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EHR incentive payment program ready to go

By Bernie Monegain , Editor, Healthcare IT News

The Centers for Medicare & Medicaid Services has announced that registration for the Medicare and Medicaid electronic health records incentive programs opens January 3. Eligible professionals, hospitals and critical access hospitals must use certified EHR technology to be eligible.

The government has identified five authorized certification and testing bodies, or ACTBs.

Medicare incentive program

The Medicare EHR Incentive Program will provide incentive payments to eligible professionals, hospitals and CAHs that demonstrate meaningful use of certified EHR technology.

Highlights of the program:

  • Eligible professionals can receive up to $44,000 over five years. There's an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area.
  • To get the maximum incentive payment, eligible professionals must begin participation by 2012.
  • Incentive payments for 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.
  • For 2015 and later, eligible professionals, hospitals and CAHs that do not successfully demonstrate meaningful use will have a payment adjustment in their Medicare reimbursement.

Medicaid incentive program

The Medicaid EHR Incentive Program will provide incentive payments to eligible professionals, hospitals and CAHs 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.

Highlights of the program:

  • The program is voluntarily offered by individual states and territories and may begin as early as 2011, depending on the state.
  • Eligible professionals can receive up to $63,750 over the six years that they choose to participate in the program.
  • Eligible hospital incentive payments may begin as early as 2011, depending on when the state begins its program.
  • The last year an eligible hospital may begin the program is 2016. Hospital payments are based on a number of factors, beginning with a $2 million base payment.
  • There are no payment adjustments under the Medicaid EHR Incentive Program.

For a list of important program dates, click on next page.

Important Dates

  • Oct. 1, 2010 – Reporting year begins for eligible hospitals and CAHs.
  • Jan. 1, 2011 – Reporting year begins for eligible professionals.
  • Jan. 3, 2011 – Registration for the Medicare EHR Incentive Program begins.
  • Jan. 3, 2011 – States may launch their programs for Medicaid providers.
  • April 2011 – Attestation for the Medicare EHR Incentive Program begins.
  • May 2011 – EHR incentive payments expected to begin.
  • July 3, 2011 – Last day for eligible hospitals to begin their 90-day reporting period to demonstrate meaningful use for the Medicare EHR Incentive Program.
  • Sept. 30, 2011 – Last day of the federal fiscal year. Reporting year ends for eligible hospitals and CAHs.
  • Oct. 1, 2011 – Last day for eligible professionals to begin their 90-day reporting period for calendar year 2011 for the Medicare EHR Incentive Program.
  • Nov. 30, 2011 – Last day for eligible hospitals and CAHs to register and attest to receive an incentive payment for federal fiscal year 2011.
  • Dec. 31, 2011 – Reporting year ends for eligible professionals.
  • Feb. 29, 2012 – Last day for eligible professionals to register and attest to receive an incentive payment for calendar year 2011.

More details and downloads are available on the CMS site.