Questions Contact us: Spring Medical Systems, Inc' 281 5370186

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Questions? Contact us Spring Medical Systems,
Inc. [phone]
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HITECH, ARRA, StimulusWhat does it all mean?
Systematically Saving Lives Every Day!

• Jack B. Smyth
• President and CEO
• Spring Medical Systems

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What is the stimulus

• ARRA The American Recovery and Reinvestment Act
  of 2009
• HITECH The section of ARRA that deals with EHR
  bonus payments
• The HIT provisions of the Recovery Act are found
  primarily in Title XIII, Division A, Health
  Information Technology, and in Title IV of
  Division B, Medicare and Medicaid Health
  Information Technology.  These titles together
  are cited as the Health Information Technology
  for Economic and Clinical Health Act or the
  HITECH Act.
• In general, physicians can qualify for up to
  44,000 from Medicare or up to 65,000 from
  Medicaid if they are using a certified EHR in a
  meaningful way
• The terms certified and meaningful way will
  be defined by the Secretary of HHS by December
  31, 2009 BY LAW!

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What does Certified mean under ARRA?

• Certified The certification process will
  restart this fall with CCHIT and another
  organization doing the certification. We expect
  the criteria to be based on CCHIT 2008 with
  additional requirements for enhanced
  interoperability. We also expect the government
  will make it relative easy for currently
  certified products to achieve the new
  certification.
• SpringCharts and certification SpringCharts
  is currently certified. Our certification has
  recently been extended to July 29, 2010 so we can
  re-certify SpringCharts under the new rules
  before our current certification expires. We
  will not be releasing an ARRA certified product
  until the certification and meaningful use
  definitions are complete. We expect this to be
  early in 2010 so physicians can qualify for 2011
  stimulus payments.

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What is Meaningful Use?

• Meaningful Use The HIT Policy Committee has
  issued two recommendations for the definition of
  meaningful use. The first was sent back to
  committee and the second has been accepted but
  now needs be translated into a regulation by HHS.
• You can find the Meaningful Use Matrix in the
  links area of our stimulus web page but we
  recommend you not try to translate what has been
  published as preliminary materials into the final
  requirements. We expect the final regulations to
  be greatly simplified. The first objective is to
  increase EHR adoption, the second is to improve
  care and the third is to reduce costs.
• "The major parameters are actually written into
  the bill. It has to be a certified EHR, it has to
  include e-prescribing, it has to be able to
  exchange information and it has to be able to
  report quality data., Mark Leavitt, President
  CEO of CCHIT.

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The Medicare Payment Grid
for providers in a health professional shortage
area (HPSA), payment amounts will be increased
by 10 Penalties start in 2015 for providers who
have not yet adopted.
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Who can qualify for the bonus payments?

• Physicians Every physician, as defined below,
  can qualify for the payments. It is not per
  practice, it is per physician. Also the amount
  of bonus payments is not tied to the cost of the
  system. The only limitation is 75 of Medicare
  reimbursements each year. So each physician can
  claim up to 75 of Medicare reimbursements up to
  the amount on the preceding Payment Grid.
• Definition of Physician In ARRA only "eligible
  professionals" can get reimbursements.  ARRA then
  states (C) ELIGIBLE PROFESSIONAL.The term
  eligible professional means a physician, as
  defined in section 1861(r). Section
  1861(r) refers to a Section of the Social
  Security Act, which defines the term physician
  as a doctor of medicine or osteopathy, a doctor
  of dental surgery or of dental medicine, a doctor
  of podiatric medicine, a doctor of optometry, or
  a chiropractor. The complete definition can be
  found on the stimulus page of our website. (NOTE
  Definitions for eligible professionals for
  Medicaid are different.)

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Can any vendor guarantee the bonus payments?

