The College of Healthcare Information Management Executives supports the concept of establishing temporary and permanent electronic health records certification programs, but is concerned about whether products can get certified fast enough for providers to receive incentive payments.

"The introduction of two separate certification schemes--one temporary and one permanent--carries a risk of continuing the uncertainty and promoting needless product replacement in the marketplace," the Ann Arbor, Mich.-based trade association says in a comment letter on the proposed certification rule.

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