If an eligible professional (EP) sees patients in both inpatient and outpatient settings, the EP should base both the numerators and denominators for meaningful use objectives on the number of unique patients seen in the outpatient setting, since this setting is where one is eligible to receive payments from the Medicaid EHR Incentive Program. See the "Inpatient vs. Outpatient" CMS FAQ for more information.
Are physicians who work in hospitals eligible?
You can qualify for the Medicaid EHR incentive program if you also work in a hospital. The hospital incentive program is separate from the Eligible Professional (EP) incentive program. According to CMS, physicians who furnish substantially all, defined as 90% or more, of their covered professional services in either an inpatient (POS 21) or emergency department (POS 23) of a hospital are not eligible for incentive payments under the Medicaid EHR Incentive Program. In other words, if more than 10% of your services are in the outpatient setting, you can qualify. See the "Hospital Physician" CMS FAQ for more information.