WHAT IS THE MEDICARE PAYMENT PLAN?

2. WHAT IS THE MEDICARE PAYMENT PLAN? ARE THERE ADDITIONAL PAYMENTS FOR MEDICAID? • The Medicaid EHR Incentive Program is voluntarily offered by individual states and territories and may begin as early as 2011, depending on the state. • Eligible professionals can receive up to $63,750 over the six years that they choose to participate in the program.

3. WHO CAN RECEIVE PAYMENT? • Incentive payments for eligible professionals are based on individual practitioners. • If you are part of a practice, each eligible professional may qualify for an incentive payment if each eligible professional successfully demonstrates meaningful use of certified EHR technology. • Each eligible professional is only eligible for one incentive payment per year, regardless of how many practices or locations at which he or she provide services.

4. Who is an Eligible Professional under theMedicareEHR Incentive Program? √ Doctor of medicine or osteopathy √ Doctor of podiatry √ Doctor of optometry √ Chiropractor Who is an Eligible Professional under theMedicaidEHR Incentive Program? √ Physicians √ Nurse practitioner √ Certified nurse-midwife √ Dentist √ Physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant.

5. WHAT ARE THE MEDICAID REQUIREMENTS TO QUALIFY? To qualify for an incentive payment under the Medicaid EHR Incentive Program, an eligible professional must meet one of the following criteria: •Have a minimum 30% Medicaid patient volume* •Have a minimum 20% Medicaid patient volume, and is a pediatrician* •Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30% patient volume attributable to needy individuals

6. WHERE DO YOU START? 1 Visit the EHR Incentive Program Website for Overview https://www.cms.gov/EHRIncentivePrograms/01_Overview.asp#TopOfPage 2 Review the Registration Guide https://www.cms.gov/EHRIncentivePrograms/Downloads/EHRMedicareEP_RegistrationUserGuide.pdf 3 Register with PECOS https://pecos.cms.hhs.gov/pecos/login.do 4 Attest to use of a certified EHR. 5 By April 2011, attest to 80% of patients have documentation in certified EHR. By April 2011 attest to meeting Meaningful Use core objective set and menu set of objectives that are specific to eligible professionals . 6

7. What are the requirements for Stage 1 of Meaningful Use (2011 and 2012)? For eligible professionals, there are a total of 25 meaningful use objectives.  To qualify for an incentive payment, 20 of these 25 objectives must be met. There are 15 required core objectives. The remaining 5 objectives may be chosen from the list of 10 menu set objectives. To Review the specific requirements, go to https://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdf

8. WHAT OPTIONS ARE AVAILABLE IN CODONIX TO BE ELIGIBLE • Option #1 – Non Participation in the EHR Incentive Program • Facility will not be participating in the EHR Incentive Program. • No further action is required. • Monthly payments to CodoniX will not change. • Total Cost = 0

9. WHAT OPTIONS ARE AVAILABLE IN CODONIX TO BE ELIGIBLE • Option #2 – Self Directed Participation in the EHR Incentive Program • Facility will participate in the EHR Incentive Program. • Facility will sign up for E-Prescribing. The fee for E-Prescribing is • $650 annually per 1 Full Time Equivalent. Facility will be billed • annually for use of the E-Prescribing features. • Facility will research the items to be enforced and direct staff in adhering • to requirements. Facility will be managing implemention of the items to • be addressed. • Reporting objectives and requirements will be done manually by facility. • Requests for customizations or support by CodoniX to meet objectives • and requirements will be billed at a rate of $100 per hour. • Total Cost = $650 annually plus customizations at $100/per hour

10. WHAT OPTIONS ARE AVAILABLE IN CODONIX TO BE ELIGIBLE • Option #3 – CodoniX configured participation in EHR Incentive Program • Facility will participate in the EHR Incentive Program. • CodoniX will configure the system and recommend the items you will • need to enforce and be compliant with. This package includes: • Enrollment in E-Prescribing. The fee for E-Prescribing is $650 • annually per 1 Full Time Equivalent. Facility will be billed annually • for use of the E-Prescribing features after the first year. • Structured configuration to your site to ensure you meet the • Core 15 objectives. • Structured configuration to your site to ensure you meet the • CMS Menu Set objectives. • Structured configuration to your site to ensure you meet at least • 6 Clinical Quality Measures. • A 30 day audit review to determine if your end user community • is compliant with the percentages necessary to prove • meaningful use. • Setup to receive 15 monthly reports (deposited to a secure • FTP site for your facility) showing your compliance for the • 15 core objectives. • Total Cost = $2150 includes 1 year of E-Prescribing