I am a Physiatrist practicing in SoCal and am trying to navigate the development of an EHR strategy using AC. Our challenge:
62% of my CMS patients are seen in Acute Rehab-Facility code 21. Not enough to secure CMS EHR exemption (90% code 21 or 23). The balance 37% of my CMS patient volume is seen in a Hospital based SNF and 1 external SNF-facility code 31. with less than 1% seen in office-facility code 11. All my clinical data (dictations, progress notes, labs etc...) are created outside my office and are faxed to help create my patient charts. Sooooooo....I dont qualify for EHR exmeption, possibly do qualify for EHR incentive (CMS wizard says maybe...but cannot get CMS to confirm) and am trying to determine:
1. Based on above should I deploy EHR plan?
2. if so how can all external clinical data from external sources sent in pdf form be used to populate MU fields in AC to have a chance at MU incentive?
3. Will MU be based on total CMS patient volumes or only 37% SNF or better yet 1% office?
I am certain CMS will imposs penalties when the time comes.....but as noted above can't determine what to target.
if we move ahead our achitecture looks to be:
Medisoft---X Link---AC---Updocs.
If anyone out there has similar issue..or can offer guidance or even clarification insight..I am keen to understand what approach may make best sense?
I would like to try and deploy and at least try and achieve MU this year to secure monies....
Sorry for length of post.
Up late on the left coast....
B/R
Roxanne Hon, M.D.
