The American Recovery and Reinvestment Act
On February 17, 2009, President Barack Obama signed into law the American Recovery & Reinvestment Act which appropriates $20 billion for Health IT under the HITECH Act. While $2 Billion is delivered immediately to the Department of Health & Human Services (HHS), the majority of the stimulus money has been allocated to physicians and hospitals who demonstrate use of Electronic Health Records. In order to be eligible for the government’s stimulus money, healthcare providers are required to demonstrate the following:
- Use of a certified EHR product with ePrescribing that conforms to HHS requirements of “meaningful use”
- Ability to connect to other providers to enable sharing of patient’s health information
- Use the EHR to report on clinical measures as selected by HHS
Stimulus Money for Eligible Providers
Providers are encouraged to adopt EHR and show meaningful use sooner than later. The Government has identified two channels to funnel payments to eligible providers; Medicare and Medicaid.
Eligible Providers under the Medicare Provision can receive a total of up to $44,000 in incentive payments beginning in 2011 and ending in 2015. Larger amounts will be paid early on the program (2011) and there will be penalties for eligible providers who will not participate and will not show meaningful use of an EHR by 2014. Penalties will include a 1 percent reduction in Medicare Part B reimbursement fee schedule beginning in 2015. This increases to 2 percent in 2016, and 3 percent in 2017 and beyond.
Eligible Providers under the Medicaid Provision with at least 30% Medicaid patient population (20% for pediatricians) are eligible to receive up to $63,750 over 6 years (starting in 2011). The formula for Medicaid reimbursement will be calculated as 85% of EHR purchase costs ranging from $25,000 in the first year to $10,000 in subsequent years. The Medicaid EHR program is voluntary for states to implement and thus may not be an option in every state.
The Accumedic Pledge
Read Press Release Accumed Behavioral Health EHR Meaningful Use Stage 2 Certification
*Costs and Limitations
AccuMed EHR v12.11 Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
AccuMed, Accumedic Computer Systems, Inc., June 4, 2015, Product Version 12.11, Complete EHR Ambulatory, Certification ID number: 06042015-0118-6.
Modules tested: 170.314 (a)(1-15); (b)(1-5, 7); (c)(1-3); (d)(1-8); (e)(1-3); (f)(1-3); (g)(2-4),
Clinical Quality Measures tested: 68v4; 69v3; 117v3; 125v3; 130v3; 138v3; 147v4; 155v3; 165v3.
Additional software relied upon to certify: DrFirst Rcopia, EMR Direct phiMail®.
The additional costs beyond the initial purchase or upgrade of AccuMed V12.11 from Accumedic Computer Systems. Inc. (ACS), for an Eligible Provider to attempt to utilize AccuMed EHR v12.11 are: All modules required for Meaningful Use Stage 2; those that are not included in the base price of the EHR are detailed below. Costs: Hosted clients: One-time implementation services; Recurring Maintenance and cloud access fees per-named or per concurrent user. Non Hosted clients: acquisition of hardware in accordance with our minimum hardware requirements. One-time implementation services; Recurring Maintenance and license fees.
The following modules, maybe required to attain meaningful use and are not included in the base price of the EHR.
Patient Portal – allows patients to secure message their provider and view their health information online, download a summary of their health information and then transmit to the requested provider and is required to comply with 170.314(e)(3) Secure Messaging and 170.314(e)(1) View, Download, and Transmit to a Third Party certification criteria. Additional fees required: Monthly subscription fee based on total number of providers. Limitations: None
E-Prescribing – requires DrFirst Rcopia licensing which allows providers to record allergies, electronically prescribe medications, perform drug-drug, drug-allergy interaction checks and drug formulary checks and is required to comply with 170.314(a)(2) Drug-Drug, Drug-Allergy Interaction Checks, 170.314(a)(10) Drug Formulary Checks and 170.314(b)(3) Electronic Prescribing certification criteria. Additional Fees: One-time identity proofing fee per provider in addition to monthly subscription fee per provider. Limitations: None
E-Labs – requires AccuMed Lab Interface to comply with 170.314(b)(5)(A) Incorporate Laboratory Tests and Values/Results certification criteria. Additional Fees: Module cost and maintenance or Monthly per provider subscription Limitations: None
Direct Messaging – requires, EMR Direct phiMail® licensing allows users to send summaries of care to other clinics using Direct technologies. To comply with 170.314(b)(1) Transitions of Care: Received, Display & Incorporate Summaries (C-CDA) and 170.314(b0(2) Transitions of Care – Create and Transmit Summary of Care Records (C-CDA) certification criteria. Additional Fees/Limitations One-time identity proofing fee per provider in addition to monthly subscription fee per provider. Limitations: As of 4/7/16, Emr Direct has trust relationships in place with numerous third party HISPs, including all DirectTrust Accredited Network participating HISPs, Microsoft HealthVault, and the Massachusetts Health Information.
Each trust network may impose its own restrictions and/or limitations upon participants, including eligibility requirements. To successfully send to and/or receive from a counter party endpoint, Direct exchange specifications may require the active cooperation of that counter party’s HISP and/or Health IT vendor. Any limitations or restrictions imposed by the counter party and/or their vendor(s), such as implementation of trust policies that restrict inbound and/or outbound messages, non-conformance with relevant technical requirements, and/or payload constraints, may negatively impact the ability to successfully exchange Direct messages with that counter party. Establishing connectivity with a third party HISP with whom we do not have an existing trust relationship may require hourly technical support fees and/or other one-time setup fees, and may not always be possible. Customers are responsible for any interconnection fees or other fees charged by third party HISPs and/or trust networks
*A certification that is issued to an integrated bundle of EHR Modules shall be treated the same as a certification issued to a Complete EHR except that it must also indicate each EHR Module that comprises the bundle; *A certification issued to a Complete EHR or EHR Module based on applicable certification
criteria adopted by the ONC at subpart C of this part must be separate and distinct from any other certification(s) based on other criteria or requirements.