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	<title>ACOM Health Blog &#187; Chiropractic Software (EMR/EHR)</title>
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	<description>Chiropractic Technology and Practice Management Insights</description>
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		<title>PECOS Enrollment Required For Incentive Payments!</title>
		<link>http://blog.acomhealth.com/400/uncategorized/pecos-enrollment-required-for-incentive-payments/</link>
		<comments>http://blog.acomhealth.com/400/uncategorized/pecos-enrollment-required-for-incentive-payments/#comments</comments>
		<pubDate>Tue, 07 Sep 2010 14:59:47 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Economic Stimulus]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chiropractic Medicare payment]]></category>
		<category><![CDATA[EHR]]></category>
		<category><![CDATA[EHR stimulus]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=400</guid>
		<description><![CDATA[Be sure to read this page and a half Medicare PECOS notification urging providers to either enroll, or verify their enrollment in PECOS.  CMS will use Provider Enrollment, Chain and Ownership System (PECOS) records to verify your Medicare status prior to issuing EHR Incentive payments. PECOS Enrollment Required For Incentive Payments! is a post from: ACOM Health Blog<p><a href="http://blog.acomhealth.com/400/uncategorized/pecos-enrollment-required-for-incentive-payments/">PECOS Enrollment Required For Incentive Payments!</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
]]></description>
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<p>Be sure to read this page and a half Medicare <a href="http://www.cms.gov/EHRIncentivePrograms/Downloads/Medicare_EP_PECOS_Notification_61110.pdf" target="_blank">PECOS notification</a> urging providers to either enroll, or verify their enrollment in PECOS.  CMS will use Provider Enrollment, Chain and Ownership System (PECOS) records to verify your Medicare status prior to issuing EHR Incentive payments.</p>
<p><a href="http://blog.acomhealth.com/400/uncategorized/pecos-enrollment-required-for-incentive-payments/">PECOS Enrollment Required For Incentive Payments!</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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		<title>EHR Incentive $$ &#8211; What Chiropractors Need To Participate</title>
		<link>http://blog.acomhealth.com/392/chiropractic-software/ehr-incentive-what-you-need-to-participate/</link>
		<comments>http://blog.acomhealth.com/392/chiropractic-software/ehr-incentive-what-you-need-to-participate/#comments</comments>
		<pubDate>Thu, 02 Sep 2010 13:51:53 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Economic Stimulus]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=392</guid>
		<description><![CDATA[A lot of questions are circulating as to what will make a DC eligible to receive EHR incentive payments.  The following information comes directly from the Medicare &#38; Medicaid EHR Incentive Program power point presentation dated August 10, 2010 (beginning on slide 40) and provides answers to many FAQs. To participate a chiropractor must: Register via the EHR Incentive Program website  (the website is up, [...]<p><a href="http://blog.acomhealth.com/392/chiropractic-software/ehr-incentive-what-you-need-to-participate/">EHR Incentive $$ &#8211; What Chiropractors Need To Participate</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p></p><div class="tweetmeme_button" style="float: right; margin-left: 10px;">
			<a href="http://api.tweetmeme.com/share?url=http%3A%2F%2Fblog.acomhealth.com%2F392%2Fchiropractic-software%2Fehr-incentive-what-you-need-to-participate%2F"><br />
				<img src="http://api.tweetmeme.com/imagebutton.gif?url=http%3A%2F%2Fblog.acomhealth.com%2F392%2Fchiropractic-software%2Fehr-incentive-what-you-need-to-participate%2F&amp;style=normal" height="61" width="50" /><br />
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<p><a href="http://blog.acomhealth.com/wp-content/uploads/2010/09/checklist.jpg"><img class="alignleft size-medium wp-image-407" title="checklist" src="http://blog.acomhealth.com/wp-content/uploads/2010/09/checklist-173x300.jpg" alt="" width="173" height="300" /></a>A lot of questions are circulating as to what will make a DC eligible to receive EHR incentive payments.  The following information comes directly from the <a href="http://www.cms.gov/EHRIncentivePrograms/Downloads/EHR_Incentive_Program_Agency_Training_081010.pdf" target="_blank">Medicare &amp; Medicaid EHR Incentive Program power point presentation dated August 10, 2010</a> (beginning on slide 40) and provides answers to many FAQs.</p>
