HIT Medicare Incentive Payment
Calculator for Individual Providers 		   
       
    H.R.1 (Sec. 4102) Medicare incentives for eligible professionals who are meaningful EHR users    
    Beginning with professional services provided in 2011, physicians who adopt and use electronic health records to improve patient care may be entitled to up to $44,000 over five years, if they have at least $24,000 in Medicare allowed charges per year.    
             
               
       
  Please enter the following information: Inputs    
       
  Year that EHR meaningful use is achieved (a)    
       
  Average number of patients per physician per day    
         
  % of your patients who are Medicare beneficiaries    
         
  Average allowed charge (in $) per Medicare patient    
         
  Working days per year for the physician    
         
     
             
               
           
  Estimated Incentive Payments / Penalties (b) Results   Incentive payments will be equal to 75% of the allowed charges for all covered professional services furnished up to a maximum annual payment determined by the year in which your practice achieves meaningful use (MU).    
  (Model assumes 5% annual growth in MC charges/yr)        
  FY 2011 Incentive / Penalty (-)      
  FY 2012 Incentive / Penalty (-)      
  FY 2013 Incentive / Penalty (-)      
  FY 2014 Incentive / Penalty (-)      
  FY 2015 Incentive / Penalty (-) (c)      
  FY 2016 Incentive / Penalty (-)   Penalties takes the form of a reduction (increasing from 1%/year to a maximum of 5%/year) in the normal reimbursement schedule for those who are not “meaningful users” of a certified EHR by 2016.    
  FY 2017 Incentive / Penalty (-)      
  FY 2018 Incentive / Penalty (-)      
  FY 2019 Incentive / Penalty (-)      
           
  Net Effect on Medicare Payments 2011-2019 (d)      
       
               
           
  Notes and Disclaimers:        
             
  a To be eligible, providers must be: 1) Using certified EHR in a meaningful manner, 2) Exchanging health information to improve the quality of care, and 3) Reporting on clinical quality measures.    
  b Calculations are estimates provided for informational purposes only and are offered without guarantee.    
  c There will be no incentive payments for those who adopt EHR after 2014 and penalties will affect providers who are not "meaningful users" by the start of 2016.    
  d Eligible professionals predominantly furnishing services in a health professional shortage area (HPSA) - http://hpsafind.hrsa.gov/ - will receive an additional 10% increase in their bonus payments.    
           
  Developed by HealthInsight, 2010    
  http://www.healthinsight.org    
     

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