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CHIME Voices Concerns About Proposed ARRA Regulations
Date:1/8/2010

fy for stimulus funding no longer will be eligible for the 2 percent bonus for reporting PQRI data.

The regulations also stipulate that hospital-based physicians are not eligible to receive stimulus payments. That creates a disincentive for healthcare systems and teaching programs from investing in ambulatory records systems for these physician groups.

CHIME also is concerned about the regulations’ burden on providers to demonstrate that they are using “certified EHR technology.” To receive Medicare and Medicaid incentive payments, providers must attest to CMS that the EHR system they use meets the statutory definition of a qualified EHR and has been “tested and certified in accordance with the certification program established by the National Coordinator.” CHIME is concerned that the certification process won’t be known until it is described in a forthcoming proposed rule from ONC, and that neither of the just-released CMS and ONC regulations provide for acceptance of previous CCHIT certification or allows for a transition time between when certification criteria are announced and when providers will be expected to use products certified to those criteria.

CHIME is conducting an intensive analysis of the regulations, primarily through the efforts of its Policy Steering Committee, which is composed of member CIOs who will closely examine the proposed regulations for their potential impact on widespread implementation of EHRs. CHIME also will survey members and seek their input on the regulations. CMS is soliciting comments on many issues. CHIME will submit public comments, and the organization encourages all concerned parties to comment on the proposed regulations as well.


About CHIME
The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers and other senior healthcare IT leaders. With more than 1
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