<p><strong>To participate a chiropractor must:</strong></p>
<ul>
<li>Register via the <a href="http://www.cms.gov/EHRIncentivePrograms/" target="_blank">EHR Incentive Program website </a> <span style="color: #008000;">(the website is up, but the registration area is not yet open for business)</span></li>
<li><span style="color: #000000;">Be enrolled in either the Medicare FFS or Medicaid FFS (fee-for-service) </span></li>
<li><span style="color: #000000;">Have a National Provider Identifier (NPI)</span></li>
<li><span style="color: #000000;">Use Certified EHR technology <span style="color: #008000;">(it is my understanding software vendors will be assigned a Unique Identifier Number once they&#8217;ve been certified, and you will enter this # during registration to meet this requirement)</span></span></li>
</ul>
<p><span style="color: #000000;"><strong>Registration requirements include:</strong></span></p>
<ul>
<li><span style="color: #000000;">Name of the eligible professional</span></li>
<li><span style="color: #000000;">National Provider Indentifier (NPI)</span></li>
<li><span style="color: #000000;">Business address and business phone</span></li>
<li><span style="color: #000000;">Taxpayer Identification Number (TIN) to which the provider would like their incentive payment made</span></li>
<li><span style="color: #000000;">Medicare or Medicaid program selection <span style="color: #008000;">(you may switch between programs before 2015, but only once)</span></span></li>
</ul>
<p><span style="color: #000000;"><strong>Timeline of the program:</strong></span></p>
<ul>
<li><span style="color: #000000;">Fall 2010 &#8211; Certified EHR technology will be available and listed on the website <span style="color: #008000;">(ACOM Health fully anticipates our Rapid software will be certified by year&#8217;s end)</span></span></li>
<li><span style="color: #000000;">January 2011 &#8211; Registration for the EHR Incentive Programs begin</span></li>
<li><span style="color: #000000;">April 2011 &#8211; Attestation for the Medicare EHR Incentive Program begins</span></li>
<li><span style="color: #000000;">May 2011 &#8211; Medicare EHR incentive payments begin <span style="color: #008000;">(Medicare will automatically cut the check once a provider hits the $18,000 max, otherwise you&#8217;ll have to wait until the year has ended)</span> </span></li>
<li><span style="color: #000000;">February 29, 2012 &#8211; Last day for EPs to register and attest to receive an incentive payment for CY 2011</span></li>
</ul>
<p><span style="color: #000000;">If you treat more Medicaid patients than Medicare, I encourage you to go through the power point presentation to get a better understanding of the Medicaid EHR Incentive Program and how it differs from the Medicare program.</span></p>
<p><a href="http://blog.acomhealth.com/392/chiropractic-software/ehr-incentive-what-you-need-to-participate/">EHR Incentive $$ &#8211; What Chiropractors Need To Participate</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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		<title>Meaningful Use Update&#8230;Looking Very Nice For Chiropractors!</title>
		<link>http://blog.acomhealth.com/364/uncategorized/meaninful-use-update-looking-very-nice-for-dcs/</link>
		<comments>http://blog.acomhealth.com/364/uncategorized/meaninful-use-update-looking-very-nice-for-dcs/#comments</comments>
		<pubDate>Fri, 13 Aug 2010 00:40:41 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Economic Stimulus]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chiropractic]]></category>
		<category><![CDATA[EMR stimulus]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=364</guid>
		<description><![CDATA[I attended the Medicare conference call Aug. 10th and was very pleased to finally get some questions answered in regards to meaningful use and chiropractic.   We (ACOM Health) have long been tracking the prescription drug related meaningful use requirements due to the fact that the vast majority of state chiropractic scopes exclude drug prescription/immunization. Two potentially devastating problems existed [...]<p><a href="http://blog.acomhealth.com/364/uncategorized/meaninful-use-update-looking-very-nice-for-dcs/">Meaningful Use Update&#8230;Looking Very Nice For Chiropractors!</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p></p><div class="tweetmeme_button" style="float: right; margin-left: 10px;">
