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What are the promises and realities of an EHR

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jessyp:
According to a New York Times analysis of Medicare data from American Hospital Directory, Medicare payments increased by 47% for hospitals that received government incentives for adopting EHRs. EHR also plays a vital role in enhancing quality of work and productivity of coders as it gives them a chance to access their work remotely.

Jessica Parker
http://www.medicalbillersandcoders.com 

shanbull:
We went electronic in 2006, it is illegal here now to not have EHR and electronic claims submission according to state law. EHR solves some inefficiencies, but creates new ones. I think overall, most EHR software is released for public use LONG before it should be allowed out of beta testing.

PMRNC:


--- Quote ---We went electronic in 2006, it is illegal here now to not have EHR and electronic claims submission according to state law. EHR solves some inefficiencies, but creates new ones. I think overall, most EHR software is released for public use LONG before it should be allowed out of beta testing.
--- End quote ---

I have to question that it's illegal NOT to have an EHR. The federal mandate doesn't even force it upon providers who do not see Medicare/Medicaid patients. That's getting into some sticky waters of "fair trade" to force doctors to use EHR before the federal mandate PLUS ALL Doctors? I'd have to see this law to believe it.

shanbull:
Here is the EHR law: http://www.health.state.mn.us/e-health/hitimp/ (apparently it's not "mandatory" until 1/1/15)


--- Quote ---62J.495 ELECTRONIC HEALTH RECORD TECHNOLOGY.
Subdivision 1.Implementation. By January 1, 2015, all hospitals and health care providers must have in place an interoperable electronic health records system within their hospital system or clinical practice setting. The commissioner of health, in consultation with the e-Health Advisory Committee, shall develop a statewide plan to meet this goal, including uniform standards to be used for the interoperable system for sharing and synchronizing patient data across systems. The standards must be compatible with federal efforts. The uniform standards must be developed by January 1, 2009, and updated on an ongoing basis. The commissioner shall include an update on standards development as part of an annual report to the legislature.
--- End quote ---

And the electronic claims law: https://www.revisor.leg.state.mn.us/statutes/?id=62j.536


--- Quote ---(g) Notwithstanding any other provisions in sections 62J.50 to 62J.61, all group purchasers and health care providers must exchange claims and eligibility information electronically using the transactions, companion guides, implementation guides, and timelines required under this subdivision.
--- End quote ---

PMRNC:

--- Quote ---Here is the EHR law: http://www.health.state.mn.us/e-health/hitimp/ (apparently it's not "mandatory" until 1/1/15)
--- End quote ---

This is one slinky dinky law..LOL In this section:

The statute defines a health care provider, through Minnesota Statute
§62J.03 (Definitions), as “a person or organization other than a nursing home that provides health care or medical care services within Minnesota for a fee and is eligible for reimbursement under the medical assistance program”

Then you have this one:

Minn DH understands the §62J.03 portion of the 2015 Interoperable EHR Mandate to include any health care provider who provides a service that could be
reimbursed by Medical Assistance or MinnesotaCare, whether or not the provider accepts these patients or accepts payment for the service.

How are physicians liking the fact that whether they take medical assistance (Medicaid) or not they are forced into EHR?? This ONE statute seems to be very contradictory.

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