Posts Tagged ‘medicare’

Medicare and Medicaid EHR Incentive Programs

August 18th, 2010

Medicare and Medicaid Electronic Health Record EHR Incentive Programs

There’s a lot of talk right now about electronic health records, and how health care professionals and hospitals are going to pay for them.

So you probably have a lot of questions about them as well: Am I eligible to receive incentive payments under the Medicare & Medicaid Electronic Health Record (EHR) Incentive Programs?  When does the programs begin? How much are the incentive payments?  What do I need to participate?

It’s important that you have a reliable resource to turn to for accurate information. Centers for Medicare & Medicaid Services (CMS) is the federal agency establishing these incentive programs.  The CMS website is the official federal source for facts about the Medicare & Medicaid EHR Incentive Programs. The site contains up-to-date resources that will give you the insight you need to make educated decisions.

Avoid reading false or misleading information. Get the facts from the federal source – the CMS Medicare & Medicaid EHR Incentive Programs website.  Visit http://www.cms.gov/EHRIncentivePrograms today.

The Official Web Site for the Medicare and Medicaid EHR Incentive Programs

This official web site provides up-to-date, detailed information about the Electronic Health Record (EHR) incentive programs. Use the tabs to the left to find additional information regarding various aspects of the program.

Background

The nation’s healthcare system is undergoing a transformation in an effort to improve quality, safety and efficiency of care, from the upgrade to ICD-10 to information exchanges of EHR technology.   To help facilitate this vision, the Health Information Technology for Economic and Clinical Health Act, or the “HITECH Act” established programs under Medicare and Medicaid to provide incentive payments for the “meaningful use” of certified EHR technology.  The Medicare and Medicaid EHR incentive programs will provide incentive payments to eligible professionals and eligible hospitals as they  adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.  The programs begin in 2011. These incentive programs are designed to support providers in this period of Health IT transition and instill the use of EHRs in meaningful ways to help our nation to improve the quality, safety and efficiency of patient health care.

NOTE: This is a new program, and it is separate from other active CMS incentive programs, such as Physicians Quality Reporting Initiative (PQRI), Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) and e-Prescribing.

Establishing the New Program

CMS is establishing the EHR Incentive program through formal rule making. A proposed rule on the EHR incentive programs (and the definition of meaningful use) was published, and CMS accepted public comments for 60 days, which ended on March 15, 2010. More than 2,000 comments were received. CMS published the final rule on July 28, 2010. This rule provides many of the parameters and requirements for the Medicare & Medicaid EHR Incentive Programs. A copy of the final rule and related documents is accessible below.

CMS’ Role in Other HITECH Areas

CMS also worked with the Office of the National Coordinator for Health Information Technology (ONC) in developing standards, implementation specifications, and certification criteria for EHR technology. More information on certification can be found in the tab on the left.

Patient privacy and security is an important consideration in implementing the EHR incentive programs. CMS is also working with the Office for Civil Rights (OCR) and ONC to address the privacy and security protections under HITECH Act. More information on privacy and security related to the Health IT is available by clicking “Health IT/Privacy and Security” and “HHS Office for Civil Rights” in the Related Links Outside CMS section below.

Downloads
Medicaid Provisions of the EHR Incentive Program [PDF 280KB]

Medicaid Questions on the EHR Incentive Program (8/5/10) [PDF 248KB]

Related Links Inside CMS
Fact Sheet: Medicare and Medicaid EHR Incentive Programs: Title IV of Recovery Act (June 16, 2009)

Press Release: CMS and ONC Final Rules to Support Meaningful Use of Electronic Health Records (July 13, 2010)

Fact Sheet: Final Regulations Define Meaningful Use and Set Standards for EHR Incentive Programs (July 13, 2010)

Fact Sheet: Electronic Health Records At-a-Glance (July 13, 2010)

Fact Sheet: Medicare EHR Incentive Program Final Rule Overview (July 16, 2010)

Fact Sheet: Medicaid EHR Incentive Program Final Rule Overview (July 16, 2010)

Fact Sheet: Meaningful Use Final Rule Overview (July 16, 2010)

Health IT Frequently Asked Questions

Related Links Outside CMS
CMS Final Rule Published Through Federal Register (July 28, 2010) [PDF, 14MB]

HHS/Office of National Coordinator Health IT Web Site

Health IT/Privacy and Security

HHS Office for Civil Rights

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Medicare and Medicaid EHR Incentive Program

June 21st, 2010

Medicare and Medicaid EHR Incentive Programs

The Centers for Medicare & Medicaid Services (CMS) has launched the official website for the Medicare & Medicaid EHR Incentive Programs. This website provides the most up-to-date, detailed information about the EHR incentive programs.

The Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals and hospitals as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology.

Bookmark this site and visit http://www.cms.gov/EHRIncentivePrograms/ often to learn about who is eligible for the programs, how to register, meaningful use, upcoming EHR training and events, and much more!

Downloads
Fact Sheet: Medicare and Medicaid EHR Incentive Programs: Title IV of Recovery Act

Press Release: CMS and ONC Issue Regulations Proposing a Definition of “Meaningful Use” and Setting Standards for EHR Incentive Program

Copy of Published Proposed Rule for EHR Incentive Programs and Definition of Meaningful Use [7.37 MB]

Fact Sheet: Proposed Requirements for Medicaid EHR Incentive Program

Fact Sheet: Proposed Requirements for Medicare EHR Incentive Program

Fact Sheet: Proposed Definition of Meaningful Use

Related Links Inside CMS
Health IT Frequently Asked Questions

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Medicare Physician Reimbursement and Unemployment Payments Reinstated

April 16th, 2010

Medicare Beneficiaries’ and Unemployment Payments Reinstated

Medicare beneficiaries were facing payment cuts of 21.2% due to the changes in the Medicare physician fee schedule. The bill reinstated them to the level they were at on March 31, and postponed the 2010 cuts . The President’s signed it yesterday.

H.R. 4851 also includes language that would modify the Health Information Technology for Economic and Clinical Health (HITECH) Act to allow physicians who provide a majority of their Medicare-covered professional services in the hospital outpatient setting to be eligible for Medicare electronic health record (EHR) incentive payments. In its December EHR meaningful use proposed rule, CMS, proposed that physicians who furnish at least 90 percent of their services in a hospital setting, either inpatient or outpatient, would not be eligible for the EHR Medicare incentive payment. ASGE supports the modification to the HITECH Act as included in H.R. 4851

As of April 5, 2010, unemployed people who had exhausted their states’ jobless benefits were unable to receive additional benefits under the federal program.  On Thursday, April 15, 2010, President Obama signed H.R. 4851, the Continuing Extension Act of 2010, legislation to provide up to 99 weekly unemployment checks averaging $335 to people whose 26 weeks of state-paid benefits have run out. When unemployment benefits do run out, it artificially boosts the employment rate (or lowers the unemployment rate), since these workers do not appear in any statistics.

Some of the major provisions include:

Continuing Extension Act of 2010 – (Sec. 2) Amends the Supplemental Appropriations Act, 2008 with respect to the state-established individual emergency unemployment compensation account (EUCA). Extends the final date for entering a federal-state agreement under the Emergency Unemployment Compensation (EUC) program through May 5, 2010. Postpones the termination of the program until October 2, 2010.

Amends the Assistance for Unemployed Workers and Struggling Families Act to extend until May 5, 2010: (1) federal-state agreements increasing regular unemployment compensation payments to individuals; and (2) requirements that federal payments to states cover 100% of EUC.

Amends the Unemployment Compensation Extension Act of 2008 to exempt weeks of unemployment between enactment of this Act and October 2, 2010, from the prohibition in the Federal-State Extended Unemployment Compensation Act of 1970 against federal matching payments to a state for the first week in an individual’s eligibility period for which extended compensation or sharable regular compensation is paid if the state law provides for payment of regular compensation to an individual for his or her first week of otherwise compensable unemployment. (Thus allows temporary federal matching for the first week of extended benefits for states with no waiting period.)

(Sec. 3) Amends the American Recovery and Reinvestment Act of 2009 to extend through April 30, 2010, premium assistance for COBRA benefits (health insurance continuation benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985).

(Sec. 4) Amends title XVIII (Medicare) of the Social Security Act (SSA) to extend through April 30, 2010: (1) the 0% update to the conversion factor in the Medicare physician payment computation; and (2) the Medicare physical therapy services caps exceptions process.

(Sec. 6) Amends SSA title VIII (Medicare) and title XIX (Medicaid) with respect to the prohibition against incentive payments to hospital-based eligible professionals for use of certified electronic health record (EHR) technology. Redefines “hospital-based eligible professional” to repeal its application to outpatient settings, thereby permitting incentive payments to an eligible professional who furnishes services in an outpatient clinic.

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