1. THE TIME IS NOW TO TRANSITION TO ELECTRONIC HEALTH RECORDS 1 MedTech Enginuity Corp. “Where Medical Engineering & Ingenuity Meet.”

2. MSOs – A Provider’s Ally 2 For those physicians looking at the Medicare and Medicaid electronic health record (EHR) incentive programs, it pays to be prepared. Incentives are available to eligible physicians who "meaningfully use" a certified EHR – up tocertified EHR $44,000 under Medicare $63,750 under Medicaid.

3. In the United States, the HITECH Act promotes adoption of this technology by defining e-prescribing as one meaningful use of an electronic medical record.[10] Standards for transmitting, recording, and describing prescriptions have been developed by the National Council for Prescription Drug Programs, in particular the SCRIPT standard, which describes data formats. Elsewhere in the world, health care systems have been slower to adopt e-prescribing standards.[11]HITECH Actelectronic medical recordNational Council for Prescription Drug Programs SCRIPT Providers have a new ally to help them Adopt, Adapt, and Advance…MedTech Enginuity Corp., Service Partners, Management Service Organizations (MSOs) and Meaningful use Consultants We are more than just an EHR vendor: State designated in many States, partners with (RECs) Regional Extension Centers Local resources in each state Meaningful use specialist and attestation consultants Well-versed in a variety of EHR technologies, we are vendor agnostic MSOs – A Provider’s Ally 3

4. 4 4 Critical Items to implementing the correct EHR Software. #1 *ONC Certified EMR/EHR Software Please click on the link below to see if your software is ONC Certified http://oncchpl.force.com/ehrcert?q=chpl ■Health Information Technology Extension Program: A grant program to establish Health Information Technology Regional Extension Centers to offer technical assistance, guidance and information on best practices to support and accelerate health care providers’ efforts to become meaningful users of Electronic Health Records (EHRs).Health Information Technology Extension Program ■State Health Information Exchange Cooperative Agreement Program: A grant program to support States or State Designated Entities (SDEs) in establishing health information exchange (HIE) capability among healthcare providers and hospitals in their jurisdictions.State Health Information Exchange Cooperative Agreement Program ■Strategic Health IT Advanced Research Projects (SHARP) Program: A grant program to fund research focused on achieving breakthrough advances to address well-documented problems that have impeded adoption:Strategic Health IT Advanced Research Projects (SHARP) Program ■Security of Health Information Technology ■Patient-Centered Cognitive Support ■Healthcare Application and Network Platform Architectures ■Secondary Use of EHR Data 4

5. 4 Critical Items to implementing the correct EHR Software. #2: *E-Prescribing –Electronic prescribing or e-prescribing (e-Rx) is the computer-based electronic generation, transmission and filling of a medical prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. It outlines the ability to send error-free, accurate, and understandable prescriptions electronically from the healthcare provider to the pharmacy. E-prescribing is meant to reduce the risks associated with traditional prescription script writing. It is also one of the major reasons for the push for electronic medical records. By sharing medical prescription information, e-prescribing seeks to connect the patients team of healthcare providers to facilitate knowledgeable decision making.[1]medical prescriptionpharmacyelectronic medical records 4

6. 4 Critical Items to implementing the right EHR System #3: *Meaningful Use Reporting (Meaningful Use) (Meaningful Use 15 Core Measures 5 out of 10 Menu Measures Year 1, 90-day reporting period in same calendar year Year 2, 3, 4, 5 (6 for Medicaid Only) entire calendar year 4

7. 4 Critical Items to implementing the correct EHR Software. #4: *HIE Connectivity –Health information exchange (HIE) is defined as the mobilization of healthcare information electronically across organizations within a region, community or hospital system. HIE provides the capability to electronically move clinical information among disparate health care information systems while maintaining the meaning of the information being exchanged. The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer and more timely, efficient, effective, and equitable patient-centered care. HIE is also useful to public health authorities to assist in analyses of the health of the population.health carepublic healthanalyses of the health of the population HIE systems facilitate the efforts of physicians and clinicians to meet high standards of patient care through electronic participation in a patient's continuity of care with multiple providers. Secondary health care provider benefits include reduced expenses associated with:continuity of care ■the manual printing, scanning and faxing of documents, including paper and ink costs, as well as the maintenance of associated office machinery ■the physical mailing of patient charts and records, and phone communication to verify delivery of traditional communications, referrals, and test results ■the time and effort involved in recovering missing patient information, including any duplicate tests required to recover such information*Meaningful Use Reporting 4

8. Milestone 1 Policy Review In order for an Organization to achieve M1 –Do NOT need to be utilizing a Certified EHR –Providers must sign up with MSO for CRISP “Direct Assistance” –Must decide on EHR that meets criteria –Do NOT need to have entire Practice go live to get credit –Grant Credit first 1000 MD providers = Free Expired in 2011... –After Grant Credit $75 to $115 hour depending on support level required. 4

9. Milestone 2 Policy Review In order for an Organization to achieve M2 –Do NOT need to be utilizing a Certified EHR –Must meet the eRx of 40% over a set reporting period to be defined by the practice –Must be able to run a Quality Report An Example – Medication Report –Must have M2 Attestation Documentation in the CRM for Providers who meet criteria –Do NOT need to have entire Practice go live to get credit Expired July 2012... 5

