for health care providers wondering if they qualify for CMS incentive money…
The Health Information Technology for Economic and Clinical Health (HITECH) Act is part of the American Recovery and Reinvestment Act (ARRA) of 2009 also known as the Stimulus Bill. In it, Congress and President Barack Obama appropriated $19 Billion to help physicians transition to this new health information technology called an electronic health record system.
Part of that $19 billion dollars goes directly to eligible health care providers as incentive payments. A portion, $677 million to be exact, goes to the approximate 70 Regional Extension Centers, which are tasked with providing assistance to Medicare and Medicaid doctors across the nation.
What’s at stake?
But the government has no power to enforce electronic medical records or electronic health record adoption in the private sector. But health care providers accepting Medicare and Medicaid will be subject to penalties in 2015 if they don’t comply.
Government programs, such as Medicare and Medicaid, account for a significant share of health care spending. If Medicare and Medicaid doctors become more efficient, reduce costs and increase patient safety, private sector physicians will need to follow suit to stay competitive.
Only CMS Medicare and Medicaid doctors can qualify for some of the $19 Billion incentive payments under the HITECH Act. Eligible health care providers can qualify for either the $44,000 Medicare incentive payments or the $63,750 Medicaid incentive money, but not both.
Obviously, since the Medicaid payments are higher, you’ll want to try to qualify for that first.
What’s the first Eligibility Criteria?
You are not a hospitalist or hospital-based physician. Meaning, less than 90% of your services are performed in a hospital inpatient or emergency room setting . If 89% of your services are in a hospital, you’re still in the running.
What’s Your Medicaid Eligibility Requirements For Getting Paid?
Medicaid doctors can receive $63,750 per physician in incentive money paid over 6 years. You qualify if in any 90 day period in the past year, you meet the following criteria
1. At least 30% of patients seen, pay with Medicaid and you’re a:
- Physician Assistant
- Nurse Practitioner
- Certified Nurse-Midwife
2. At least 20% of patients seen, pay with Medicaid and you’re a:
3. Serve in a physician assistant led Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) and:
- Spend t least 50% of service time in the FQHC or RHC facility
- Have at least 30% patient volume attributed to ‘need-based patients’
What’s Your Medicare Eligibility Requirements For Getting Paid?
Physicians that qualify for the Medicare incentive money are paid over 4 years. You can receive $44,000 or 75% of your Medicare allowable charges for covered professional services – whichever is less. The payments are mad on a per physician basis.
And you are
- Doctor of Medicine or Osteopathy
- Doctor of Dental Surgery or Dental Medicine
- Doctor of Podiatric Medicine
- Doctor of Optometry
if you passed the tests!
Now you need to follow the OTHER guidelines for demonstrating and documenting that they owe you electronic health record Incentive Payments.
Call Sandra Noble at 404-374-3384 to discuss Next Steps!
I invite you to claim free access to an informative interview audio titled
How To Convert To Electronic Health Records,
When I’m Completely Technology Adverse,
And Don’t Know Where To Start!
Is electronic health record adoption a mystery to you?
Don’t have the time or expertise?
Want to take advantage of EHR incentive money?
Call Sandra Noble at 404-374-3384 today to schedule a
to find out about our
NOBLE & ASSOCIATES CONSULTING, INC