<p>What penalty? Medicare? </p>
<p><a href=“http://www.emrandhipaa.com/administrator/2010/09/24/physicians-dont-know-about-emr-stimulus-penalties-and-dont-care/[/url]”>http://www.emrandhipaa.com/administrator/2010/09/24/physicians-dont-know-about-emr-stimulus-penalties-and-dont-care/</a></p>
<p>But I do actually use an EMR, but I’ve had it for years, and I’m sure it doesn’t comply with some of the rules.</p>
<p>The penalties for not showing meaningful use of a certified EHR are:
2015 – 1%
2016 – 2%
2017 – 3%
2018 – 4% (HHS Secretary Option)
2019 – 5% (HHS Secretary Option)</p>
<p>we are also small, and the cost of the emr systems, service contracts, computers etc, per year based on our care revenue will be much more than the penalties of 1% increasing to 5% through 2019.</p>
<p>We do free public health screenings and are trying to do EMRs as well. Not sure how well it will go but are trying to come up with a common intake form and a common consent form. Am hoping this will work but the EMR is really designed for diabetes, not the other health issues that many of us are working on. We will see how it goes but expect it will be a LOT more complicated, slower and more involved than the others expect. We currently all have separate paper systems. One of the non-profits just purchased the EMRs and wants us ALL to use them. I’m still somewhat on the fence about it but trying to keep an open mind.</p>
<p>I believe there are a lot of tools for screening coming out for the iPad.</p>
<p>My iPad wrote that…</p>
<p>My office was an early adapter of an EMR system. We’ve had one for 7 years. I wouldn’t go back to paper. Having an EMR allows a provider to chart comprehensively so they don’t undercode due to lack of documentation. You save some money on dictation costs which where 11K a year for us. It’s really the best way to collect Quality Improvement data so that you know 1) how well you are meeting standards of care and 2) what you need to improve on. </p>
<p>Meaningful use is another can of worms. Our office meets the very complicated criteria. As with all government mandates, some of its a good idea but with unnecessary and complicated steps to get there. </p>
<p>For example, prescriptions are required to be sent electronically. A good idea in that physicians have poor handwriting. But, the systems (run by companies such as Surescripts) that are contracted to send them, often break down and you can never send the prescriptions with any confidence that they will arrive at their destination. In addition, studies have shown that there are more mistakes with electronic prescribing (especially when trying to get it in the “proper” electronic format for sending) than with written ones. Therefore, errors are increased, not decreased. Obviously prescribers are not making the decisions. I’m convinced that Surescripts gave congress a lot of money to require such stuff for meaningful use.</p>
<p>""-I would not call $50K/year minimum wages, I would call it wage that you can live on."</p>
<p>its not minimum wages if they work a 40 hr week which they don’t. "</p>
<p>-Many proffessionals work overtime on a regular basis, not for 4-5 years, but for their whole career, they do not get paid overtime and lots of time they do work while on vacation. For some 60-70 hrs is norm and they are compensated at $70+k / year. Many in economically depressed regions have not recieved raises for many years, while MD’s fees in the same regions have been going up substantially.<br>
The path of MD is extremely challenging. If one is purusing it strictly for job security and compensation, he will not survive. However, underestimating financial rewards is not correct either.</p>
<p>Amen, MiamiDAP.</p>
<p>The problem with using a salary in a general comment is the fact the value of 50k is significantly different in various parts of country…50k in the metro area of a major northeast city is a very low salary to live on…</p>
<p>^Do you know if $50k is an average compensation for residents in all regions. I know that it is in our economically depressed city, I do not have info about other places.</p>
<p>It’s 50 - 60k in NYC</p>
<p>^Then NYC should be avoided for residency, unless there is a second income in a family or any kind additional support. But $50k is fine in my city. Many are making much less and survive.</p>
<p>50k in NYC is the equivalent of less then 28k in Fort Worth(randomly selected)</p>
<p>Doct you have bad numbers,lol…</p>
<p>From Fannie mae, median income:</p>
<p>NY
NASSAU COUNTY, NY
New York-Northern New Jersey-Long Island, NY-NJ-PA
80,200
NY
NEW YORK COUNTY, NY
New York-Northern New Jersey-Long Island, NY-NJ-PA
80,200</p>
<p>In HI, many folks work hard to eke out a living with $50K, even tho we have one of the highest costs of living in the nation. That’s one of the reasons so many are on free & reduced lunch in our state & many are working mulitiple jobs to make ends meet.</p>
<p>Himom, 50k family income? Yikes, i am aware of the COLA in HI, and can’t believe a fami,y can live on that income there…</p>
<p>pm the site - I do not believe your numbers</p>
<p>An example: New York and Presbyterian Hospital Graduate Medical Education:</p>
<p>PGY 1 = 51736; PGY 7 = 66483 ( for a resident in their 7th year)</p>
<p>I was wrong, apology to DocT, numbers he/she provided are more accurate…</p>
<p>[Physician</a> Salary in New York City | Glassdoor](<a href=“http://www.glassdoor.com/Salaries/new-york-city-physician-salary-SRCH_IL.0,13_IM615_KO14,23.htm]Physician”>http://www.glassdoor.com/Salaries/new-york-city-physician-salary-SRCH_IL.0,13_IM615_KO14,23.htm)</p>
<p>
Because medical school requires 4 years of expensive post-graduate study and law school requires 3 or 4 years of expensive postgraduate study, and they’re the two most common professions perceived to have high incomes.</p>
<p>Who would you look to as a reference point when addressing doctors’ income in a discussion about appropriate compensation?</p>
<p>There is no comparable profession.</p>
<p>MDs cannot practise even after 4 years of postgrad study where a lawyer needs no apprenticeship. Most people may not encounter a lawyer in their lifetimes not so in the case of doctors. etc etc.</p>
<p>Admissions to any medical school are uber competitive, but there are hundreds of law schools that would admit anyone with a pulse and tuition money.</p>