Q. Do speciality practices have to report on preventive care?
A. As currently proposed, all eligible professionals must report on three core measures plus a set of specialty-specific measures. CMS has not issued further guidance as yet around whether some specialists can opt out of certain quality measures.

Q. What if all 25 of the measures do not pertain to your clinic? We do not do immunizations at all
A. Additional clarity from CMS will be required around whether specialists will be able to opt out of any requirements not directly relevant to their practice. Clinicians were encouraged to submit comments to CMS during the open comment period for issues like this one.

Q. If we are a dermatology group, do we qualify? Or does that mean that we are omitted from the stimulus money?
A. Yes, as a doctor of medicine, you would qualify. The meaningful use criteria are the same for all specialties, with one exception. The clinical quality measure includes a "specialty group measure". Physicians will need to choose from one of 15 specialty groups. There is no specialty group for Dermatology, as proposed, however, CMS notes that you can attest that no specialty group applies.

Q. Can multispecialty groups have some physicians participate in the Medicare incentive and some participate in the Medicaid incentive?
A. Yes. Incentives will be paid to eligible professionals on an individual, per-provider basis. That means that one provider in a group can elect to participate in the Medicare program while another in the same practice can elect to participate in the Medicaid program (provided s/he meets the Medicaid patient volume threshold requirements)