Meaningful Use Payment Calculator for Eligible Professionals

Under the provisions of the Health Information Technology for Economic and Clinical Health Act, or HITECH, the federal incentives program will be made available to the Eligible Professionals (EP) who adopt an EHR and demonstrate their use in ways that can improve quality, safety and effectiveness of care. The providers that are deemed eligible for the program can receive substantial incentives through either Medicare or Medicaid.

Meaningful Use Payment Calculator for Eligible Professionals

Please take a simple survey below to see if you qualify for the federal incentive program and which incentive program (Medicaid/Medicare) is suitable for you.

Do you know if you are already eligible for Medicaid/Medicare? Select your incentive program below to calculate how much incentives you can receive.

Meaningful Use Payment Calculator for Eligible Professionals

Did you perform 90% of your services in an inpatient hospital or emergency room hospital setting?

Meaningful Use Payment Calculator for Eligible Professionals

Were at least % of your services furnished to Medicaid patients in an outpatient setting ?

The Medicaid EP must meet one of the following criteria:

Have a minimum of 30% Medicaid patient volume *
Have a minimum 20% Medicaid patient volume * and is a pediatrician
Practice in a Federally Qualified Health Center or Rural Health Clinic and have a minimum 30% patient volume that is attributed to needy individuals.

*[Total Medicaid patients assigned to the provider in any representative continuous 90-day period in the preceding calendar year with at least one encounter in the year preceding the start of the 90-day period] + [Unduplicated Medicaid encounters in that same 90-day period]	x100

[Total patients assigned to the provider in the same 90-day with at least one encounter in the year preceding the start of the 90-day period] + [All unduplicated encounters in that same 90-day period]

Meaningful Use Payment Calculator for Eligible Professionals

Did you practice predominantly in a Federally Qualified Health Center or Rural Health Clinic with a 30% needy individual patient volume threshold?

Meaningful Use Payment Calculator for Eligible Professionals

Do you treat Medicare patients?

Meaningful Use Payment Calculator for Eligible Professionals

You are NOT currently eligible to receive an EHR incentive payment under the Medicare and Medicaid EHR Incentive Program.

Meaningful Use Payment Calculator for Eligible Professionals

Which of the following describes you best?

Notes:

There are two incentive programs, Medicare (Medicare FFS or Medicare Advantage) and one under Medicaid. An EP can only participate in one at a time. During the life of the incentive program an EP may switch programs one time.
For Medicare Advantage (MA) the incentive payments go to the MA organization, not to the individual EPs.

Meaningful Use Payment Calculator for Eligible Professionals

Do you serve in Health Provider Shortage Area (HPSA)

* For those health care providers who serve in the Health Provider Shortage Areas, or HPSA, there are additional 10% bonuses on top of the Medicare base incentive.

Meaningful Use Payment Calculator for Eligible Professionals

Select year to begin to receive payment

Year

Choose number of
EP* participating in
practice

Medicare

* Eligible Professional

View Result
View Table

MEDICARE PROGRAM	Total Practice Payment Per Year
$44,000 Incentive Per EP $44,000 Incentives

YEAR	AMOUNT PER EP	TOTAL
2011	$18,000 x 1	$18,000
2012	$12,000 x 1	$12,000
2013	$8,000 x 1	$8,000
2014	$4,000 x 1	$4,000
2015	$2,500 x 1	$2,500
Incentive Per EP	$44,000
Incentives		$44,000

If you work in a group and would like to know your whole group's incentive payment amount, please enter the total number of EPs participating in your Group's Practice.

Maximum incentives are obtained by starting no later than October 31, 2012
The last year a provider may initiate Medicare program is 2014; Last year to register is 2016; Payment adjustments begin in 2015.
Must demonstrate MU in year 1 and every subsequent year to qualify for the incentives

Notes:

Under the Fee-for-Service Medicare program, the payment incentive amount is equal to 75 percent of an EP's Medicare physician fee schedule allowed charges. So to be eligible for the maximum 2011 or 2012 incentives, i.e, $18,000 the EP would need to have $24,000 in Medicare claims
For their first year in the program, EPs are only required to meet the MU criteria for 90 consecutive days to be eligible for the incentives.

Meaningful Use Payment Calculator for Eligible Professionals

Which of the following describes you best?

* There are two incentive programs, Medicare (Medicare FFS or Medicare Advantage) and one under Medicaid. An EP can only participate in one at a time. During the life of the incentive program an EP may switch programs one time.

Meaningful Use Payment Calculator for Eligible Professionals

Check Eligibility

If you adopt, implement or upgrade to or successfully demonstrate meaningful use of certified EHR technology, you may be eligible to receive an incentive under the Medicaid EHR incentive program.

