ÿþ<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <title>Welcome to Medical Arc LLC</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"/> <link href="css/style.css" rel="stylesheet" type="text/css" /> <script type="text/javascript" src="menu/stmenu.js"></script> <script language="JavaScript" type="text/javascript"> function load_page(pagename) { main=open(pagename + ".html","","toolbar=no,menubar=no,scrollbars=yes, width=700, height=468,left=0,top=0,resizable=yes,status=yes"); } </script> <style type="text/css"> p.MsoNormal {margin-bottom:.0001pt; font-size:12.0pt; font-family:"Times New Roman"; margin-left: 0in; margin-right: 0in; margin-top: 0in; } .style1 { width: 358.0pt; border-collapse: collapse; font-size: 10.0pt; font-family: "Times New Roman"; margin-left: 4.65pt; } .style2 { width: 511.0pt; border-collapse: collapse; font-size: 10.0pt; font-family: "Times New Roman"; margin-left: 4.65pt; } .style3 { width: 262.0pt; border-collapse: collapse; font-size: 10.0pt; font-family: "Times New Roman"; margin-left: 4.65pt; } ul {margin-bottom:0in;} li.MsoNormal {margin-bottom:.0001pt; font-size:12.0pt; font-family:"Times New Roman"; margin-left: 0in; margin-right: 0in; margin-top: 0in; } </style> </head> <body> <table id="Table_01" width="1000" border="0" cellpadding="0" cellspacing="0" align="center"> <tr> <td> <a href="index.php"><img src="images/themeinner_01.jpg" alt="" width="224" height="97" border="0"/></a></td> <td height="97" colspan="2" align="left" valign="top" style="background-image:url(images/themeinner_02.jpg); background-position:top; background-repeat:no-repeat; width:776px;"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="1%" height="29">&nbsp;</td> <td width="98%">&nbsp;</td> <td width="1%">&nbsp;</td> </tr> <tr> <td height="45">&nbsp;</td> <td><script type="text/javascript" src="menu/top.js"></script></td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </table></td> </tr> <tr> <td height="195" colspan="3" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="78%" height="195"><img src="images/ban1.jpg" width="776" height="195" alt=""/></td> <td width="22%"><a href="mailto:support@medicalarc.com"><img src="images/themeinner1_03.jpg" alt="" width="224" height="195" border="0"/></a></td> </tr> </table> </td> </tr> <tr> <td colspan="2" height="36"> &nbsp;</td> <td rowspan="2" height="327" style="background-image:url(images/themeinner_08_1.jpg);background-position:top;background-repeat:no-repeat;width:275px"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="7%" height="58">&nbsp;</td> <td width="85%">&nbsp;</td> <td width="8%">&nbsp;</td> </tr> <tr> <td height="101">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td height="59">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </table></td> </tr> <tr> <td height="291" colspan="2" align="left" valign="top" style="background-image:url(images/themeinner_09.jpg);background-position:top;background-repeat:no-repeat;width:725px"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="2%">&nbsp;</td> <td width="95%">&nbsp;</td> <td width="3%">&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td align="left" valign="top" class="para"> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt">What is the HITECH Act?<o:p></o:p></span></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> On February 17, 2009, President Obama signed into law a $789 billion stimulus package known as the American Recovery and Reinvestment Act (ARRA).<span style="mso-spacerun:yes">&nbsp; </span>Included in this law is the Health Information Technology for Economic and Clinical Health (HITECH) Act which distributes $19 billion to physicians and hospitals who demonstrate  meaningful use of Electronic Health Records (EHR) by 2015.</p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> The focus of this act is to increase the adoption of EHR by physicians and hospitals to facilitate information exchange between healthcare organizations.<span style="mso-spacerun:yes">&nbsp; </span>Research has shown when EHR s are utilized both patient care and satisfaction increases, errors are minimized and costs are reduced over the long term.</p> <p class="MsoNormal"> <span style="font-size:14.0pt"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt">What does this mean to me and what is  meaningful use? <o:p></o:p></span></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> Under HITECH, physicians can qualify for up to $44,000 in Medicare or $64,000 in Medicaid incentives if they demonstrate  meaningful use of a certified Electronic Health Record.<span style="mso-spacerun:yes">&nbsp; </span>Starting in 2015 physicians who do not use an EHR will be penalized with a 1% Medicaid fee reduction and a penalty increase to 3% if an EHR is not implemented by 2017. The requirement for  meaningful use is still being worked on by the Office of the National Coordinator for Health Information Technology (ONCHIT), but is to be implemented three stages carried out until 2015.</p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal">Stage 1:</b> Stage 1 begins in 2011 and focuses on electronically entering health information in a coded format; using that information to track key clinical conditions and communicating that information for care coordination purposes, implementing clinical decision support tools to facilitate disease and medication management and reporting clinical quality measures and public health information.<span style="mso-spacerun:yes">&nbsp; </span>A list of more detailed criteria for Stage 1 can be found here. (Stage 1 Meaningful Use Criteria List).</p> <p class="MsoNormal"> <br /> <b style="mso-bidi-font-weight:normal">Stage 2:</b> Stage 2 begins in 2013 and is expected to encourage the use of health related information technology for continuous quality improvement and the exchange of information in the most structured format possible.<span style="mso-spacerun:yes">&nbsp; </span>This criterion is expected to be published by the end of 2011.</p> <p class="MsoNormal"> <br /> <b style="mso-bidi-font-weight:normal">Stage 3:</b> Stage 3 begins in 2015 and is expected to focus on advanced decision support and improving population health. Guidelines are scheduled to be published by the end of 2013.