			<a href="http://api.tweetmeme.com/share?url=http%3A%2F%2Fblog.acomhealth.com%2F364%2Funcategorized%2Fmeaninful-use-update-looking-very-nice-for-dcs%2F"><br />
				<img src="http://api.tweetmeme.com/imagebutton.gif?url=http%3A%2F%2Fblog.acomhealth.com%2F364%2Funcategorized%2Fmeaninful-use-update-looking-very-nice-for-dcs%2F&amp;style=normal" height="61" width="50" /><br />
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<p><a href="http://blog.acomhealth.com/wp-content/uploads/2010/08/half_full_or_empty.jpg"><img class="alignleft size-full wp-image-381" title="half_full_or_empty" src="http://blog.acomhealth.com/wp-content/uploads/2010/08/half_full_or_empty.jpg" alt="" width="225" height="219" /></a>I attended the Medicare conference call Aug. 10th and was very pleased to finally get some questions answered in regards to meaningful use and chiropractic.  </p>
<p>We (ACOM Health) have long been tracking the prescription drug related meaningful use requirements due to the fact that the vast majority of state chiropractic scopes exclude drug prescription/immunization.</p>
<p>Two potentially devastating problems existed that may have prevented DCs from getting stimulus checks.  First, might a chiro fail to meet “meaningful use” if they never prescribe drugs?   Second, does our limited scope keep us from qualifying for enough Clinical Quality Measures (CQM) to get paid?  The simple answer to both is NO!</p>
<p>View the <a href="http://www.cms.gov/EHRIncentivePrograms/Downloads/EHR_Incentive_Program_Agency_Training_081010.pdf" target="_blank">power point presentation</a> if you want more details.  If nothing else, see the bottom of slide #21&#8230;I&#8217;d like to think my questions to CMS during the public comment period earlier this year got them to include the chiro example (toot toot).</p>
<p>So what do you think? Many Docs have expressed serious doubt that Chiropractic would be eligable for any stimulus money, is the glass half full or half empty?</p>
<p><a href="http://blog.acomhealth.com/364/uncategorized/meaninful-use-update-looking-very-nice-for-dcs/">Meaningful Use Update&#8230;Looking Very Nice For Chiropractors!</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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		<title>Conference Call To Educate Providers On EHR Stimulus Program</title>
		<link>http://blog.acomhealth.com/357/uncategorized/confrence-call-to-educate-providers-on-ehr-stimulus-program/</link>
		<comments>http://blog.acomhealth.com/357/uncategorized/confrence-call-to-educate-providers-on-ehr-stimulus-program/#comments</comments>
		<pubDate>Fri, 06 Aug 2010 16:40:14 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Economic Stimulus]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chiropractic]]></category>
		<category><![CDATA[EHR]]></category>
		<category><![CDATA[EMR stimulus]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=357</guid>
		<description><![CDATA[Medicare has a EHR incentive program information conference call scheduled for Tuesday, August 10th from 2:00 &#8211; 3:30 EST.  In order to participate you must register here as space is limited.  &#8220;If you are an individual provider, this FREE session will help you learn the details of the program that specifically pertain to you – eligibility, payment, what [...]<p><a href="http://blog.acomhealth.com/357/uncategorized/confrence-call-to-educate-providers-on-ehr-stimulus-program/">Conference Call To Educate Providers On EHR Stimulus Program</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
]]></description>
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<p>Medicare has a EHR incentive program information conference call scheduled for Tuesday, August 10th from 2:00 &#8211; 3:30 EST.  In order to participate you must <a href="http://www.eventsvc.com/palmettogba/081010" target="_blank">register here</a> as space is limited. </p>
<p><em>&#8220;If you are an individual provider, this FREE session will help you learn the details of the program that specifically pertain to you – eligibility, payment, what you need to register, timeline, meaningful use objectives and measures.&#8221;</em>  &#8211; CMS website</p>
<p>I highly recommend you be on this call.  By the way, when you register, you are given an opportunity to include comments that the presenters will try to cover.  The more DCs who participate and pose questions/comments the more likely our concerns will be addressed.</p>
