ARRA HITECH Incentive Payment Calculator for Hospitals

Note: Total discharges and beds from acute care portion of the hosptial. (Include ED and
Enter total discharges inpatient acute care for Medicaid)
Note: Include all facilities attached to your CMS Certification Number (CCN).
Note: Exclude psychiatric, rehabilitation, long term care, children's, and cancer hospitals
Enter total eligible beds for Medicare. (Exclude psych, rehab, and long term care for Medicaid)
Note: Use data from the most recent fiscal year.
INPUTS

Enter % bed days from Note: If multiply the total eligible beds by 365 days, what percentage of the total bed
Medicare/MA recipients days are occupied by Medicare/MA recipients or Medicaid recipients during the most
recent fiscal year?
Note: Hospitals must have at least 10% Medicaid patient volume or a separately certified
Enter % bed days from children's hospital for that program.
Medicaid recipients

Enter total charges ($)

Note: Total charges for most recent fiscal year
Note: Enter total charges for uncompensated and indigent during the most recent fiscal
Enter total charges year
for charity care ($)

Total Incentive
Medicare Medicaid Payments
Incentive Payment Incentive Payment Medicare + Medicaid

Ist Year Payments $0 $0 $0

OUTPUTS

2nd Year Payments $0 $0 $0

NOTE:
These estimates apply to hospitals that
qualify for Medicare and Medicaid
3rd Year Payments $0 $0 $0 incentive payments as "Meaningful Users"
of certified EHR technology for four
consecutive years.
4th Year Payments $0 $0 $0

Cumulative Payments
(Years 1-4)
$0 $0 $0

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