Costs and Limitations

CapabilityDescription of capabilityCosts or FeesContractual LimitationsTechnical or Practical Limitations
170.315(a)(1) Computerized provider order entry – medicationsThis functionality enables a user’s to create, change and view Medications orders electronically
Medications data based: Gold Standard v.5
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directly with third parties for the use of MedicusEHR. However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based.None
170.315(a)(2) Computerized provider order entry – laboratoryThis functionality enable a user’s to create, change and view Laboratory orders electronically, following LOINC standard.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directly with third parties for the use of MedicusEHR. However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based.None
170.315(a)(3) Computerized provider order entry – diagnostic imagingThis functionality enables a user’s to create, change and view Imaging orders electronicallyMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directly with third parties for the use of MedicusEHR. However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based.None
170.315(a)(4) Drug-drug, drug-allergy interaction checks for CPOEThis functionality enables users to be alerted for potential drug-drug and drug-allergy interaction alerts before they complete a medication orders.
Gold Standard v.5   provides access to review alerts during the process of ordering medications.
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directly with third parties for the use of MedicusEHR. However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based.None
170.315(a)(5) DemographicsThis functionality enables users to record, change and view demographic information of the patient.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(6) Problem ListThis functionality enables users to record, change and access a patient’s problem list, following SNOMED CT and ICD-10 standards. Info button standard implemented with Medline PlusMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(7) Medication listThis functionality enables a user to record, change, and access a patient’s medication list following RxNorm standard.
Info button standard implemented with Medline Plus
Medications data based: Gold Standard v.5
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(8) Medication allergy listThis functionality enables a user to record, change, and access a patient’s medication-allergy list, following RxNorm standard.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(9) Clinical decision support (CDS)Support for rules based clinical decision support and for online access to referential resources.   Medline Plus as the default Info button content for diagnostic/therapeutic reference information for CDS alerts.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(10) Drug-formulary and preferred drug list checksEnable a user to access to preferred drug listMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(11) Smoking status.This functionality enables a user to record, change, and access the smoking and tobacco use status of a patient using SNOMED standard.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(12) Family health historyThis functionality enables the user to electronically record, change and access a patient’s family health history.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(13) Patient specific educationThis functionality enables the user to electronically identify patient-specific education resources based on data included in the patient’s problem list and medication list Info button standards.
Info button standard implemented with Medline Plus
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(14) Implantable device list.This functionality enables capture of patient implantable device data as history in the chart. The certified EHR interacts with FDA Web access GUDID to incorporate the device ID and Unique device Identifiers for the implantable device.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
§170.315(b)(1) Transitions of careThis functionality enables a user to electronically create and transmit a transition of care/referral summary in C-CDA format, which includes a common clinical data set. The solution follows C-CDA and Direct standards.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(b)(3) Electronic PrescribingComplete with drug-drug interaction checks, allergy checking, this functionality enables a user to prescribe and route prescriptions directly from medical facilities to the patient’s preferred pharmacy for faster fulfillment. The solution uses RxNorm and NCPD standards, and the SureScripts infrastructure for prescription transmission to the pharmacyMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(1) Authentication, access control, and authorizationManaging authorized and authenticated users access to MedicusEHRMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(2) Auditable events and tamper-resistanceThis functionality logs and audits user activity while accessing the system and provides a mechanism to assure the information audited is not tamperedMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(3) Audit report(s)This functionality enables a user to create an audit report for a specific time period and to sort entries in the audit logMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(4) AmendmentsPermits a patient to submit an amendment to their electronic health recordMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(5) Automatic access time-outRequires the EHR to automatically log off a user after a pre-determined time of inactivityMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(6) Emergency accessThis functionality permits an identified set of users to access electronic health information during an emergency.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(7) End-user device encryptionThe MedicusEHR technology is designed not to locally store electronic health information on end-user devicesMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
MedicusEHR is a cloud-based product.   There are no limitations that a user may encounter regarding the exchange or portability of any data generated when using the capability.
170.315(d)(9) Trusted connectionEncrypt and integrity protect message contents in accordance with the standards. A hashing algorithm with a security strength equal to or greater than SHA-256 is usedMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(3) Safety-enhanced designEnsures that a safety-enhanced design study has been performed for specified certification criteria; a1, a2, a3, a4, a5, a6, a7, a8, a14.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(4) Quality management systemEnsures that a quality management system used by the health IT developer. ISO 9001-2015 standard usedMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(5) Accessibility-centered designNo ACD standard usedMedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(6) Consolidated CDA creation performanceThis functionality certifies the CDA performance for all CDA documents generated from certified EHR to ONC prescribed standards.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(7) Application access – patient selectionMedicusEHR offers an API that can receive a request from authenticated and authorized third-party applications with enough information to uniquely identify a patient and return an ID or other token that can be used by an application to subsequently execute requests for that patient’s data.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(8) Application access – data category requestThis functionality provides a secure method for authenticated and authorized third party applications to request elements from Common Clinical Data set categories.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(9) Application access – all data requestThis functionality provides a secure method for authenticated and authorized third party patient engagement applications to access clinical data elements in a machine readable complete CCDA format.MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(h)(1) Direct ProjectThis functionality allows certified EHR to demonstrate interoperability using DIRECT protocols.
HISP: DataMotion
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directly with third parties for the use of MedicusEHR.
However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None