Practice Management & Allied Staff News & Materials
EHR Penalties Set to Take Effect in 2015
June 14th, 2013
Beginning January 1, 2015, eligible providers (EPs), including OMSs who are Medicare providers, who do not demonstrate meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program may be subject to payment adjustments. These adjustments will be applied to the Medicare physician fee schedule amount for covered professional services furnished in 2015. Because the adjustments will begin on the first day of the 2015 calendar year, CMS will determine their amount based on meaningful use data submitted prior to the 2015 calendar year. Please note, these adjustments apply only to Medicare providers.
EPs may avoid the payment adjustment as follows
- If you began participating in the incentive program in 2011 or 2012, you must demonstrate meaningful use for a full year in 2013 to avoid payment adjustments in 2015;
- If you began participating in the incentive program in 2013, you must demonstrate meaningful use for a 90-day reporting period in 2013 to avoid payment adjustments in 2015; or
- If you begin participating in 2014, you must demonstrate meaningful use for a 90-day reporting period to avoid payment adjustments in 2015. This reporting period must occur in the first nine months of calendar year 2014, and you must attest to meaningful use no later than October 1, 2014, to avoid the payment adjustments.
EPs must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years.
For more information on payment adjustments, view the Payment Adjustments and Hardship Exceptions Tipsheet for EPs and the How Payment Adjustments Affect Providers Tipsheet. Want more information about the EHR Incentive Programs? Visit the EHR Incentive Programs Web site for the latest news and updates.