</p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><o:p>&nbsp;</o:p></b></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt"><o:p>&nbsp;</o:p></span></b></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt">Medicare HITECH incentive timeline<o:p></o:p></span></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <table border="0" cellpadding="0" cellspacing="0" class="style1" style="mso-padding-alt: 0in 5.4pt 0in 5.4pt" width="477"> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">Year of adoption:<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">HITECH incentive payout over time<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:1;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2011<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$18,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:2;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2012<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$12,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$18,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:3;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2013<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$8,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$12,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$15,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:4;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2014<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$4,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$8,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$12,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$15,000 <o:p></o:p></span> </p> </td> </tr> <tr style="mso-yfti-irow:5;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2015<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$2,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$4,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$8,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$8,000 <o:p></o:p></span> </p> </td> </tr> <tr style="mso-yfti-irow:6;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2016<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$2,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$4,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$8,000 <o:p></o:p></span> </p> </td> </tr> <tr style="mso-yfti-irow:7;mso-yfti-lastrow:yes;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">TOTAL<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$44,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$44,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$39,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$31,000 <o:p></o:p></span> </p> </td> </tr> </table> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <span style="font-size:14.0pt"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt">Medicaid HITECH incentive timeline<o:p></o:p></span></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <table border="0" cellpadding="0" cellspacing="0" class="style2" style="mso-padding-alt: 0in 5.4pt 0in 5.4pt" width="681"> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">Year of adoption:<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 57.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="76"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">No adoption<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:1;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2011<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$25,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:57.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:2;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2012<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$25,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 57.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:3;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2013<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$25,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:57.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:4;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2014<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$25,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 57.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:5;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2015<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$25,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:57.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">1% penalty<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:6;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2016<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$25,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 57.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">2% penalty<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:7;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2017<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:57.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">3% penalty<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:8;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2018<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 57.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:9;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2019<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:57.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:10;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2020<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$10,000 <o:p></o:p></span> </p> </td> <td nowrap style="width: 57.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:11;mso-yfti-lastrow:yes;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">TOTAL<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$65,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$65,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$65,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$65,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$65,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">$65,000 <o:p></o:p></span> </p> </td> <td nowrap style="width:57.