ARRA $24,000 EHR Stimulus Facts

The short version

 American Recovery & Reinvestment (ARRA) HITECH Act is intended to ensure that patient data can be securely exchanged between health information professional and networks.  It mandates the adoption of EHR systems, encouraging early adoption with incentives and punishing late adoption with penalties. Nearly 20 billion dollars have been allocated as incentives to doctors’ demonstrating “meaningful use” of certified technology solutions.

ARRA and Chiropractic
Chiropractors are eligible to receive incentive payments (up to $24,000) per provider on Medicare Part B claims.

Answers to Chiropractors Top Questions about the $24,000 ARRA Stimulus
What is attesting and reporting?

Reporting is the “reporting period,” during which you maintain compliance with the Meaningful Use objectives. Attesting is the process of submitting compliant results from the reporting period to Medicare.

What does it mean when I hear the term “Meaningful Use”?

The Meaningful Use Objectives are the data points to which the certified EHR software is tested and which a provider uses to show use of the EHR software.

» Click here for more on Meaningful Use.

Which Stage of EHR do I participate in if 2011 or 2012 was my first reporting period?

You participate in Stage 2.

Which Stage of EHR do I participate in if 2013 was my first reporting period?

You participate in Stage 1.  All participants complete two years of Stage 1 before Stage 2.

How long is my reporting period for 2014?

All participants report for a 90-day period in 2014 regardless of their year of participating.

May I participate if I am a non-participating provider to Medicare and patients pay me and Medicare/insurance reimburses them?

Yes. You may participate if you submit claims to Medicare for Part B physician fee schedule services on behalf of Medicare patients.

Is there a minimum quantity of Medicare patients or minimum amount of charges required to participate?

There is no minimum requirement.

My group has three chiropractors. Can each chiropractor qualify for incentive payments?

Yes, as long as each doctor demonstrates “meaningful use” of a “certified” solution.

Will a chiropractor be penalized for not utilizing a certified EHR by 2015?

YES! If chiropractors have not implemented and used a certified solution by 2015 their Medicare payments will be reduced by 1% in 2015; 2% in 2016; and 3% in 2017. Penalties could reach 4% or even 5% if fewer than 75 percent of eligible professionals have not adopted EHR solutions by 2018.

Is there a deadline for first time participants to get started with certified EHR in 2014?

First-time participants complete any 90 days in 2014.  Participants must begin their 90-day reporting period no later than July 1 and attest to meaningful use no later than October 1, 2014 to avoid a 1% payment adjustment of Medicare in 2015.

What do I receive when I purchase the RAPID Certification Module?
  1. The RAPID EHR software certified by a government accredited testing agency.
  2. A unique industry Guarantee that you will receive stimulus dollars.
  3. The RAPID certified EHR software Unique Identifier Number for the CMS registration and attestation for incentive payments.
  4. All reports required to successfully attest for the incentive payments are included in the certified RAPID EHR software.
How can Chiropractors earn an incentive payment in 2014?
  1. You earn an incentive payment from the Centers of Medicare and Medicaid (CMS) calculated as 75% of your annual Medicare collections in 2014, up to a maximum payment of $12,000.
  2. You must show “Meaningful Use” of a certified EHR for a minimum of 90 days in 2014.
  3. You complete a CMS online form attesting the use of the EHR.



Download Stimulus Overview (PDF)





Want to Know More…

Steps to Claiming ARRA EHR Stimulus