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Electronic Health Records

In 2008, less than 8% of chiropractors use an Electronic Health Records (EHr) system. EHr usage received a powerful boost in February 2009. President Obama’s stimulus package American Recovery and Reinvestment Act of 2009 (ARRA) provides powerful incentives to all the same healthcare provider covered by Medicare, except for providers in Hospitals.

In order for a chiropractor or other healthcare provider to get paid under the ARRA program certain criteria must be met:

1. The EHr must be certified by the Feds. The Feds have not determined the certification criteria yet. While CCHIT certification will probably be sufficient, stay tuned for the final rule. The EHr must contain:

a. includes patient demographic and clinical health information, such as medical history and problem lists;

b. has the capacity

(i) to provide clinical decision support;

(ii) to support physician order entry;

(iii) to capture and query information relevant to health care quality; and

(iv) to exchange electronic health information with, and integrate such information from other sources.

2. The provider must have meaningful usage of the EHr for each year the incentive pay is requested. Meaningful usage will most likely involve several criteria and compliance certification by a healthcare attorney should be sought for each year’s application.  Crabtree Law Firm can provide you a quote.

3. Here is the incentive pay schedule which totals $41,000 starting in 2011:

  • 2011- $15,000
  • 2012- $12,000
  • 2013- $8,000
  • 2014- $4,000
  • 2015- $2,000

We recommend that you get your clinic on an EHr system now to take advantage of the powerful incentives. Our sister company Clinic Doctor offers an EHr system that is undergoing the CCHIT certification process. We obviously have extensive experience background with EHr systems and their compliance.

Here is the entire ARRA bill:

The American Recovery and Reinvestment Act of 2009 (PDF – 407 pages) was created to jumpstart the economy, create or save millions of jobs, and put a down payment on addressing long-neglected challenges so our country can thrive in the 21st century. HHS is responsible for the implementation and management of health and human service Recovery Act programs.