Meaningful Use Payment Calculator for Eligible Professionals

Drag the slider to choose your Medicaid Patient Volume* for 90-day period.

> 30% Medicaid Patient Encounters

01020304050

The Medicaid EP must meet one of the following criteria:

Have a minimum of 30% Medicaid patient volume *
Have a minimum 20% Medicaid patient volume * and is a pediatrician
Practice in a Federally Qualified Health Center or Rural Health Clinic and have a minimum 30% patient volume that is attributed to needy individuals.

*[Total Medicaid patients assigned to the provider in any representative continuous 90-day period in the preceding calendar year with at least one encounter in the year preceding the start of the 90-day period] + [Unduplicated Medicaid encounters in that same 90-day period]	x100

[Total patients assigned to the provider in the same 90-day with at least one encounter in the year preceding the start of the 90-day period] + [All unduplicated encounters in that same 90-day period]

* Percentage of Medicaid patient encounters over any continuous 90-day period in the most recent calendar year.

Meaningful Use Payment Calculator for Eligible Professionals

Select year to begin to receive payment

Year

Choose number of
EP* participating in
practice

Medicaid

* Eligible Professional

View Result
View Table

MEDICAID PROGRAM	Total Practice Payment Per Year
$63,750 Incentive Per EP $63,750 Incentives

YEAR	AMOUNT PER EP	TOTAL
2011	$21,250 x 1	$21,250
2012	$8,500 x 1	$8,500
2013	$8,500 x 1	$8,500
2014	$8,500 x 1	$8,500
2015	$8,500 x 1	$8,500
2016	$8,500 x 1	$8,500
Incentive Per EP	$63,750
Incentives		$63,750

If you practice work in a group and would like to know your whole group's incentive payment amount, please enter the total number of EPs participating in your Group's Practice.

The last year to register is 2016; Incentives are the same regardless of the EPs start year;
Incentives are over 6 years; Incentives continue through 2021;
EPs may skip a year and still be eligible for payment;
Required to demonstrate MU in each subsequent year to qualify for incentive.

Notes:

Without a doubt the incentive program of choice for most Eligible Professionals (EPs) is Medicaid.

Meaningful Use Payment Calculator for Eligible Professionals

Select year to begin to receive payment

Year

Choose number of
EP* participating in
practice

Medicare

* Eligible Professional

View Result
View Table

MEDICARE PROGRAM	Total Practice Payment Per Year
$48,400 Incentive Per EP $48,400 Incentives

YEAR	AMOUNT PER EP	TOTAL
2011	$19,800 x 1	$19,800
2012	$13,200 x 1	$13,200
2013	$8,800 x 1	$8,800
2014	$4,400 x 1	$4,400
2015	$2,200 x 1	$2,200
Incentive Per EP	$44,000
Incentives		$44,000

If you work in a group and would like to know your whole group's incentive payment amount, please enter the total number of EPs participating in your Group's Practice.

Maximum incentives are obtained by starting no later than October 31,2012.
The last year a provider may initiate Medicare program is 2014; Last year to register is 2016; Payment adjustments begin in 2015.
Must demonstrate MU in year 1 and every subsequent year to qualify for the incentives

Notes:

Under the Fee-for-Service Medicare program, the payment incentive amount is equal to 75 percent of an EP's Medicare physician fee schedule allowed charges. So to be eligible for the maximum 2011 or 2012 incentives, i.e, $18,000 the EP would need to have $24,000 in Medicare claims
For their first year in the program, EPs are only required to meet the MU criteria for 90 consecutive days to be eligible for the incentives.

Meaningful Use Payment Calculator for Eligible Professionals

Drag the slider to choose your Medicaid Patient Volume* for 90-day period.

>20% Medicaid Patient Encounters

01020304050

The Medicaid EP must meet one of the following criteria:

Have a minimum of 30% Medicaid patient volume *
Have a minimum 20% Medicaid patient volume * and is a pediatrician
Practice in a Federally Qualified Health Center or Rural Health Clinic and have a minimum 30% patient volume that is attributed to needy individuals.

The Medicaid EP must meet one of the following criteria:

Have a minimum of 30% Medicaid patient volume *
Have a minimum 20% Medicaid patient volume * and is a pediatrician
Practice in a Federally Qualified Health Center or Rural Health Clinic and have a minimum 30% patient volume that is attributed to needy individuals.

*[Total Medicaid patients assigned to the provider in any representative continuous 90-day period in the preceding calendar year with at least one encounter in the year preceding the start of the 90-day period] + [Unduplicated Medicaid encounters in that same 90-day period]	x100

[Total patients assigned to the provider in the same 90-day with at least one encounter in the year preceding the start of the 90-day period] + [All unduplicated encounters in that same 90-day period]

* Percentage of Medicaid patient encounters over any continuous 90-day period in the most recent calendar year.

