Penalty for Failure to use EMR — CMS doing the right thing for patients

scoffing

Physicians scoff at rules requiring them to use electronic records and now they must pay the penalty.

Melinda Beck reported in the Wall Street Journal 12/18/14 “Medicare to Cut Payments to Some Doctors, Hospitals”.  Of the 893,851 physicians in the US, Ms. Beck reports 257,000 will be fined 1% of their Medicare fees for failure to adequately use an electronic medical record.

For example, the technically challenged doctors have failed to use electronic prescriptions, favoring instead marginally-legible  hand-written prescriptions.  And, they undoubtedly harmed patients by not taking advantage of allergy and interaction checks that are part of electronic prescribing.

AMA president-elect Steven J. Stack is reported as saying he was “appalled” by the government action.  Every physician, obviously excluding Mr. Stack, was informed 5 years ago that fines would be imposed in 2014 by Medicare if physicians that bill Medicare fail to use electronic records in a meaningful way.

Why would a rational physician choose not to use an electronic record…?

  • Because North Korea might hack the system
  • Because the government told them to use an EMR (they give orders, not take them)
  • Because they will be retiring soon and won’t need to learn about computers (the real reason)
  • Because they will need to pay for a system to help patients
  • Because young physicians want the systems, older physicians say no to all this newfangled stuff.
  • Because a an electronic record might be used in court against them.

There you have it — a detailed explanation.  Appalling, don’t you agree?

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