Meaningful Use for Providers

If you are a Medicare Meaningful Use EP, the Merit-Based Incentive Payment System (MIPS) will sunset Meaningful Use beginning in 2017.

Currently, the Merit-Based Incentive Payment System does not impact or change the Medicaid EHR Incentive Program.
 
Read more about how the Merit-Based Incentive Payment System (MIPS) sunsets Meaningful Use and changes value and quality reporting beginning in 2017.

Meaningful Use is the demonstration of eligible providers that they are “meaningfully using” certified EHR/EMR technology to improve patient care by meeting certain thresholds on specific objectives and clinical quality measures. The Centers for Medicare and Medicaid Services (CMS) have established 3 stages of Meaningful Use objectives, with each stage increasing in requirements. The Medicare and Medicaid EHR Incentive Programs were created to provide financial incentives for participating providers meeting meaningful use. The Medicare Program is run by CMS and every state runs its own Medicaid Program.

Who is eligible?

Medicare Providers (Will no longer be applicable beginning in 2017)

  • Doctors of Medicine or Osteopathy
  • Doctors of Dental Surgery or Dental Medicine
  • Doctors of Podiatry
  • Doctors of Optometry
  • Chiropractors

Medicaid Providers

  • Doctors of Medicine and Osteopathy
  • Nurse Practitioners
  • Certified Nurse-Midwives
  • Dentists
  • Physician Assistants who deliver services in a Federally Qualified Health Center or Rural Health Clinic that is led by a Physician Assistant
  • Optometrists

Incentives & Penalties

Medicare (Will no longer be applicable beginning in 2017)

If you demonstrated Meaningful Use in previous years, providers in the Medicare EHR Incentive Program can receive up to $44,000.

If you have not demonstrated Meaningful Use in previous years, the opportunity for providers to receive Medicare EHR Incentive Program payments is over.

Providers that did not demonstrate Meaningful Use in previous years will receive penalties beginning in 2015 of 1% of Medicare reimbursement and will increase 1% each year, with a maximum of 5%.

Medicaid

Providers participating in the Medicaid EHR Incentive Program can receive up to $63,750. The last year for providers to participate is 2016.

There are no penalties to providers in the Medicaid EHR Incentive Program.