• NO! Even if someone knows the criteria for
  certification and meaningful use, the physician
  has to use the EHR in a meaningful way to qualify
  for the payments. The only thing a vendor can do
  is make sure the product is certified, that it
  has all of the elements that are needed for
  proving meaningful use and provide guidance on
  how a physician can qualify for the payments.
• Spring Medical has committed in writing that
  SpringCharts EHR will be certified The CEO
  letter found on our Stimulus page has the
  information about our commitment to standards and
  our assurance that our product will meet the ARRA
  requirements.

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Timeline for ARRA

• Certified and Meaningful Use Regarding timing
  HHS states, "Over the next several months, CMS
  will be working closely with the Office of the
  National Coordinator and other parts of HHS to
  develop the regulations that will govern the
  initial year of the incentives programs,
  including a definition of meaningful use for
  2011.  The proposed rule, with a 60-day period
  for public comment, is targeted for publication
  in late 2009."
• SpringCharts Version 10 (ARRA Certified) We
  expect to release Version 10 in the first quarter
  of 2010. Any customer up to date on their
  Maintenance Agreement or Updates Upgrades
  Agreement payments will get the upgrade to V10 at
  no charge. All other customers will have to pay
  for the upgrade.
• SpringCharts Data Analysis Reporting We are
  working on a very robust data analysis and
  reporting tool that will provide automated PQRI
  reports as well as provide automated quality
  reports for to qualify for meaningful use. This
  feature will be an extra charge option with
  associated annual fees. To qualify for
  meaningful use a practice may have to purchase
  SpringCharts Data Analysis and Reporting.

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Reference resources

• SMSI home page and stimulus section More
  information can be found on our home page and the
  new stimulus section of our website. Included are
  a FAQ for doctors, links to relevant websites so
  doctors can read the latest information available
  on ARRA and HITECH, and many pages of our
  analysis of the status of the stimulus program
  and the steps a doctor needs to take to be ready
  to qualify for the stimulus monies.

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Why should a practice buy SpringCharts today?

• Meaningful Use may require time in use to
  qualify a practice There has been talk of a
  time factor involved in proving meaningful use.
  So a practice may need to be actively using their
  EHR for as many as 6 months before they can
  qualify. Regardless, practices should start
  using a certified EHR today.
• Our industry doesnt have the capacity to install
  and train tens of thousands of practices If
  doctors wait, there will be a huge backlog. The
  backlog with most companies in the industry will
  be as much as 6 to 9 months. If a doctor waits,
  they may not be installed in time to qualify for
  2011 payments.
• A doctor can take advantage of our Stimulus
  Solution Lease and pay for SpringCharts when they
  start getting payments from the stimulus No
  payments for the first 90 days, 24 months of low
  payments, 36 months of higher payments after the
  stimulus monies start coming in.
• See next slide for details.

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SpringCharts Stimulus Solution Lease
Need to implement an EHR solution in your
practice but dont know how you can afford it?
Spring Medical has the answer install
SpringCharts EHR in your practice today and
qualify for the 2011 proposed stimulus monies to
pay for it. Spring Medical has created a leasing
program to allow you to start seeing the workflow
efficiencies and cost savings of SpringCharts EHR
and pay for it later. The Spring Medical Stimulus
Solution provides a payment plan that matches
your out-of-pocket payments to the stimulus
reimbursement schedule.
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Final slide!

• Talk to one of our 240 Value Added Resellers
  TODAY! You can find a list of our VARs located
  across the country. Call any one of them to get
  more information on SpringCharts EHR.
• Join us on one of our bi-weekly public demos
  Find information here http//www.springmedical.c
  om/InternetDocDemo.html
• Download a complete working copy of SpringCharts
  TODAY! SpringCharts is so easy to use, we allow
  anyone to download a complete working copy so
  they can try it out before they buy it. Click on
  this link to download a copy http//www.springme
  dical.com/scdemo.html

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Join the over 1,500 physicians using SpringCharts!
Questions? Contact us Spring Medical Systems,
Inc. [phone] [phone] info_at_springmedi
cal.com www.springmedical.com