Meaningful Use & Electronic Health Record Incentives

The Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate Meaningful Use of certified EHR technology.

The American Recovery and Reinvestment Act of 2009 (ARRA) specifies three main components of Meaningful Use:

1. The use of a certified EHR in a meaningful manner, such as e-prescribing.
2. The use of certified EHR technology for electronic exchange of health information to improve quality of health care.
3. The use of certified EHR technology to submit clinical quality and other measures.

Simply put, "Meaningful Use" means providers need to show they're using certified EHR technology in ways that can be measured significantly in quality and in quantity.

To qualify for incentive payments, Meaningful Use requirements must be met in the following ways:

Medicare EHR Incentive Program—Eligible professionals, eligible hospitals, and critical access hospitals must successfully demonstrate Meaningful Use of certified electronic health record technology every year they participate in the program.  (Year 1 is 90 day reporting period.)

Medicaid EHR Incentive Program—Eligible professionals and eligible hospitals may qualify for incentive payments if they Adopt, Implement, Upgrade (A/I/U) or demonstrate Meaningful Use in their first year of participation. They must successfully demonstrate Meaningful Use for subsequent participation years.

• Adopted:  Acquired and installed certified EHR technology. (For example, can show evidence of installation.)
• Implemented: Began using certified EHR technology. (For example, provide staff training or data entry of patient demographic information into EHR.)
• Upgraded: Expanded existing technology to meet certification requirements. (For example, upgrade to certified EHR technology or add new functionality to meet the definition of certified EHR technology.)