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Certified EHR

The purpose of a Final Rule certified EMR / EHR is to understand the 2011 Ambulatory EHR criteria, the certification is designed to explain the benefits of certification and what else is needed to consider when physicians are choosing EHR or Electronic Medical Records Software. Every year a new concise guide to certification provides a new criteria and shows how certification of EHRs ensures that the EHR solution is a qualified electronic health records software under ARRA. These criterias will be further adjusted to meet the final 2011 meaningful use objectives required by HHS.

Qualified Physicians

Some of the requirements to qualify for the American Recovery and Reinvestment Act (ARRA), EHR Electronic Health Records, EMR Electronic Medical Records incentives:

- Provider for Medicare or Medicaid;
- Be a meaningful EHR user
- Physicians must qualify
- Proves to have implemented a qualified EHR software and be interoperable

Physicians with a qualified EHR, qualified EMR in place before 2011 or 2012 will be eligible for the maximum Medicare incentive payments allowed by the stimulus package. Doctors who have not adopted an EHR before 2015 and who fail to obtain a hardship exemption will see a 1% cut to Medicare pay, a reduction that phases up to 3% for 2017 and remains each year after that.

e-Prescribing / PQRI

The inclusion of e- prescribing in the Medicare Modernization Act says that in 2009 and 2010, physicians who are using e-prescribing could receive an incentive payment of 2 percent of their overall Medicare reimbursement much as physicians who successfully report measures (one of which addresses e-prescribing) in the Physician Quality Reporting Initiative (PQRI) may receive a 1.5 percent bonus in 2007 and 2008. The PQRI bonus for 2009 has been increased to 2 percent.

In 2011, however, the reward for e-prescribing will begin to decrease, a fee for not using e-prescribing will begin in 2012. The e-prescribing incentive payment will be 1 percent in 2011 and 2012, and 0.5 percent in 2013. The fee for not using e-prescribing will be a reduction in Medicare reimbursement by 1 percent in 2012, 1.5 percent in 2013, and 2 percent in 2014.

EHR Section 179

Depreciation and Expenses 2010

Section 179 limits. The maximum expense deduction you can elect for qualified property you placed in service in tax years that begin in 2009 remains at $250,000 ($285,000 for qualified enterprise zone property and qualified renewal community property). This limit is reduced by the amount by which the cost of property placed in service in the tax year exceeds $800,000

Under the 2008 Economic Stimulus Act (ESA), you can take further advantage of the Section 179 expense allowance to write off the entire cost of your new and used Healthcare equipment purchases in 2010.
Specifically, the expense allowance has been temporarily increased from $128,000 to $250,000 for taxpayers with total capital investments of $800,000 or less. Equipment acquired with a capital lease ($1 purchase option) and placed into service by December 31, 2008 is eligible for the increased allowance.

Once EMR Stimulus Package has been awarded over the years ($44K - $64K), your EMR EHR Investment will net a profit, so it will be a FREE EMR EHR, and good business for you.

Final Criteria deadline December 31, 2009

EMR Software Stimulus Package

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