Archive for the ‘Meaningful Use’ Category

EHR Incentive Payment Audits

January 31, 2013

EHR Incentive Payment Audits

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 authorized the implementation of the Texas Medicaid Electronic Health Record (EHR) Incentive Program. The Medicaid/CHIP Division of the Texas Health and Human Services Commission (HHSC) began making incentive payments to eligible providers and eligible hospitals in 2011 for the adoption, implementation, upgrade, and meaningful use of certified electronic health record technology.

The HITECH Act requires states to conduct audits of payments to providers and hospitals participating in the incentive program. HHSC has contracted with the CPA firm of Davila, Buschhorn & Associates, P.C. to conduct audits of incentive payments on behalf of the State.

Representatives of Davila, Buschhorn & Associates, P.C. will be contacting providers who have been selected for audit. If you receive a notice of audit, please respond within ten (10) days with all requested information. The information you provide will be used for the sole purpose of the Texas Medicaid EHR Incentive Program audits.


Steps to Avoid EHR Incentive Payment Delays

January 24, 2013

Eligible professionals who want payments assigned directly to them must have Social Security number on file with TMHP

Eligible professionals (EPs should be aware of the following before beginning enrollment in the Texas Medicaid Electronic Health Record (EHR) Incentive Program:

If you will be assigning the incentive payment to yourself, your Social Security number (SSN) MUST be on file with TMHP and linked to your Texas Provider Identifier (TPI).

To verify that your SSN is on file with TMHP, send an email to with your name and individual National Provider Identifier (NPI).

If your SSN is not on file with TMHP before you begin your enrollment in the program, your incentive payment will be delayed.

EHR Incentive Program Overview

January 17, 2013

Under the provisions of the HITECH Act, State Medicaid programs are establishing EHR Incentive Programs.  These programs provide for incentive payments to certain health care professionals and hospitals that meet specific eligibility requirements when they adopt, implement, and meaningfully use certified EHR technology. To be eligible for incentive programs, health care professionals and hospitals must fall within the defined classifications and meet minimum Medicaid patient volume thresholds. Providers can determine whether they are eligible at this link.

Eligible professionals and hospitals must also meet meaningful use criteria.  Over time, meaningful use criteria will be broadened.  Minimally, a meaningful user of certified EHR technology must meet these three requirements:

  • Demonstrate use of certified EHR technology in a meaningful manner, including e-prescribing
  • Demonstrate connectivity to other providers to improve access to the full view of a patient’s health history
  • Use certified EHR technology to submit, in a form and manner specified by the Secretary of HHS, information on clinical quality measures and other measures

The final rule on specific meaningful use criteria was released on July 13, 2010.  It outlines in greater detail what participating providers will need to do to qualify for the Medicaid EHR incentive payments. The final rule can be reviewed:

Meaningful Use Deadline…

February 14, 2012

Physicians who met the reporting requirements for Medicare’s meaningful use program for electronic health records (EHR) in 2011 have until February 29, 2012 to register and attest to meeting meaningful use requirements to receive payments for 2011 through the Medicare & Medicaid EHR Incentive Program Registration and Attestation System.

February 29, 2012 also is the deadline to submit any pending Medicare Part B claims from 2011, as the Centers for Medicare & Medicaid Services (CMS) allows 60 days after December 31, 2011, for all pending claims to be processed.