For EPs who practice in multiple settings, where should EPs base their denominators for meaningful use objectives on the number of unique patients?
In this case, EPs should base both the numerators and denominators for meaningful use objectives on the number of unique patients in the clinic setting, since this setting is where they are eligible to receive payments from the Medicare and Medicaid EHR Incentive Programs. Question #10069: Are eligible professionals (EPs) who practice in State Mental Health and Long Term Care Facilities eligible for Medicaid EHR incentive payments if they meet the eligibility criteria (e.g., patient volume, non-hospital based, certified EHR)? Answer: The setting in which a physician, nurse practitioner, certified nurse-midwife, or dentist practices is generally irrelevant to determining eligibility for the Medicaid EHR Incentive Program (except for purposes of determining whether an EP can qualify through “needy individual” patient volume). Setting is relevant for physician assistants (PA), as they are eligible only when they are practicing at a Federally Qualified Health Center (FQHC) that is led by a
