CMS Releases Key Proposals on Electronic Health Records (EHRs)1
On December 30, 2009, CMS and the Office of the National Coordinator for Health Information Technology issued proposed guidance defining what constitutes "meaningful use" of electronic health records (EHRs).
The guidance is expected to help determine which physicians and hospitals are eligible for $17 billion in federal incentive payments for implementing approved EHR systems starting in 2011.
The American Recovery and Reinvestment Act of 2009 (ARRA) earmarked funds for incentive payments for physicians, hospitals, and other healthcare providers whose EHR systems meet the U.S. government's standards for "meaningful use."
CMS has recommended a three-phased approach to implementing criteria for demonstrating "meaningful use." Beginning in 2011, CMS would identify measures that eligible professionals must report on in order meet the "meaningful use" standard. By 2012, these measures would be reported through certified EHR technology. Practices would need to verify that their EHR vendors are certified.
The CMS proposal also recommends reporting periods, reporting methods, and payment structures to incorporate EHR-based incentives to the Medicare program.
For additional information, the CMS proposed rule can be viewed at www.cms.hhs.gov/Recovery/11_HealthIT.asp. In addition, CMS has published several related fact sheets. These are available at www.cms.hhs.gov/apps/media/fact_sheets.asp.
The proposal will be open for public comment for 60 days. Comments can be submitted electronically or via mail to: Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-0033-P PO Box 8013 Baltimore, MD 21244-8013.
1 CMS. Health Information Technology. Available at www.cms.hhs.gov/Recovery/11_HealthIT.asp
Coverage policies may vary by insurer or even between plans offered by the same insurer. This information is presented for informational purposes only and is not intended to provide reimbursement or legal advice. Laws, regulations, and policies concerning reimbursement are complex and are updated frequently. While we have made an effort to be current, the information may not be as current or comprehensive when you view it. Please consult with your counsel or reimbursement specialist for any reimbursement or billing questions.
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