10. Milestone 3 Policy Review In order for an Organization to achieve M3 –Must be on a ONC Certified System –Need MU attestation number in the CRM –Do NOT need to have entire Practice attest to Meaningful Use to get credit –Must have M3 Attestation Documentation in the CRM for Providers who meet criteria –Security Review 6

11. MedTech Enginuity Corp. Professional Services Implementation of Privacy and Security Best Practices Help understanding and implementing HIPAA best practices Progress Towards Meaningful Use Understand meaningful use requirements Reviewing the utilization of the EHRs Provide appropriate feedback and support to improve utilization REC Health Information Exchange (HIE) Connectivity Work with providers and EHR vendors to help you get connected with the statewide HIE infrastructure Medical Telecommunications Consulting Computer installation and maintenance Data backup services Audit Support 8 EHR Education Effective strategies and practices to implement, and meaningfully use certified EHR technology Meaningful use and guidance on incentives “We are Meaningful Use Specialist!” Program and project management support Individualized and on-site coaching, consultation and troubleshooting Practice and Workflow Redesign Support for transitioning from paper-based workflows to electronic workflows Optimizing workflows to get the most benefit from the HER Management Services Design & Implementation Consultation Customized Product Development Live Day 2 Provider Technical Support Network Services Financial Services & Coordination EHR financing options Healthcare Disparities Research Healthcare Provider End User Training Practice Process Flow Management Medical Patient Research and Surveys Medical Practice Equity Assessment

12. MedTech Enginuity Corp. Professional Services 10

13. CMS Incentive Payments Provider Eligibility Requirements Incentive payments for eligible professionals are based on individual practitioners. If you are part of a practice, each eligible professional may qualify for an incentive payment if each eligible professional successfully demonstrates meaningful use of certified EHR technology. Each eligible professional is only eligible for one incentive payment per year, regardless of how many practices or locations at which he or she provide services. 11

14. CMS Incentive Payments Who is an Eligible Professional under the Medicare & Medicaid EHR Incentive Program? Doctor of medicine or osteopathy Doctor of dental surgery or dental medicine Doctor of podiatry Doctor of optometry Chiropractor Cardiologist OBGYN 12

15. Maryland REC EHR Grant Direct Assistance Services Who is an Eligible for REC EHR Direct Assistance Services Incentive Program? PPCPs must be certified in Internal Medicine, Family Practice, Pediatrics, Geriatrics, OB/GYN Adolescent Medicine. PPCP = (Priority Primary Care Provider) 12

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18. Medicare (Fed) VS Medicaid (State) [EHR Incentive Programs] After successfully demonstrating meaningful use for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program, will incentive payments be paid as a lump sum or in multiple installments? Eligible professionals (EPs) participating in the Medicare EHR Incentive Program will receive a single lump sum payment for each year they successfully demonstrate meaningful use of certified EHR technology. Eligible hospitals and critical access hospitals (CAHs) participating in the Medicare EHR Incentive Program will first receive an initial payment. The final payment will be determined at the time of settling the hospital cost report. Payments to Medicare providers will be made to the taxpayer identification number (TIN) selected at the time of registration, through the same channels their claims payments are made. However, for EPs practicing in a health professional shortage area (HPSA), the additional incentive payment will be paid separately to the same TIN as the incentive payment. Medicaid incentives will be paid by the States. EPs, eligible hospitals, and CAHs participating in the Medicaid EHR Incentive Program should check with their State. For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms. http://www.cms.gov/EHRIncentivePrograms 17

19. CMS Incentive Payments Medicaid How much can I receive? Eligible professionals can receive up to $63,750 over Six years under the Medicaid EHR Incentive Program. To get the maximum incentive payment, Medicare eligible professionals must begin participation by 2016. Calendar Year 2011 Max Incentive Payment 2012 Max Incentive Payment 2013 Max Incentive Payment 2014 Max Incentive Payment 2011$21,250 2012$8,500$21,250 2013$8,500 $21,250 2014$8,500 $21,250 2015$8,500 2016$8,500 2017$8,500 2018$8,500 2019$8,500 20120 2021 Total$63,750 15

20. CMS Incentive Payments Medicare How much can I receive? Eligible professionals can receive up to $44,000 over five years under the Medicare EHR Incentive Program. To get the maximum incentive payment, Medicare eligible professionals must begin participation by 2012. Calendar Year2011 Max Incentive Payment 2012 Max Incentive Payment 2013 Max Incentive Payment 2014 Max Incentive Payment 2011 $18,000 2012 $12,000$18,000 2013 $8,000$12,000$15,000 2014 $4,000$8,000$12,000 2015 $2,000$4,000$8,000 2016 $2,000$4000$4,000 Total $44,000 $39,000$24,000 16

21. Upcoming Deadlines October 1, 2013 – Last day for eligible professionals to begin their 90-day reporting period for calendar year 2013 for the Medicare and Medicaid EHR Incentive Program. December 31, 2013 – Reporting year ends for eligible professionals. February 28, 2014 – Last day for eligible professionals to register and attest to receive an Incentive Payment for calendar year (CY) 2013. 17

22. Questions? For More Information Contact Us: www.MedTechEng.com National Office:301-352-0344 MedTEC@medtecheng.com 25

23. MedTEC Strategic Partnerships