When family physician Christopher Tashjian attested for Stage 1 of
CMS' "meaningful use" program bright and early on April 18, 2011, most
other practices hadn't even picked out an EHR.
By April 2012, as few as one in five providers had attested, according to CMS' count.
The purpose of the meaningful use program, and the stimulus dollars
attached to it, was to digitize America's healthcare-recordkeeping
system — creating a data-based boon, say proponents, for providers and
public health advocates alike. But the program got off to a slow start,
and questions have emerged about the efficacy of the program and its
administration by the government.
Is the incentive program working as it was intended? Let’s look at the details — past, present, and future — to find out.
The EHR incentive: a look back
CMS
published the final rule for its Medicare and Medicaid EHR incentive
programs to the Federal Register on July 28, 2010. Enacted in the Health
Information Technology for Economic and Clinical Health (HITECH) Act —
part of the American Recovery and Reinvestment Act of 2009, aka the
federal stimulus — the nearly 300-page rule outlines how "eligible
professionals" (EP) and hospitals can qualify for incentive payments for
demonstrating meaningful use of a certified EHR.
The first step
in receiving the money (a maximum of $44,000 paid over the course of
five years) is to attest that during a 90-day reporting period,
providers used their EHR in a meaningful way by fulfilling 15 core
requirements (such as maintaining an active medication-allergy list for
more than 80 percent of patients), five out of 10 menu set objectives
(such as implementing drug-formulary checks), and six clinical quality
measures (such as adult weight screening and follow-up).
This
represents just Stage 1 of the three-stage program. To receive the full
financial incentive, CMS requires the completion of all three stages.
(CMS has also outlined a separate program for providers who wish to
qualify through Medicaid.
To
help small practices, the government's Office of the National
Coordinator for Health Information Technology (ONC), has so far awarded
more than $720 million through 62 Regional Extension Centers. The RECs
provide free and low-cost assistance to qualifying practices to ease
their EHR transition and help them achieve meaningful use.
EHRs by the numbers
What
does CMS have to show for all of this effort? The government's figures
show it is now meeting its objectives, despite getting off to a slow
start.
CMS finished 2011 well below its stated objectives of at
least 40,000 meaningful users attesting via the Medicare program and
21,100 meaningful users via Medicaid. The actual numbers at the end of
last year: 15,361 for Medicare and 15,439 for Medicaid. But the
government says it has already closed the gap between its projections
and the reality: As of May 31, 2012, 110,000 providers (roughly one out
of five eligible for the program) have received some portion of the more
than $5.7 billion paid out so far to hospitals and providers under one
of the two programs, according to CMS. How did CMS go from about 30,000
meaningful users to more than 110,000 in only five months? It did not
respond to our request for an explanation, but if its most-recent data
are correct, then it is now on track to meet its goals of between 48,700
and 154,700 meaningful users under Medicare, and between 34,000 and
93,700 under Medicaid by the end of 2012.
If it meets its most
ambitious objectives, about half of America's eligible providers will be
meaningfully using an EHR by the end of the year.
Source from Physicians Practice.
Its your time physicians , leave your billing worries to us.
Thanks For sharing!!!
ReplyDeleteMedical Transcription Services USA - Pert offers Medical Transcription Services and Solutions in USA, India. EMR transcription, EHR transcription services at low rates. Call now: +1-704-241-3252
14. Medical Transcription Service Provider 15. Medical Transcription Billing Corp 16. Medical Transcription Services Canada 17. Emr Transcription Services India 18. Medical Transcription Companies In Delhi 19. Transcription Services India 20. Transcription Services Delhi 21. Healthcare Transcription Services India 22. Revenue Cycle Management India 23. Revenue Cycle Management Canada 24. Revenue Cycle Management Services India 25. Revenue Cycle Management & Coding Services 26. Canada Back-Office Operations 27. Chiropractic Billing India 28. Chiropractor Billing And Coding India 29. Chiropractor Billing And Coding Canada 30. Outsource Medical Transcription 31. Outsource Medical Billing And Coding Services 32. Medical Billing & Coding Solutions 33. Medical Billing 34. Medical Coding 35. Outsource Medical Transcription Services 36. Outsource Medical Transcription 37. Outsource Medical Transcription Services 38. medical transcription outsourcing companies in india 39. Outsourcing Medical Coding to India 40. Outsource Transcription Services India 41. Companies Outsourcing Medical Transcription Work To India 42. Offshoring of healthcare services 43. Medical Transcription Services Delhi 44. Why outsource medical transcription to India? 44. Outsource Medical Billing & Coding Services 45. Outsource Voice Transcription