Thank you for the responses. I have found few subspecialists in my community that have a direct email address or even know what it is. After the first two years of Meaningless Use we gave up on participating because it wasn't worth the time. Since we did not participate in 2015 my practice received a notice that there would be a 2% reduction in Medicare Payments. So, we decided to give it another try. Many of the requirements will be very difficult to meet. No surprise to anyone that charting for Meaningless Use takes a lot more time. Supposedly Meaningless Use will be replaced. I'm not holding my breath waiting for that to happen. Have you ever know government bureaucrats to give up a program?