With an estimated $1.5 billion in potential stimulus bonus payments for radiologist professionals at stake, and penalties looming farther down the road, radiologists would be wise to study and respond to recent federal regulations related to meaningful use of complete certified ambulatory electronic health records and their equivalents. Many radiologists mistakenly believe that they were "left out" of the meaningful use rewards or that compliance is technically impractical. With diligent preparation, including the adoption of new technology and workflows, the vast majority of radiologists can qualify before October 2012 to capture the full available rewards and avoid later penalties.