Eight out of 10 eligible hospitals and 58% of eligible physicians and other medical professionals have received payments totaling $15.5 billion under the federal electronic health record incentive payment program, according to the latest CMS data.
Through June, 4,024 hospitals have shared nearly $9.2 billion dollars to adopt, implement, upgrade and/or meaningfully use certified EHRs under the Medicaid and Medicare EHR incentive payment programs created by the American Recovery and Reinvestment Act of 2009.
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Stepped-up federal funding resulted in more seniors receiving training in how to stop Medicare fraud in 2012, but the latest annual survey of the $20 million program shows it produced $134,000 in actual savings.
Many illegal schemes rely on seniors who aren't savvy in how fraudsters and opportunists can use Medicare numbers to bill for care and equipment that is unneeded or never delivered. The Obama administration greatly increased the funding in 2010, 2011 and 2012 to bolster the so-called Senior Medicare Patrol program, which educates them with a branch in each U.S. state, plus Washington, D.C. and three territories.
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Mostashari
CMS officials pushed back Wednesday on Republican suggestions that a pause is needed in the electronic health-record incentive program.
“A pause in the program would stall the progress that's been hard fought,” Dr. Farzad Mostashari, national coordinator for health information technology, said at a Wednesday hearing on the program by the Senate Finance Committee.
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Instantaneous eligibility determination for exchange subsidies or Medicaid will not happen on Oct. 1 because of the Obama administration's decision to put off for one year requiring employers to report their employee health coverage, as well as a CMS-proposed rule published Friday loosening verification of individuals' income for the purpose of federal insurance subsidies.
In 2014, eligibility evaluations for premium tax credits and Medicaid eligibility will be based on the “honor system,” and will be performed manually by the state exchanges, rather than being based on IRS data provided to the exchanges through the new federal data hub. Experts say this will increase staff costs to manually determine eligibility. And it may increase fraud as well, thus costing the federal government more in premium subsidies.
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