tci Medicare Compliance & Reimbursement - 2016 Issue 1

Industry Note: EHR Incentive Payments Are Valuable -- But Not This Valuable

Medical practices and facilities that used electronic health records (EHRs) anxiously awaited their incentive payments for adopting the new technology, but some hospitals collected way too much in bonus payments. That’s the word from a HHS Office of the Inspector-General (OIG) report that shines a light on what happens when a payer miscalculates the incentive formula. In the OIG report, Texas Made Incorrect Medicaid Electronic Health Record Incentive Payments, the agency says that Texas Medicaid overpaid 26 hospitals almost $14 million and underpaid another 12 facilities $1.4 million. Even worse, because the hospital calculation is computed just...

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