<p><a href="http://blog.acomhealth.com/357/uncategorized/confrence-call-to-educate-providers-on-ehr-stimulus-program/">Conference Call To Educate Providers On EHR Stimulus Program</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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		<title>EHR/EMR Incentive Program Website</title>
		<link>http://blog.acomhealth.com/352/uncategorized/ehremr-incentive-program-website/</link>
		<comments>http://blog.acomhealth.com/352/uncategorized/ehremr-incentive-program-website/#comments</comments>
		<pubDate>Wed, 07 Jul 2010 17:20:50 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Economic Stimulus]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chiropractic]]></category>
		<category><![CDATA[EMR stimulus]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=352</guid>
		<description><![CDATA[HHS/CMS has set up an official website dedicated to the EHR/EMR Incentive Program.  This site is for those of you who like to hear things directly &#8220;from the horse&#8217;s mouth.&#8221;  If you would rather someone else do the reading, I&#8217;ll continue to report on significant developments as they occur. EHR/EMR Incentive Program Website is a post [...]<p><a href="http://blog.acomhealth.com/352/uncategorized/ehremr-incentive-program-website/">EHR/EMR Incentive Program Website</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
]]></description>
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<p>HHS/CMS has set up an <a href="http://www.cms.gov/EHRIncentivePrograms/" target="_blank">official website dedicated to the EHR/EMR Incentive Program</a>.  This site is for those of you who like to hear things directly &#8220;from the horse&#8217;s mouth.&#8221;  If you would rather someone else do the reading, I&#8217;ll continue to report on significant developments as they occur.</p>
<p><a href="http://blog.acomhealth.com/352/uncategorized/ehremr-incentive-program-website/">EHR/EMR Incentive Program Website</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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		<title>Know Your Medicare Signature Requirements</title>
		<link>http://blog.acomhealth.com/324/uncategorized/know-your-medicare-signature-requirements/</link>
		<comments>http://blog.acomhealth.com/324/uncategorized/know-your-medicare-signature-requirements/#comments</comments>
		<pubDate>Fri, 23 Apr 2010 14:33:28 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Coding & Documentation]]></category>
		<category><![CDATA[Chiropractic Consulting]]></category>
		<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chiropractic]]></category>
		<category><![CDATA[medicare audit]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=324</guid>
		<description><![CDATA[Lately I&#8217;ve had several questions come up from clients regarding signature requirements for documentation.  Just last month CMS released a Medicare Learning Network (MLM) Matters article on the topic.  Check out pages 12 and 13 of this related document for examples of what reviewers use to determine if the signature requirement is met.  Also, notice on [...]<p><a href="http://blog.acomhealth.com/324/uncategorized/know-your-medicare-signature-requirements/">Know Your Medicare Signature Requirements</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
]]></description>
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<p>Lately I&#8217;ve had several questions come up from clients regarding signature requirements for documentation.  Just last month CMS released a <a href="http://www.cms.gov/MLNMattersArticles/downloads/MM6698.pdf" target="_blank">Medicare Learning Network (MLM) Matters article</a> on the topic.  Check out <a href="http://www.cms.gov/transmittals/downloads/R327PI.pdf" target="_blank">pages 12 and 13 of this related document</a> for examples of what reviewers use to determine if the signature requirement is met.  Also, notice on page 13 the very vague, in my opinion, statement regarding electronic signatures: </p>
<div><span style="font-size: small;"><span style="color: #0000ff;"><strong><em>2. Electronic Signatures</em></strong><span style="font-size: small;"> </span></span></span></div>
<div><span style="font-size: small;"><span style="font-size: small;"><span style="color: #0000ff;"> </span></span></span></div>
