Meaningful Use Preparedness 07/24/2015

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Meaningful Use Preparedness 07/24/2015"

Transcription

1 Meaningful Use Preparedness HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION 07/24/2015

2 Agenda Incentive Payments Measures Tracking Physicians Tracking Payment Audits

3 EHR Incentive Program Meaningful Use The American Reinvestment & Recovery Act (ARRA) February 17, "Health Information Technology for Economic and Clinical Health (HITECH) Act supports the concept of electronic health records - meaningful use [EHR-Meaningful Use Effort led by Centers for Medicare & Medicaid Services (CMS ) and the Office of the National Coordinator for Health IT (ONC). Program saw many changes since 2011, the first reporting year. Incentives decrease as penalties incurred. 3

4 Stages of Meaningful Use Stage 1 Data Capture and Sharing Stage 2 Advance Clinical Processes Stage 3 Improve Outcomes Stage 3 is to be the final stage of Meaningful Use ONC is requesting granularity with Standards and Implementation Specifications

5 Meaningful Use Stages Stage 1 Stage 2 Proposed Modified Stage Proposed Stage Core Objectives 17 Core Objectives 10 Objectives 8 Objectives 5 of 10 Menu Objectives 3 of 6 Menu Objectives 0 Menu Objectives 0 Menu Objectives 5

6 Measures

7 # Measure Stage 2 Stage 2 Modified as Proposed Stage 3 as Proposed 1.1 Protect Electronic Health Information Annual No Change Annual & After Upgrades 2.1 Clinical Decision Support 5 Rules Stage 1 Reports on Stage 2 Thresholds 5 Rules 2.2 Drug-drug and Drug Allergy Interaction Checks Drug/Drug Drug/Drug No Change Drug/Allergy Drug/Allergy 3.0 Computerized Provider Order Entry 3.1 CPOE Entry Medications Orders 60% 80% Stage 1 Reports on Stage 2 Thresholds 3.2 CPOE Laboratory Orders 30% 60% 3.3 CPOE Radiology Orders 30% 60% 4.1 Electronic Prescribing 50 % EP 80% EP No Change 10% EH Menu 25% EH 5.1 Summary of Care Send Electronic Summary of Care 10% 50% Stage 1 Reports on Stage 2 Thresholds Receive Electronic Summary of Care - 40% Reconcile Electronic Summary of Care - 80% 6.1 Patient Specific Education 10% Moves to Core for Stage 1 at 10% 35% 7.1 Medication Reconciliation 50% Stage 1 Reports on Stage 2 Thresholds 8.0 Patient Electronic Access 8.1 Patient Electronic Access (Timely Access) 5% 5% Threshold replaced by 1 patient 25% 8.2 Patient Electronic Access (VDT) 50% No Change 80% 9.1 Secure Electronic Messaging 10.0 Public Health and Clinical Data Registry Reporting 5% EP 0% EH 10.1 Immunization Registry Reporting x 10.2 Syndromic Surveillance Reporting x 10.3 Case Reporting 10.4 Public Health Registry Reporting 10.5 Clinical Data Registry Reporting 10.5 Reportable Labs to Public Health (EH Only) EP 5% Threshold replaced with Capacity to send/receive EP Both Stages Report on 2 of the 5 EH Report on 3 of 6 35% EP Report on 3 of 5 EH Report on 4 of 6

8 Proposed Stage 3 Simplified 8

9 21 Measures within the 8 Objectives Key Goals in Proposed Stage 3 Patient Engagement Interoperability 9

10 Incentive Payments

11 Medicare Incentive Payments First Payment Year Annual Incentive Payment by Stage of Meaningful Use 2011* * * $44,000 $18,000 $12,000 $8,000 $4,000 $2, $44,000 $18,000 $12,000 $8,000 $4,000 $2, $39,000 $15,000 $12,000 $8,000 $4, $24,000 $12,000 $8,000 $4, $0 $0 * Start of new stage for EPs with two years in prior stage

12 Medicaid Incentive Payments First Payment Year Annual Incentive Payment by Stage of Meaningful Use 2011* * * A.I.U $63,750 $21,250 $8,500 $8,500 $8,500 $8,500 $8, A.I.U $63,750 $21,250 $8,500 $8,500 $8,500 $8,500 $8, A.I.U $63,750 $21,250 $8,500 $8,500 $8,500 $8,500 $8, $63,750 $21,250 $8,500 $8,500 $8,500 $8,500 $8, $63,750 $21,250 $8,500 $8,500 $8,500 $8,500 $8, $63,750 $21,250 $8,500 $8,500 $8,500 $8,500 $8,500 * Start of new stage for EPs with two years in prior stage

13 Payment Adjustments (Penalty Phases Begins) 0% 1% 2% 3% Meaningful User Meaningful User x Meaningful User Meaningful User Meaningful User No Penalty No Penalty No Penalty No Penalty 3% Penalty (reduction based on 2015) CMS has announced 257,000 physicians will be penalized beginning 2015 for failing to meet Meaningful Use.

