You’re trying to decide on which EHR system to choose, and you have to decide what to do about your “Legacy” system – the existing practice management system you use for scheduling and billing. How do the final rules on Meaningful Use and the criteria for Certified EHR Technology affect your decision to keep your legacy system, or replace it while adding an EHR application?
Most of the criteria for Meaningful Use and EHR Certified Technology relate to functions that the EHR application will perform, such as Medication orders, problem lists, e-prescribing and so on. But at least three of the Certification criteria are functions usually performed in practice management applications:
- recording patient demographics,
- verifying insurance eligibility, and
- submitting claims electronically.
It’s true that only recording patient demographics is part of the Stage I Core Objectives for Eligible Professionals, but all three criteria are in the final rule laying out the criteria for Certified EHR systems. So even if you don’t have to verify insurance eligibility or submit claims electronically as part of Meaningful Use, your system – even if it is composed of stand-alone EHR and Practice Management applications – must have the capability to perform these functions, and must be certified to do so.
This means you must tread carefully if you are considering keeping your existing practice management system and adding a stand-alone EHR system to your office. You must now exercise due diligence with respect to your existing PM system, as well as due diligence in selecting an EHR system.
Make sure your EHR consultants understand some of the nuances of the final rules on Meaningful Use and the Certification Criteria.