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="76"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> </table> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> In order to qualify for Medicaid incentives at least 30% of patient cases must be attributable to Medicaid.<span style="mso-spacerun:yes">&nbsp; </span>For pediatricians, the minimum percentage of Medicaid patients is 20%.<span style="mso-spacerun:yes">&nbsp; </span>Office-based pediatricians are only eligible to receive two thirds of the maximum payment.</p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <span style="font-size:14.0pt"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt"> E-prescribing Bonus Incentive Timeline <o:p></o:p></span></b> </p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal" style="mso-layout-grid-align:none;text-autospace:none"> The e-prescribing incentive program provides payment to eligible professionals who successfully e-prescribe medications in 2009 equal to 2 percent of their total Medicare payments for the year. The incentive amount is shown below.<span style="mso-spacerun:yes">&nbsp; </span>For details on the specifications that will be used to determine if physicians are successfully electronically prescribing visit https://www.cms.gov/ERxIncentive/06_E-Prescribing_Measure.asp.<span style="font-size:10.0pt;font-family:TradeGothicLTStd;mso-bidi-font-family:TradeGothicLTStd"><o:p></o:p></span></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <table border="0" cellpadding="0" cellspacing="0" class="style3" style="mso-padding-alt: 0in 5.4pt 0in 5.4pt" width="349"> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; background: #A6A6A6; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">Year of adoption<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A6A6A6; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">Bonus<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A6A6A6; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-size:10.0pt;font-family:Arial">Penalty<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:1;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2009<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2.00%<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:2;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2010<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2.00%<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:3;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2011<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">1.00%<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">-0.05%<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:4;height:12.75pt"> <td nowrap style="width: 166.0pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2012<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">0.50%<o:p></o:p></span></p> </td> <td nowrap style="width: 48.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; background: #A0A0A0; padding: 0in 5.4pt 0in 5.4pt; height: 12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">-1.00%<o:p></o:p></span></p> </td> </tr> <tr style="mso-yfti-irow:5;mso-yfti-lastrow:yes;height:12.75pt"> <td nowrap style="width:166.0pt;border:solid windowtext 1.0pt; border-top:none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt: solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;padding: 0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="221"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">2013<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p class="MsoNormal"> <span style="font-size:10.0pt;font-family:Arial">&nbsp;<o:p></o:p></span></p> </td> <td nowrap style="width:48.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt; padding:0in 5.4pt 0in 5.4pt;height:12.75pt" valign="bottom" width="64"> <p align="right" class="MsoNormal" style="text-align:right"> <span style="font-size:10.0pt;font-family:Arial">-2.00%<o:p></o:p></span></p> </td> </tr> </table> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal" style="tab-stops:1.0in"> Learn more about<span style="mso-spacerun:yes">&nbsp; </span>HITECH government stimulus act by visiting: <span style="font-size:9.5pt;font-family:Arial;color:#666666"> <a href="http://healthit.hhs.gov/portal/server.pt?open=512&amp;objID=1325&amp;parentname=CommunityPage&amp;parentid=1&amp;mode=2"> http://healthit.hhs.gov/portal/server.pt?open=512&amp;objID=1325&amp;parentname=CommunityPage&amp;parentid=1&amp;mode=2</a>.<o:p></o:p></span></p> <p class="MsoNormal" style="tab-stops:1.0in"> <o:p></o:p> </p> <p class="MsoNormal" style="tab-stops:1.0in"> <o:p> _______________________________________________________________________________________</o:p></p> <p align="center" class="MsoNormal"> <b style="mso-bidi-font-weight: normal"><span style="font-size:14.0pt">HITECH Stimulus Package Frequently Asked Questions<o:p></o:p></span></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> The HITECH Act specifies that physicians can qualify for $44,000 or more in economic stimulus incentives for adopting an EHR.<span style="mso-spacerun:yes">&nbsp; </span>Below are the answers to a few frequently asked questions:</p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal">Are HITECH incentives per physician or per office?<o:p></o:p></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> HITECH incentives are paid on a per provider basis. One physician alone could earn $44,000 or more in HITECH incentives.</p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><o:p>&nbsp;</o:p></b></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal">What types of physicians and practitioners qualify for HITECH incentives?<o:p></o:p></b></p> <p> The following types of physicians and practitioners can all qualify for $44,000 or more in HITECH stimulus incentives according to <a href="http://www.ssa.gov/OP_Home/ssact/title18/1861.htm" target="_blank"> Social Security Act, section 1861(r)</a>:</p> <p class="MsoNormal"> Doctor of Medicine or Osteopathy- M.D. or D.O<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Physician Assistant</p> <p class="MsoNormal"> Doctor of Dental Surgery or Medicine  D.D.S or D.D.M<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Nurse Practitioner</p> <p class="MsoNormal"> Doctor of Podiatric Medicine- D.P.M<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Clinical Nurse Specialist</p> <p class="MsoNormal"> Doctor of Optometry- O.D.