What if I don't demonstrate Meaningful Use?
Beginning in 2015, eligible professionals who do not successfully demonstrate meaningful use will be subject to a payment adjustment. The payment reduction starts at 1% and increases each year that an eligible professional does not demonstrate meaningful use, to a maximum of 5%.
In the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated that payment adjustments should be applied to Medicare eligible professionals, eligible hospitals, and critical access hospitals (CAHs) that are not meaningful users of Certified Electronic Health Record (EHR) Technology under the Medicare EHR Incentive Program.
To avoid a payment adjustment, eligible providers must demonstrate meaningful use in either the Medicare EHR Incentive Program
or in the Medicaid EHR Incentive Program.
Eligible providers who are only eligible to participate in the Medicaid EHR Incentive Program are not subject to these payment adjustments.
Eligible professionals and eligible hospitals may be exempt from payment adjustments if they can show that demonstrating meaningful use would result in a significant hardship. To be considered for an exception, an eligible professional
or eligible hospital
must complete a Hardship Exception application along with proof of the hardship. If approved, the hardship exception is valid for 1 payment year only. A new application must be submitted if the hardship continues for the following payment year. In no case may a provider be granted an exception for more than 5 years.
Some providers will automatically be granted a hardship exception. CMS will use Medicare data on these providers to determine their hardship exception. Eligible professionals can use the Hardship Exception Tool
to determine if they will avoid the upcoming 2015 and 2016 Medicare EHR Incentive Program payment adjustments by demonstrating meaningful use, or if they should apply for a hardship exception.
Other Helpful Meaningful Use Resources for Your Practice
CMS Educational Resources
Learn more about the Medicare and Medicaid Electronic Helath Record (EHR) Incentive Programs by visiting CMS.gov. Here you will find a number of resources to help with registration, attestation, provider enrollment, fact sheets, and more. Click here to visit CMS.gov EHR Incentive Programs website
CMS Fact Sheet-EHR Incentive Programs in 2015 and Beyond
The Centers for Medicare & Medicaid Services (CMS) released final rules that simplify requirements and add new flexibilities for providers to make, electronic health information available when and where it matters most and for health care providers and consumers to be able to readily, safely, and securely exchange that information. Click here to view the full CMS Fact Sheet.