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Providers must attest to meaningful use stage 1 for two years before moving onto stage 2, and attest to stage 2 for two years before tackling stage 3. The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ON) establish all criteria.
Meaningful Use was defined by the use of certified EHR technology in a meaningful manner (for example electronic prescribing). Ensuring that the certified EHR technology connects in a manner that provides for the electronic exchange of health information to improve the quality of care.
The overall goal of the Meaningful Use program is to promote the widespread adoption of electronic health records systems, ultimately creating an infrastructure that improves the quality, safety and efficiency of patient care in the United States.
The Recovery Act specifies three main components of meaningful use: The use of a certified EHR in a meaningful manner, the use of certified EHR technology for electronic exchange of health information to improve quality of health care and the use of certified EHR technology to submit clinical quality and other measures
Information on how to apply for a hardship exception is posted on the CMS EHR Incentive Programs website (https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html).
The Promoting Interoperability Programs (previously known as The Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs) will provide incentive payments to eligible professionals and eligible hospitals as they demonstrate adoption, implementation, upgrading, or meaningful use of certified EHR
Key Differences Between the Medicare and Medicaid EHR Incentive Programs. Program Administration: The Medicare EHR Incentive Program is administered by the federal government. The Medicaid EHR Incentive Program is administered by states and is voluntary for states to implement.
Promoting Interoperability (PI) Definition Promoting Interoperability is the most recent manifestation of the original Meaningful Use program that was designed by CMS to encourage healthcare providers to demonstrate effective use of certified EHR technology. Using certified EHR in a meaningful manner.

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