Physicians working in ASCs, hospitals may still be eligible for EHR bonus

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes CMS responses to questions about who may participate in the Electronic Health Record (EHR) Incentive Program when practice settings do not fit a simple hospital-versus-nonhospital framework. It is intended for physicians, facility administrators, and coding or reimbursement professionals who need a general understanding of EHR incentive eligibility, hospital-based status, and how program guidance may apply across ambulatory surgery centers and other practice locations.

Why This Topic Matters

Understanding EHR incentive eligibility affects whether certain clinicians or facilities may qualify for payments and how CMS distinguishes hospital-based from non-hospital-based professionals. The article helps readers identify the type of provider situations CMS addressed and why practice setting can affect program participation.

Article Sections

  1. CMS guidance on EHR incentive eligibility

    An overview of the program eligibility question and the provider situations CMS addressed. The section frames the discussion around hospitals, physicians, and practice settings that do not fit neatly into standard categories.

  2. Ambulatory surgery centers and eligible professionals

    Discussion of whether ambulatory surgery centers are part of the program and how professionals working in those settings may be treated. The section also touches on how incentive payments relate to provider and facility arrangements.

  3. Hospital-based status and anesthesiology

    CMS guidance on how hospital-based status is evaluated for certain physicians, including those who may practice in more than one setting. The section addresses how the program distinguishes between settings for eligibility determinations.

  4. Meaningful use objectives that may not apply to every provider

    General guidance that some objectives may not be relevant for all provider types. The section gives broad examples of provider categories referenced by CMS without detailing specific coding or reporting instructions.

What You Will Learn

  • How CMS approaches EHR incentive program eligibility for physicians in different practice settings
  • What general issues arise for professionals working in ambulatory surgery centers
  • How hospital-based status is considered in Medicare and Medicaid EHR incentive programs
  • Why some meaningful use objectives may not apply uniformly to all providers

Who Should Read This

  • Physicians
  • Hospital administrators
  • Ambulatory surgery center administrators
  • Billing and reimbursement staff
  • Practice managers

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