Great pickup, Paul! The only thing that the site fails to mention is the total cost of "meaningful use", which will include the reporting, and the lost time using eRx and using the more clunky CCHIT-bloated areas of the EHR.
Haven't done the math? I did (it's about $300000.00 over 5 years for the typical c-EHR license, slightly less for use of AC)- check it out here:
http://www.hcplive.com/mdnglive/articles/PC_Medicare_HIT_mandateAlso, as Medicare begins to run out of money over the next 8 years, they will ask for more reporting just when they will begin to ratchet down reimbursements precipitously. Somehow, I don't see these 2 forces (HITECH and decreased payments) synergistically working well in the typical medical office.
Al