Home : How can I determine the percentage of Medicaid encounters for each provider?
Q28500 - FAQ: How can I determine the percentage of Medicaid encounters for each provider?

Eligible providers whose caseloads include at least 30% Medicaid patients are eligible to receive up to $64,000 over the course of five years. Eligible providers cannot obtain incentives from both Medicaid and Medicare, but eligible hospitals can. Ophthalmologists nationwide are eligible for Medicaid EHR incentive programs. Optometrists are becoming eligible to participate in Medicaid EHR incentive programs in a growing number of states, and should check with their state board of optometry for eligibility.

 

There is currently no report that breaks down encounters by insurance and by provider and enumerates the percentages for each. A ticket has been opened to add a report to facilitate this in an upcoming version.

 

In the meantime, there is a workaround. Perform the following steps to determine the percentage of Medicaid patients for each provider:

  1. Open OfficeMate Administration.
  2. Click the Reports menu select ExamWRITER, and select Exam Analysis.
    The Exam Analysis window opens.
  3. Select the beginning and ending reporting dates from the From Date and Thru Date fields.
  4. Select the doctor from the Provider drop-down menu.
  5. Select Export from the Report Output radio buttons.
  6. Click Continue.
    After a moment a dialog box informs you that the file was created.
  7. Click OK then click Exit.
  8. Navigate to The OfficeMate folder on your server, which is usually located at Server:\\OfficeMate\.
    Note: Your OfficeMate folder may be called OMATE32, which is usually located at Server:\\OfficeMate\.
  9. Double-click the ExamCPT.xls file to open it in Microsoft Excel.
  10. Sort the data by insurance carrier:
    1. Select all of the cells in the table.
    2. Click Data.
    3. Click Sort.
    4. Select Column I from the Sort by drop-down menu.
    5. Click OK.
  11. Add up the number of rows that relate to any Medicaid insurance plans.
  12. Divide the number of Medicaid rows by the total number of rows in the spreadsheet.
    For example, 70 Medicaid rows ÷ 200 total rows = .35 or 35%.
    This number is your Medicaid percentage, which you will report in your attestation.
  13. Repeat steps 1–12 for each doctor in your practice.

Register for the Medicaid EHR incentive program:

Follow the instructions on your state’s Medicaid web site. You will be prompted to enter the total number of patient encounters and Medicaid encounters.  

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Created on 2/14/2012.
Last Modified on 12/21/2012.
Last Modified by Customer Care.
Article has been viewed 1560 times.
Rated 6 out of 10 based on 2 votes.
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