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WALLSTREETFIGHTER
WALLSTREETFIGHTER, Attorney
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Experience:  14 years experience in representing clients, current member of legalshield, legal club of america, NYSUT and UFT attorney
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What happens if a doctor in the state of Maryland (a plastic

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What happens if a doctor in the state of Maryland (a plastic surgeon who participates with Medicare and other insurances) purchases an EMR, fulfills the necessary requirements for the first year, receives a reimbursement in the amount of $18,000.00 from Medicare, and then decides not to use the EMR any more? Does the physician have to return the money that he was paid for the EMR to Medicare?

WALLSTREETLAW :

Hello I am a licensed attorney. I am here to help answer your questions. Please do not hesitate to ask for clarification

WALLSTREETLAW :

If a physician accepts payments, but does not demonstrate use of the system, penalties can be assessed, as payments for the use are given during the first years,

WALLSTREETLAW :

In order to qualify for the Stimulus incentive payments, doctors have to demonstrate three things:



  • Purchase /use of a “certified” EHR product (meeting HHS standards) that has an ePrescription capability

  • Connected access to a patient’s full health history via electronic connectivity to other health providers

  • The ability to report on the providers technology use to HHS

WALLSTREETLAW :

The HiTech Act allocates $36 billion for incentive payments to healthcare providers who demonstrate use of Electronic Health Records (EHR). There are two allocation programs, one for physicians who have many Medicaid patients, and a second program for those who accept Medicare.


Medicaid providers: Doctors in practices where 30% percent of their patients pay via Medicaid, are eligible for a payment of $64,000 over five years. (for pediatricians, the required percentage of Medicaid patients is only 20%)


Medicare providers: Doctors who accept Medicare patients (even if they do not accept Medicaid) can receive payment of up to $44,000 over five years.

WALLSTREETLAW :

Since the incentive is for five years, if the doctor stops using the EMR, they can face significant penalties.

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