<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Certified Nurse-Midwife</p> <p class="MsoNormal"> <st1:place w:st="on"><st1:city w:st="on">Chiropractor-</st1:City> <st1:state w:st="on">D.C.</st1:State></st1:place><span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Clinical Social Worker</p> <p class="MsoNormal"> Certified Registered Nurse Anesthetist<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Clinical Psychologist</p> <p class="MsoNormal"> Registered Dietitian<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Nutrition Professional</p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal">Which geographic locations qualify for HITECH incentives?<o:p></o:p></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> All 50 <st1:country-region w:st="on">U.S.</st1:country-region> States<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:place w:st="on">Puerto Rico</st1:place></p> <p class="MsoNormal"> <st1:state w:st="on">District of Columbia</st1:State><span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:place w:st="on">Virgin Islands</st1:place></p> <p class="MsoNormal"> Guam<span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:state w:st="on"><st1:place w:st="on">American Samoa</st1:place></st1:State></p> <p class="MsoNormal"> <st1:place w:st="on">Northern Mariana Islands</st1:place></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal">Will your medical partner s EHR be certified to qualify for HITECH incentives?<o:p></o:p></b></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><o:p>&nbsp;</o:p></b></p> <p class="MsoNormal"> Our medical partner guarantees that their EHR will be certified and available to all physicians who want to qualify for 2011 HITECH payments.<span style="mso-spacerun:yes">&nbsp; </span> </p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal">When should I switch to EHR?<o:p></o:p></b></p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal"> Some practices may be taking the wait-and-see approach because they are unsure of which EHR to select or they want to wait until the  meaningful use requirements have been established.<span style="mso-spacerun:yes">&nbsp; </span> However, the time to act is now. Since our medical partner guarantees that their EHR solution is designed to meet the criteria for  meaningful use, by acting now, practices will earn the most stimulus money and start maximizing office efficiency immediately.<span style="mso-spacerun:yes">&nbsp; </span>Furthermore, we offer a free solution for transcription clients, allowing your practice the chance to qualify for incentives without the financial risk of other companies.<span style="mso-spacerun:yes">&nbsp; </span>Even if you do not qualify for government incentives, you will increase office productivity, cut costs without spending thousands of dollars on an EHR system.<span style="mso-spacerun:yes">&nbsp; </span> </p> <p class="MsoNormal"> <o:p>&nbsp;</o:p></p> <p class="MsoNormal" style="tab-stops:1.0in"> <o:p> _______________________________________________________________________________________</o:p></p> <p align="center" class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt">Stage 1: 25 Requirements for Meaningful Use<o:p></o:p></span></b></p> <p class="MsoNormal"> Stage<strong> </strong>1 of the meaningful use criteria beginning in 2011 includes 25 objectives/measures for physicians and 23 objectives/measures for eligible hospitals. To be considered a meaningful EHR user, you must meet all of the criteria listed below: </p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l3 level1 lfo1;tab-stops:list .5in"> <b style="mso-bidi-font-weight:normal">Use Computerized Physician Order Entry (CPOE)<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all orders.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l3 level1 lfo1;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Implement drug-drug, drug-allergy, drug-formulary checks<o:p></o:p></b></li> <li class="MsoNormal" style="mso-list:l3 level1 lfo1;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Maintain an up to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED <span lang="EN" style="color:black; mso-ansi-language:EN">CT®</span><o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span lang="EN" style="color:black;mso-ansi-language:EN"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all patients.<o:p></o:p></span></p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Generate and transmit permissible prescriptions electronically (eRx)<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 75% or more of all permissible prescriptions.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Maintain an active medication list.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all patients.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Maintain active medication allergy list.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all patients.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Record demographics including: preferred language, insurance type, gender, race and ethnicity, and date of birth.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite:<span style="mso-spacerun:yes">&nbsp; </span>For 80% or more of all patients.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Record and chart changes in the following vital signs: height, weight, and blood pressure and calculate and display body mass index (BMI) for ages 2 and over; plot and display growth charts for children 2-20 years, including BMI.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <b style="mso-bidi-font-weight:normal"><span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></b>Prerequisite: For 80% or more of all patients.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Record smoking status for patients 13 years old or older.