The PIPP pays up to $63,750 per EP during the six years of the EP’s participation. An EP can begin participating at any time during the period 2011 – 2016 to receive the full reimbursement amount by the time the program ends in 2021. The EHR incentive payment is on an individual EP basis, not per group practice or clinic. However, the EP can have the EHR incentive payment directed to the group practice or clinic.
Pediatricians have the opportunity to meet a lower patient volume threshold in order to participate in PIPP, but in doing so, will receive a lower EHR Incentive payment amount. Pediatricians who have a minimum patient volume threshold of at least 20% but less than 30% may qualify for the EHR Incentive Program. However, a pediatrician is able to receive the full EHR Incentive payment amount by meeting the 30% minimum patient threshold requirement. See the following table.
An EH that is enrolled in PIPP as a dual-eligible hospital can receive EHR Incentive payments from both Medicare and TennCare Medicaid. Incentive payments to EHs under both programs are derived from a base payment of $2 million, which is adjusted for total discharges, and the applicable Medicare or TennCare Medicaid share of case mix. TennCare Medicaid is making EHR incentive payments to qualifying EHs over a three-year period, with CMS approval.