Take Action to Avoid a Medicare Meaningful Use Penalty

While Medicaid does not penalize physicians who are not meaningful users of their electronic health record (EHR), Medicare does.  

Physicians participating in the Medicaid meaningful use program must prove 30-percent volume of Medicaid encounters each year to continue participation, and through Medicaid participation, physicians avoid a penalty on their Medicare allowable charges. The meaningful use program allowed physicians to switch between the Medicare and Medicaid meaningful use program one time before 2014. There are steps physicians need to take if they're no longer eligible for Medicaid meaningful use but need to take action to prevent a Medicare penalty. 

The Centers for Medicare & Medicaid Services (CMS) has an alternate attestation method for physicians who can't qualify for a Medicaid payment and who can't switch back to Medicare, but who still need to attest to meaningful use to avoid the Medicare penalties. Last year, CMS had a paper form to accomplish this. For the 2015 payment year, it will be through the CMS Medicare attestation portal

The CMS portal is available for modified Stage 2 meaningful use attestations as of Jan. 4, and physicians have until Feb. 29, 2016, to complete their attestations. TMA recommends you not wait until the last minute in case system problems arise.    

For questions on meaningful use or other practice technologies, contact TMA's Health Information Technology Department by email or by calling (800) 880-5720. 

Action, Jan. 5, 2016

Last Updated On

December 28, 2015

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