Inverness Medical Imaging (Inverness, Florida) had an especially strong motivation to apply for federal meaningful-use incentives: With a payor mix that was 60% Medicare, the radiology practice knew that the eventual penalties for not attesting to meaningful use would be too big a hit to sustain. John Erler, administrator, says, “The incentives are good, but if you aren’t meaningful-use compliant, the government will eventually reduce your reimbursement through Medicare. That’s a huge portion of our business, so it made sense for us to get onboard now and get as much of the incentive money as possible.”