Stimulus Overview
This is a synopsis for the HITECH Act and is not intended to be a guarantee of government policy. For full details, view the HITECH Act in its entirety.
The eligible provider must demonstrate the during the evaluation period the he/she is using certified EHR technology in a meaningful manner as described by CMS.
Certification
- Qualified EHR
- Meets specifications
- HIT Standards
Meaningful Use
- Electronic Prescriptions
- Interoperability
- Quality Reporting
Physician Incentive Program -
General
- Must be office-
based physicians, i.e., practice primarily outside the hospital - No exclusions base on employment or billing relationships with hospital
- Eligible professional must prove meaningful use of a certified EHR
Medicare Incentive
- Pays 75% of the all Part B claims submitted up to an annual maximum
- Potential incentives up to $44,000 over a 5-
year period beginning 2011
Medicaid Incentive
- Pays 85% of the Net Average Allowable Cost up to an annual maximum
- Requires 30% Medicaid patient volume or 20% for pediatricians
Providers may receive incentive payments from only one program.
Medicare Provision
- Eligible Professional is a physician as defined in the Social Security Act Section 1861:
- Doctor of medicine or osteopathy
- Doctor of dental surgery or of dental medicine
- Doctor of podiatric medicine
- Chiropractor
- Doctor of Optometry
Medicaid Provision
The Medicaid provision extends eligible professionals to include:
- Certified Nurse-
Mid Wife - Nurse Practcitioner
- Physician Assistant
ARRA -