<div><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><strong><em><span style="color: #0000ff;">Providers using electronic systems </span></em></strong></span></span></span></span><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><strong><em><span style="color: #0000ff;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;">need to </span></span><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;">recognize that there is a potential for misuse or abuse with alternate signature methods. For example, providers need a system and software products which are protected against modification, etc., and should apply administrative procedures which are adequate and correspond to recognized standards and laws. The individual whose name is on the alternate signature method and the provider bears the responsibility for the authenticity of the information being attested to. Physicians </span></span><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;">are encouraged to </span></span></span><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="color: #0000ff;">check with their attorneys and malpractice insurers in regard to the use of alternative signature methods.</span> </span></span></em></strong></span></span></div>
<div><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><strong><em><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"> </span></span></em></strong></span></span></div>
<div><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><span style="font-family: Times New Roman,Times New Roman; font-size: small;"><strong><em></em></strong></span></span>Good thing <a href="http://www.acomhealth.com/software/documentation.html" target="_blank">ACOM Health&#8217;s Rapid Doc software</a> allows doctors to physically sign each note using a tablet PC so there is no question as to authenticity, or a need to check with an attorney!</div>
<div><a href="http://blog.acomhealth.com/wp-content/uploads/2010/04/hancock.gif"><img class="aligncenter" title="hancock" src="http://blog.acomhealth.com/wp-content/uploads/2010/04/hancock.gif" alt="" width="300" height="99" /></a></div>
<p><a href="http://blog.acomhealth.com/324/uncategorized/know-your-medicare-signature-requirements/">Know Your Medicare Signature Requirements</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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		<title>Public Doesn&#8217;t Echo Providers Meaningful Use Concerns</title>
		<link>http://blog.acomhealth.com/304/uncategorized/public-doesnt-echo-providers-meaningful-use-concerns/</link>
		<comments>http://blog.acomhealth.com/304/uncategorized/public-doesnt-echo-providers-meaningful-use-concerns/#comments</comments>
		<pubDate>Mon, 15 Mar 2010 13:17:10 +0000</pubDate>
		<dc:creator>jbrown</dc:creator>
				<category><![CDATA[Chiropractic Software (EMR/EHR)]]></category>
		<category><![CDATA[Economic Stimulus]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chiropractic]]></category>
		<category><![CDATA[EHR]]></category>
		<category><![CDATA[EMR stimulus]]></category>

		<guid isPermaLink="false">http://blog.acomhealth.com/?p=304</guid>
		<description><![CDATA[I read an interesting HealthCareITnews.com article this morning discussing where consumers and employers stand regarding the top 10 meaningful use arguments posed by providers.  Apparently, the public doesn&#8217;t agree with what hospitals and physicains view as an overly cumbersome undertaking - meaningful use of a certified EHR.  Of the top 10 arguments, consumers only view one as having any credibility. Public Doesn&#8217;t Echo Providers Meaningful [...]<p><a href="http://blog.acomhealth.com/304/uncategorized/public-doesnt-echo-providers-meaningful-use-concerns/">Public Doesn&#8217;t Echo Providers Meaningful Use Concerns</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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<p>I read an interesting <a href="http://www.healthcareitnews.com/news/consumers-weigh-top-10-meaningful-use-arguments?page=0,0" target="_blank">HealthCareITnews.com article</a> this morning discussing where consumers and employers stand regarding the top 10 meaningful use arguments posed by providers.  Apparently, the public doesn&#8217;t agree with what hospitals and physicains view as an overly cumbersome undertaking - meaningful use of a certified EHR.  Of the top 10 arguments, consumers only view one as having any credibility.</p>
<p><a href="http://blog.acomhealth.com/304/uncategorized/public-doesnt-echo-providers-meaningful-use-concerns/">Public Doesn&#8217;t Echo Providers Meaningful Use Concerns</a> is a post from: <a href="http://blog.acomhealth.com">ACOM Health Blog</a></p>
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