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> Prerequisite: For 80% or more <span lang="EN" style="color:black;mso-ansi-language:EN">of all unique patients 13 years old or older seen by the EP  smoking status recorded.<o:p></o:p></span></p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Incorporate lab-test results into EHR as structured data.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 50% or more of all clinical lab tests. </p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research and outreach.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: One or more reports.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Report ambulatory quality measures to CMS<o:p></o:p></b></li> <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Send reminders to patients per patient preference for preventive/follow-up care.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 50% or more of all patients who are 50 and over.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l0 level1 lfo3;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Implement five clinical decision support rules relevant to specialty or high clinical priority including: diagnostic test ordering, along with the ability to track compliance with those rules.<o:p></o:p></b></li> <li class="MsoNormal" style="mso-list:l0 level1 lfo3;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Check insurance eligibility from public and private payers</b>.</li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all patients.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Submit claims electronically to public and private payers.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all claims.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Provide patients with an electronic copy of their health information (including problem lists and medication lists) upon requests.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% of all patients who ask for a copy within 48 hours.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Provide patients with timely access to their health information (including lab results, problem list, education lists, allergies) within 96 hours of the information being available to EP.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 10% or more of all patients.</p> <p class="MsoNormal"> <![if !supportLists]> <span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><b style="mso-bidi-font-weight:normal">Provide clinical summaries for patients for each office visit.<o:p></o:p></b></p> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: For 80% or more of all office visits.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Capability to exchange key clinical information (e.g., problem list, medication list, allergies, test results) among providers of care and patient authorized entities electronically<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: One test or more.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Perform medication reconciliation at relevant encounters and each transition of care<o:p></o:p></b></li> </ul> <p class="MsoNormal"> Prerequisite: For 80% or more of all relevant encounters and transitions of care.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Provide summary care record for each transition of care or referral.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: <span style="mso-spacerun:yes">&nbsp;</span>For 80% or more of all patients.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Capability to submit electronic data to immunization registries and action submission where required and accepted<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: One test or more.</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Capability to provide electronic syndrome surveillance data to public health agencies and actual transmission according to applicable law and practice.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="mso-tab-count:1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Prerequisite: One test or more. (Not required if the public health agencies can t receive the information electronically.)</p> <ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="color:black;mso-list:l2 level1 lfo4;tab-stops:list .5in left 1.0in"> <b style="mso-bidi-font-weight:normal">Protect electronic health information created or maintained by the certified EHR using implementation of appropriate technical capabilities.<o:p></o:p></b></li> </ul> <p class="MsoNormal"> <span style="font-size:9.5pt;font-family:Arial;color:#666666"> <span style="mso-tab-count: 1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span> </p> <p class="MsoNormal"> <span style="font-size:9.5pt;font-family:Arial;color:#666666"> <span style="mso-tab-count: 1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span> <a href="http://healthit.hhs.gov/portal/server.pt?open=512&amp;objID=1325&amp;parentname=CommunityPage&amp;parentid=1&amp;mode=2"> http://healthit.hhs.gov/portal/server.pt?open=512&amp;objID=1325&amp;parentname=CommunityPage&amp;parentid=1&amp;mode=2</a><o:p></o:p></span></p> <p class="MsoNormal"> <span style="font-size:9.5pt;font-family:Arial;color:#666666"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal"> <span style="font-size:9.5pt;font-family:Arial;color:#666666"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="tab-stops:1.0in"> <o:p></o:p> </p> </td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td align="center" class="we">Medical Arc, LLC is your Medical Computer Specialists.</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </table></td> </tr> <tr> <td height="45" colspan="3" align="left" valign="top" style="background-image:url(images/theme_11.jpg); background-position:bottom; background-repeat:no-repeat; width:1000px;"><table width="976" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td height="13">&nbsp;</td> <td align="right">&nbsp;</td> <td colspan="3">&nbsp;</td> </tr> <tr> <td width="293" height="13"><span class="footer">&copy; Copyright 2010.Medical Arc <sup class="super">TM</sup> LLC. 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