Download - Medical Transcription Services - MxSecure
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Sponsored by:
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HITECH Act
What is it?
Who qualifies?
What are the incentives?
What do Professionals need to do to qualify?
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Part of the American Recovery andReinvestment Act
Incentives to encourage Professionals and
hospitals to utilize EHR technology Incentives in the form of payments to
Eligible Professionals and hospitals thatsee Medicare/Medicaid patients
Focus on Eligible Professionals
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Medicare: MD, DO, DDS, DPM, OD, DC
Does not include hospital-based Professionals
Incentives are up to $44,000 per provider
Medicaid: Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC
Incentives up to $63,750
Must see 30% Medicaid patients
Pediatricians qualify at 20%
Pick one program onlyyou may switch one time
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Incentives 2011 2012 2013 2014 2015+
2011 $18,000 - - - -
2012 $12,000 $18,000 - - -
2013 $8,000 $12,000 $15,000 - -
2014 $4,000 $8,000 $12,000 $12,000 -
2015 $2,000 $4,000 $8,000 $8,000 $0
2016 $0 $2,000 $4,000 $4,000 $0
2017 $0 $0 $0 $0 $0
TotalIncentives
$44,000 $44,000 $39,000 $24,000 $0
Adoption Year
Incentiv
eYear
Source: Title IV Subtitle A of the American Recovery
and Reinvestment Act of 2009
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Based on Part B FFS claims
Applies only to services furnished by EP
Professional components only
75% of submitted allowable charges
EPs in Health Provider Shortage Area earn anadditional 10%
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Incentives 2011 2012 Repeated through2017
2011 $21,250 - -
2012 $8,500 $21,250 -
2013 $8,500 $8,500 $21,250
2014 $8,500 $8,500 $8,500 years 2-6
2015 $8,500 $8,500
2016 $8,500 $8,500
2017 - $8,500
TotalIncentives
$63,750 $63,750 $63,750
Adoption Year
Incentiv
eYear
Source: Title IV Subtitle A of the American Recovery
and Reinvestment Act of 2009
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Incentive amount based on what CMS hasidentified as the net allowable cost ofpurchasing, implementing and maintainingan EHR system
Per CMS, the cost alone is $54,000 Maximum payment is $63,750 At least 30% of your patient encounters for
the reporting period must be Medicaid Pediatricians qualify at 20%
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Certified EHR
HHS will determine the certifying bodyor bodies
Responsibility of EHR vendor
Meaningful Use
25 criteria have been proposed
Responsibility of the EP
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For Medicare Eligible Professionals, the firstpayment year begins 1/1/2011 and is basedon a calendar year (hospitals are being paidusing the federal fiscal year)
For Medicaid Eligible Professionals, the firstpayment year can begin as early as 2010 if
you are in the process of implementing anEHR already
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First year: any continuous 90-day periodwithin the payment year Example: January 1-March 31, 2011
Second year onward: entire payment year Example: January 1 December 31, 2012
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National Provider Identifier
Single data repository to track identification
Medicare CMS
Medicaid - States
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12/30/09: Notice of Proposed Rule Making 556 pages: www.hhs.org
3/15/10: 60 day comment period expired
Final ruling approximately 6/1/10
Gives us more details definingmeaningful use
http://www.hhs.org/http://www.hhs.org/ -
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STAGE 1 2011 and 2012 STAGE 2 2013 and 2014 STAGE 3 2015
You only need to meet the Stage 1requirements in your first year, regardlessof when that is. However, in your second
year, you must meet the requirements forthe Stage assigned to that payment year.
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25 meaningful use requirements in Stage 1
5 pillars of meaningful use
Patient/family engagement Coordinated care
Quality, safety and efficiency
Privacy and security
Improve public and population health
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Getting an EHR that is CCHIT certified nowdoes not qualify you for stimulus payments
Meaningful use is up to you
Keep the well-being of your patients andyour practice in mind
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Providers can earn up to $44,000 in Medicare incentives or$63,750 in Medicaid incentives
Requires use of a certified EHR (HHS)
Requires meaningful use and ability to report onmeaningful use
Incentives start in 2011
Earlier adopters can earn more incentives
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For more information contact:
Barbara Brownlee
888.580.1010-Toll Free
480.776.8933-Direct Source:Title XIII of the American Recovery and Investment Act of 2009
www.hhs.org
mailto:[email protected]://thomas.loc.gov/cgi-bin/query/z?c111:H.R.1http://www.hhs.org/http://www.hhs.org/http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.1mailto:[email protected]