“Make sure your meaningful use guarantee is not just Smoke and Mirrors”.

Having assisted a number of state Regional Extension Centers with contract negotiations this past year, and being sensitive to my clients getting their reimbursement funds,  I have been amazed at the number of vendors who profess to give you a guarantee on meaningful use, but don’t really put any “teeth” in it. Many of the contracts I have seen state that the vendor will guarantee meaningful use. First of all they cannot guarantee meaningful use per se… that is your job … to use the EHR in accordance with the MU guidelines and then attest to get your bucks form the HITECH program. But, instead, what a vendor can and should do is guarantee ELIGIBILITY for meaningful use reimbursement.

Now comes the “teeth”…

What happens if they don’t make you eligible for reimbursement? In that case they should commit to some kind of remedy such as refunds, partial refunds, or credits for the time you are not eligible. Remember, a guarantee is only as good as the paper it’s written on unless there are some repercussions for not complying with the commitments.

And, don’t forget… in addition to meaningful use eligibility, make sure that they guarantee that their software will support the reporting and attestation required for reimbursement.


  1. Laura Harris says:

    I had Medinformatics emr/ PMS for 8 months and they never
    got my “dash board ” installed after numerous emails
    calls, etc. I could not do the attestation survey because I found out all my work was never
    collected in any usable data. I’m quitting the company and want
    my money back. Any buzz words to use or suggestions?
    So frustrated . Dr Laura Harris,MD

    • Mike Uretz says:

      Hi Laura,

      Sounds like there are 2 issues…

      1) The system couldn’t collect the discrete structured data needed for Stage 1 attestation.
      2) Medinfomatics has not been responsive to your needs regarding istallation of the dashboard they promised you.

      Was wondering if you’re referring to a “meaningful use” dashboard or a provider dashboard which displays at a glance such items as labs, messages, etc.

      Check your contract to see if you have any kind of guarantees or warranties in your contract regarding eligibility for meaningful use and any associated penalties for non-compliance?

      If not, were there any verbal commitments?

      In terms of not getting their dashboard installed despite numerous emails… have you tried different folks in the organization. When I help a client with vendor management issues, many times it takes getting to the right resources (typically upper level management) who need to know what’s going on and that your requests are being dismissed. They might not want to lose you as a customer…

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