Meaningful Use Payment Calculator for Eligible Professionals

Select year to begin to receive payment

Year

Choose number of
EP* participating in
practice

Medicaid

* Eligible Professional

View Result
View Table

MEDICARE PROGRAM	Total Practice Payment Per Year
$42,501 Incentive Per EP $42,501 Incentives

YEAR	AMOUNT PER EP	TOTAL
2011	$14,166 x 1	$14,166
2012	$5,667 x 1	$5,667
2013	$5,667 x 1	$5,667
2014	$5,667 x 1	$5,667
2015	$5,667 x 1	$5,667
2016	$5,667 x 1	$5,667
Incentive Per EP	$42,501
Incentives		$42,501

If you practice work in a group and would like to know your whole group's incentive payment amount, please enter the total number of EPs participating in your Group's Practice.

The last year to register is 2016; Incentives are the same regardless of the EPs start year;
Incentives are over 6 years; Incentives continue through 2021;
EPs may skip a year and still be eligible for payment;
Required to demonstrate MU in each subsequent year to qualify for incentive.

Notes:

Without a doubt the incentive program of choice for most Eligible Professionals (EPs) is Medicaid.

Meaningful Use Payment Calculator for Eligible Professionals

Which of the following describes you best?

Physician Assistant should be practicing in a FQHC or RHC led by a Physician Assistant. Chiropractor must not be hospital-based for participation in the program.

Notes:

There are two incentive programs, Medicare (Medicare FFS or Medicare Advantage) and one under Medicaid. An EP can only participate in one at a time. During the life of the incentive program an EP may switch programs one time.
For Medicare Advantage (MA) the incentive payments go to the MA organization, not to the individual EPs.

Meaningful Use Payment Calculator for Eligible Professionals

Were at least 30 % of your services furnished to Medicaid patients in an outpatient setting ?

The Medicaid EP must meet one of the following criteria:

Have a minimum of 30% Medicaid patient volume *
Have a minimum 20% Medicaid patient volume * and is a pediatrician
Practice in a Federally Qualified Health Center or Rural Health Clinic and have a minimum 30% patient volume that is attributed to needy individuals.

*[Total Medicaid patients assigned to the provider in any representative continuous 90-day period in the preceding calendar year with at least one encounter in the year preceding the start of the 90-day period] + [Unduplicated Medicaid encounters in that same 90-day period]	x100

[Total patients assigned to the provider in the same 90-day with at least one encounter in the year preceding the start of the 90-day period] + [All unduplicated encounters in that same 90-day period]

Meaningful Use Payment Calculator for Eligible Professionals

Did you practice predominantly in a Federally Qualified Health Center or Rural Health Clinic with a 30% needy individual patient volume threshold?

Meaningful Use Payment Calculator for Eligible Professionals

Do you treat Medicare patients?

Meaningful Use Payment Calculator for Eligible Professionals

Do you treat Medicare patients?

Meaningful Use Payment Calculator for Eligible Professionals

Select year to begin to receive payment

Year

Choose number of
EP* participating in
practice

Medicaid
Medicare

* Eligible Professional

View Result
View Chart
View Table

MEDICAID PROGRAM

MEDICARE PROGRAM

$63,750
Incentive Per EP

$44,000
Incentive Per EP

$63,750
Incentives

$44,000
Incentives

ELIGIBLE FOR MEDICAID AND MEDICARE

YEAR	MEDICAID	MEDICARE
2011	$21,250 x 1 = $21,250	$18,000 x 1 = $18,000
2012	$8,500 x 1 = $8,500	$12,000 x 1 = $12,000
2013	$8,500 x 1 = $8,500	$8,000 x 1 = $8,000
2014	$8,500 x 1 = $8,500	$4,000 x 1 = $4,000
2015	$8,500 x 1 = $8,500	$2,000 x 1 = $2,000
2016	$8,500 x 1 = $8,500	-----
Incentive Per EP	$63,750	$44,000
Incentives	$63,750	$44,000

If you practice work in a group and would like to know your whole group's incentive payment amount, please enter the total number of EPs participating in your Group's Practice.

The last year to register is 2016; Incentives are the same regardless of the EPs start year;
Incentives are over 6 years; Incentives continue through 2021;
EPs may skip a year and still be eligible for payment;
Required to demonstrate MU in each subsequent year to qualify for incentive.

Notes:

Without a doubt the incentive program of choice for most Eligible Professionals (EPs) is Medicaid.

Federal Incentives Calculator

Sorry, you are NOT currently eligible to receive EHR Incentive payments under the Medicaid EHR Incentive Program as you must have more than 30 % of your patient encounters be Medicaid

Meaningful Use Payment Calculator for Eligible Professionals

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