EHR Incentive Program

By NE Docs | January 5, 2015

EHR Incentive Program

Did you know that there is an EHR incentive program? Sure, electronically managing your health records comes with a wealth of benefits…but enhancing security, reducing costs, and improving efficiency is just the tip of the iceberg. In fact, Medicare and Medicaid want to pay you for managing your records electronically with their EHR incentive program.

The Medicare and Medicaid Electronic Health Records (EHR) incentive program provides incentive payments to eligible hospitals and healthcare professionals if they can demonstrate their adoption, implementation, and general use of a certified EHR system. These EHR incentive programs were designed to assist providers during the transitional period from physical documents to electronic records which will ultimately lead to an overall improvement in the security, quality, and overall proficiency of health care providers.

Resources: For those of you looking to learn more about the EHR incentive program, including a list of EHR technologies, specifications, and other general resources, please visit the CMS website.

EHR Incentive Program Eligibility

Eligible Professionals:

Medicare Professionals:

  • Medicare:
  • Osteopathy
  • Dental Medicine
  • Podiatric Medicine
  • Optometry
  • Chiroprators

Medicaid Professionals:

  • Physicians
  • Nurse Practicioners
  • Certified Nurses
  • Dentists
  • Doctors
  • Opticians

NOTE: Eligible Professionals may not be hospital-based. This includes any provider who furnishes 90% or more of their services in a hospital setting.

Eligible Hospitals:

Medicare:

  • Subsection hospitals in the 50 united states that are paid under the hospital inpatient prospective payment system.
  • Critical Access Hospitals
  • Medicare Advantage Affiliated Hospitals

Medicaid:

  • Acute Care Hospitals with at least 10% Medicaid patient volume
  • Children’s Hospitals

EHR Incentive Program Payment Schedules

Medicare:

First Payment Received in 2011 First Payment Received in 2012 First Payment Received in 2013 First Payment Received in 2014
Amount in 2011 $18,000
Amount in 2012 $12,000 $18,000
Amount in 2013

$7,840

Reduction ($160)

$11,760Reduction ($240)

$14,700

Reduction ($300)

Amount in 2014

$3,920

Reduction ($80)

$7,840Reduction ($160) $11,760Reduction ($240)

$11,760

Reduction ($240)

Amount in 2015

$1,960

Reduction ($40)

$3,920Reduction ($80) $7,840Reduction ($160)

$7,840

Reduction ($160)

Amount in 2016

$1,960

Reduction ($40)

$3,920Reduction ($80)

$3,920

Reduction ($80)

TOTAL Payments $43,720 $43,480 $38,220 $23,520

*As required by law, President Obama issued a sequestration order on March 1, 2013. Under these mandatory reductions, Medicare EHR incentive payments made to eligible professionals and eligible hospitals will be reduced by 2%. This 2% reduction has been applied to any Medicare EHR incentive payment for a reporting period that ended on or after April 1, 2013. This reduction does not apply to Medicaid EHR incentive payments.

Medicaid:

First Payment Received in 2011 First Payment Received in 2012 First Payment Received in 2013 First Payment Received in 2014 First Payment Received in 2015 First Payment Received in 2016
Amount in 2011 $21,250.00 $0.00 $0.00 $0.00 $0.00 $0.00
Amount in 2012 $8,500.00 $21,250.00 $0.00 $0.00 $0.00 $0.00
Amount in 2013 $8,500.00 $8,500.00 $21,250.00 $0.00 $0.00 $0.00
Amount in 2014 $8,500.00 $8,500.00 $8,500.00 $21,250.00 $0.00 $0.00
Amount in 2015 $8,500.00 $8,500.00 $8,500.00 $8,500.00 $21,250.00 $0.00
Amount in 2016 $8,500.00 $8,500.00 $8,500.00 $8,500.00 $8,500.00 $21,250.00
Amount in 2017 $0.00 $8,500.00 $8,500.00 $8,500.00 $8,500.00 $8,500.00
Amount in 2018 $0.00 $0.00 $8,500.00 $8,500.00 $8,500.00 $8,500.00
Amount in 2019 $0.00 $0.00 $0.00 $8,500.00 $8,500.00 $8,500.00
Amount in 2020 $0.00 $0.00 $0.00 $0.00 $8,500.00 $8,500.00
Amount in 2021 $0.00 $0.00 $0.00 $0.00 $0.00 $8,500.00
TOTAL Payments $63,750.00 $63,750.00 $63,750.00 $63,750.00 $63,750.00 $63,750.00
Share this post on...Share on Facebook
Facebook
Tweet about this on Twitter
Twitter
Share on LinkedIn
Linkedin

Leave a Comment

Your email address will not be published.