
1% |
2016 |
2% |
2017+ |
3% |
In 2018 and beyond, the HHS Secretary may decrease one additional
percent per year (maximum of 5%) contingent upon the levels of
overall EHR adoption in the market.
Other
Valuable Financial Benefits Available
The use of Electronic Health Records and Integrated Practice
Management Software is saving practices thousands of dollars in
administrative cost. Additionally the providers are saving enormous
amounts of time in documenting the patient encounter and the daily
notes automatically within seconds. Providers are really enjoying
the feeling at the end of the day when all patient charts and notes
are done.
What
the Law Says About "Meaningful Use"
The law defines a meaningful
user as
a physician who:
-
Uses a certified EHR in a meaningful manner, which includes the
use of electronic prescribing (e-prescribing)
-
Uses a certified EHR that can accommodate the electronic
exchange of health information to improve quality
-
Submits information on clinical quality measures, as chosen by
the Health and Human Services (HHS) Secretary, for the reporting
period
The law also defines a certified
EHR technology as
that which:
-
Includes patient demographic and clinical health information,
including medical history and problem lists
-
Has the ability to provide clinical decision support.
-
Has decision supporting tools that support physician order entry
and be able to capture and query quality information.
-
Tools that will also be able to exchange and integrate health
information from outside sources.
The Meaningful Use Rule, which was released in a proposed form at
the end of 2009 and will be finalized in Spring 2010, outlined in
much greater detail what physicians and other participating
providers will need to do to quality for the HITECH incentive
payments.
-
Providers will need to prove Meaningful Use of their EHR for
at least 90 continuous days in 2011 in order to earn an
incentive, and then for the entire year each subsequent
year.
-
Physicians need to prove that they have met 29 different
functional objectives with their use of the EHR product to
be considered “meaningful users”. These objectives include
computerized physician order entry (CPOE), the use of
clinical decision alerts, incorporation of lab results into
their EHR as discrete data, ePrescribing and electronic
information distribution to patients.
-
Clinical quality measures will need to be submitted by a
provider on a Core set of measures, as well as a
specialty-specific subgroup; providers will be able to file
for an exception if none of the 89 proposed measures matches
with their specialty.
-
Physicians will be paid on a rolling basis as soon as they
have proven to CMS that they have met all the functional
objectives of the Meaningful Use requirement and have hit
the maximum amount for the year. CMS will then issue a
single, annual, consolidated payment.
-
All reporting will be done by attestation in 2011, moving to
an electronic form in later years.
-
The requirements related to Meaningful Use will get more
challenging beginning in 2013.
HIMSS
(Healthcare Information and Management Systems Society)
Recommendations
HIMSS defines 'meaningful use' of EMRs for Medicare incentives
To get Medicare incentive payments, it's not enough to simply roll
out the technology - hospitals and physicians will have to prove
that they've made "meaningful use of certified EHR technology."
This "meaningful use" includes using the technology to exchange
electronic health data to improve care quality and submitting care
quality measures to HHS. Not only that, hospitals and doctors will
need to meet these requirements within a specified time frame.
Suggestions:
-
Rely on CCHIT as the certifying body for EMRs
-
Adopt metrics that can demonstrate meaningful use, and make
them increasingly more stringent over two years or so
-
Work with HITSP and IHE to make sure systems are
interoperable
-
Close the existing gap between "certified EHR technologies",
"best of breed" and "open source" technologies
How
We Can Help
-
At 1st
Providers Choice we offer integrated Electronic Health
Records & Practice Management Software that is affordable both
for purchase and ongoing use, can be utilized as an in
office (client server) or remotely hosted.
-
We offer a variety of finacing options making your EHR / EMR
& Practice Manament software affordable.
-
There is a relatively short window of opportunity for a
physician to take advantage of these stimulus payments and
we can help since it is critical that you move quickly.
Call today to schedule your free demostration 866-776-4722