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Avoid Payment Adjustments for Medicare EPs

Eligible professionals (EPs) participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. Centers for Medicare & Medicaid Services (CMS) will determine the payment adjustment based on Meaningful Use data submitted prior to the 2015 calendar year. EPs must demonstrate Meaningful Use prior to 2015 to avoid payment adjustments.
   
Determine how your EHR Incentive Program participation start year will affect the 2015 payment adjustments:
  
If you began in 2011 or 2012

If you first demonstrated Meaningful Use in 2011 or 2012, you must demonstrate 

Meaningful Use for a full year in 2013 to avoid the payment adjustment in 2015. 

If you began in 2013

If you first demonstrate Meaningful Use in 2013, you must demonstrate Meaningful Use for a 90-day reporting period in 2013 to avoid the payment adjustment in 2015.
 

If you plan to begin in 2014

If you first demonstrate Meaningful Use in 2014, you must demonstrate Meaningful Use for a 90-day reporting period in 2014 to avoid the payment adjustment in 2015. This reporting period must occur in the first nine months of calendar year 2014, and EPs must attest to 

Meaningful Use no later than October 1, 2014, to avoid the payment adjustment. 
 

Avoiding Payment Adjustments in the Future

You must continue to demonstrate Meaningful Use every year to avoid payment adjustments in subsequent years.  

 

If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate Meaningful Use to avoid the payment adjustments. You may demonstrate Meaningful Use under either Medicare or Medicaid.

If you are only eligible to participate in the Medicaid EHR Incentive Program, you are not subject to these payment adjustments.

Helpful Resources
For more information on EP payment adjustments, view the
Payment Adjustments and Hardship Exceptions Tipsheet for EPs.

Want more information about the EHR Incentive Programs?
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.
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Synōvim Healthcare Solutions, Inc. is a not-for-profit organization sponsored by the Kansas Foundation for Medical Care (KFMC) and the Kansas Association for the Medically Underserved (KAMU).  Synōvim, comprised of Regional Extension Center (REC) staff, is in partnership with these organizations to help assist Kansas providers with their health information technology and quality improvement needs once federal funding has ceased for REC services.
  
This material was prepared by Kansas Foundation for Medical Care, Inc. as part of its work as the Kansas Regional Extension Center, under grant #90RC0003/01 from the Office of the National Coordinator, Department of Health and Human Services. SYNREC_2013_xx
 

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