What happens if you attest/qualify the first year and then drop out of MU?
Does the government ask for the money back?

I am torn on MU. I know EMR's are the way we will practice in the future yet to do MU means spending a ton more time on documentation and not necessarily to the improvement of care for the patient.
A good spreadsheet/problem sheet/summary sheet (printed) still works better for me then going through all the prevention screens. That is one complaint I have with AC (using it since 2008 and now using ver 6.09). I can't find a simple free text or easily formatted screen to enter patient summary information in the format that works for me. Problem lists based on ICD 9 codes don't help you enter the details/nuances of someone's diagnoses. And I'm not that old in practice - just old school.