November 14, 2011
Switching Between Medicare and Medicaid Incentive Programs – Meaningful Use Monday
Written by: Lynn- ARRA
- EHR
- EHR Stimulus
- Electronic Health Record
- Electronic Medical Record
- EMR
- HealthCare IT
- HITECH
- Meaningful Use
Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money. Check out Lynn’s previous Meaningful Use Monday posts.
EPs cannot receive EHR incentives from both Medicare and Medicaid in the same year—they must choose between the two, even if they are eligible under both programs. As discussed in a prior Meaningful Use Monday post, Medicaid is typically the EHR incentive program of choice for EPs who have a sufficiently large Medicaid volume.
But providers must re-qualify annually, so what happens if the participating provider’s Medicaid volume drops below the 30% (or 20% peds.) threshold in a future year, making him/her no longer eligible for that program? What about an EP who initially participates as a Medicare provider, but subsequently becomes eligible for the more generous Medicaid program? As the first EHR Incentive Program participants approach year 2, they need to understand their options in this regard.
The rule is as follows: An EP may switch from one program to another, but only one time after receiving his/her first EHR incentive payment, and only for a payment year before 2015.
Note: In case you are doing the math and calculating how you could game the system to increase your potential revenue, the rule goes on to say that under no circumstances can an EP’s total incentives exceed the total available under Medicaid, (i.e., $63,750).
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3 responses to "Switching Between Medicare and Medicaid Incentive Programs – Meaningful Use Monday"
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Do you guys accept guest posts? I am a writer for USMedicare.com and would like to do some guest posting for your site.
Regards,
Russell
russell@drivenetwork.com
Hi Russell,
Yes, I do allow contributed content as guest posts. Here are some of the guidelines:
-Guest blog posts have to be original content (not posted other places before I post it)
-No sales information (but you will get a byline for whoever is writing it with a link to your company website)
-The guest post must provide value to the readers
-The post must be relevant to EMR/EHR
-The post will likely be marked as a guest post
-All links in the post must be completely relevant (no link stuffing for SEO purposes)
-I may choose to post the guest post on EMRandHIPAA.com, EMRandEHR.com or other HealthcareScene.com website.
Maybe you could run a few ideas for specific posts by me before you do too much work on them. Then, I could give you an idea if those topics would be good. Feel free to leave them on my contact us page: http://www.emrandhipaa.com/contact-us/
[...] volume is still too low to qualify under Medicaid? Below is a follow-up to a prior post, (“Switching Between Medicare and Medicaid Incentive Programs”), that provides the additional information needed to not only answer this particular question, [...]