Non-Physician Providers Not Considered EPs in Medicare EHR Incentive Program

CMS reps want to ensure healthcare providersfinal rule that was issued on January. 13, 2010, but
optimize your chances of collecting from the EHRthat the standards published are still under
incentive program, which could net an eligiblecomment period.
professional (EP) $44,000 over a period of fiveWho's an EP?
years.According to Holland, you are considered a
According to a February 21 CMS-sponsoredMedicare EP if you fit into one of these
Physicians, Nurses, and Allied Health Professionalscategories:
Open Door Forum, CMS' proposal pertaining to the• Doctor of medicine or osteopathy
incentive program informs who can participate• Doctor of dental surgery/dental medicine
and what type of EHR you will have to use.• Doctor of podiatric medicine
What you should know...• Doctor of optometry
Now that the agency has proposed a definition of• Chiropractor
who qualifies as a 'meaningful user', CMS hasAlthough Medicaid incentive payments are there
started making use of the acronym "MU" to referfor some other providers (be it nurse
to meaningful use, stressed Charlotte Newman,practitioners and certified nurse midwives who
director of the national Medicare training programmeet all of the criteria), those providers are not
with CMS's Office of External Affairs, during theconsidered EPs under Medicare's incentive
call.program.
EHR system shopping alert: At this point,Holland said, "One of the most controversial
providers may want to hold off on shopping forprovisions in this notice of proposed rulemaking is
EHR.the hospital-based eligible professionals one."
Elizabeth Holland, the HITECH team lead in the"Fundamentally in the proposal we determined the
office of E-Health Standards and Services at CMS,definition for hospital-based. These EPs will not
said during the call, "In order to get an incentivequalify for Medicare EHR incentive payments and
for your meaningful use of a certified EHR, theremost will not meet the criteria for Medicaid also."
is requirement for EHRs that are certified."CMS defined hospital-based EPs as those who
Holland informed that as of today, there're noprovide 90 percent or more of their services in a
EHRs that have been certified for the CMShospital setting "and that is determined by the
incentive program. "We'll be able to provide youplace of service codes on the claim," said Holland.
with a list of those EHRs at a later date, which isPrivacy: Providers worried about confidentiality
yet to be determined."should note that information included in the EHRs
One caller said that her practice is keen to buy ais subject to the same HIPAA requirements as
certified EHR system to get it into place, andother PHI, indicated Holland.
asked when she might have access to theNon-par practices: Physician practices that are
standards that the EHR vendors must meet.considered non-participating in Medicare still face
The CMS representative pointed out that thethe same criteria and eligibility factors for the
standards are available for viewing in the interimincentive program as those that do participate.