14 Hardships Lack of Internet Infrastructure Available per FCC Unforeseen and/or Uncontrollable Circumstances (Fire, Tornado, Hurricane, FEMA Declared, Flood, Explosion, Practice Closure, Bankruptcy or Debt Restructuring, EHR Certification/Vendor Issues) Lack of Control over the Availability of Certified EHR Technology Lack of Face-to-Face Patient Interaction Hardships are due July 1 each year

15 Tracking Physicians

16 Tracking Physicians Eligible Professionals attest individually CMS holds physician responsible for Meaningful Use Health network can have physicians in various stages and years of MU. Need to monitor physicians progress on objectives early and often

17 Physicians in Transition Good neighbor approach in working with outside health networks in assisting EP in Meaningful Use. CMS does not offer guidelines responsibility for meeting MU and provide required reports lies with the EP Health Networks have a variety of formal and informal policy around transitioning physicians Scenarios EP joins December 2015 and has never been a Meaningful User You have 30 days to register EP, determine Stage/Year, produce/monitor reports. Request information and reports from prior employer Payment adjustments will apply on all Medicare dollars received in 2015, 2016, 2017.

18 Physicians in Transition EP joins July Never attest. What reporting period is used? Does the former employer attest on behalf of the EP? Does the current employer attest on behalf of the EP? EP leaves you mid-reporting period. EP has been a Meaningful User since 2011 Would the new employer attest on behalf of the EP? Would the former employer provider MU reports to the provider or new employer? Depending on the comfort level, the new employer could attest for the EP. Would the former employer support an audit when our data is used? For 2015 attestations cannot occur prior to January 1 There is the potential this change will make it easier for networks to attest Where ever the EP is employed on January 1 will attest.

19 Tracking Payments

20

21 Tracking Payments Provide finance department with list of EP that attest Understand newly hired employees may be subject to payment adjustments with 2 year lookback Audits could result in repayment Know the Stage/Year of EP as incentive payments are based on 75% of payments with a cap that declines each year Request that CMS provide cleaner adjudications

22 Audits

23 Audits 34 Billion spent on Meaningful Use 17 Billion expected to be repaid Auditors Medicare Audits Figliozzi & Co Medicaid Audits PA State OIG audits Hospital, Physicians, Medicare, Medicaid Audit Types Prepayment/Postpayment One Year/Multiple Years

24 Preparing for an Audit #1 Reasons audits fail is the Security Risk Assessment (SRA) SRA included physical, technical, administrative safeguards ~150 pages each Security Risk Assessment Tools Auditors Figliozzi & Company State Office of Inspector General

25 Figliozzi & Company Audit Engagement letter and document request is sent Organization provided business days to fulfill request Auditor reviews and may request additional documentation Upload is through a fileshare portal. No receipt is received. Think about documenting files names and submission times

26 PA State 60 days to reply Audit multiple EPs at once (e.g. 51, 25, 29) Medicaid Patient Volume detail In addition to expected documents, PA State has requested Proof of board certification Surveys Explanation of process or methodology

27 Office of Inspector General 10 business days to reply Audits are more in depth and focused on subset of MU Medicare and Medicaid Via or Onsite Submit files through HHS/OIG Delivery Server Secure Receipt is received when auditor retrieve the files

28 Documentation Save off source documentation (MU reports from CEHRT) used during attestation (static) Request Standard Vendor Letter from EHR vendor Screenshots of Yes/No measures Include screenshot for only measures the Eligible Professional reported on machine dated from state registries Medicaid Volume and Fiscal documentation (original and updates from desk reviews) Security Risk Analysis with remediation plan. Must address data at rest. Evidence demonstrating reports were generated by the CEHRT (A screenshot of the report within the system before it was printed, logo, etc.)

29 Documentation Documentation of Transitions of Care measure 3 cross-vendor cross-organization exchange Send a clean, organized document that answers the question. Send what is asked. EHR Vendor contract -Do not send full contract Be aware of vendor proprietary information Save CMS FAQs FAQs are periodically deleted FAQs will print blank pages

30 Documentation Collect documents now. Do no wait for the audit notification. Communicate with the auditors Communicate internally - Audit request will be sent to the address on the EHR Incentive program registration Physician Credentialing Meaningful Use contact Communicate securely with auditors. Auditors are required to report security breaches that do not meet FIPS requirements. Secure Direct address Secure file upload

31 Appendix CONTAINS: STANDARD VENDOR LET TER LINKS TO SUPPORTING DOCUMENTATION

32 Standard Vendor Letter (EHR Vendor Letterhead) EHR Vendor Letter for EHR Incentive Program As of date of this letter, (Vendor name) verifies: that (Provider name): (1) was or is a customer of (Vendor name), and (2) received the Certified electronic health record technology as a product from (Vendor name). Date: Provider Name: EHR Vendor Name: CMS Certified Product Name: CMS Certified Product Version Number: CMS EHR system Certification ID number ONC-ATCB Certification ID Number (if available): EHR Vendor Signature

33 Supporting Documentation Links Link to PA State suggested documentation for Meaningful Use Link to CMS suggested documentation for Meaningful Use Guidance/Legislation/EHRIncentivePrograms/Downloads/EHR_SupportingDocumentation_Audits.pdf Link to PA State volume sample report.

WHAT JUST HAPPENED TO THE EMR PROGRAM?

WHAT JUST HAPPENED TO THE EMR PROGRAM? WHAT JUST HAPPENED TO THE EMR PROGRAM? November 5, 2015 Michael Orr Director morr@bkd.com 254.776.8244 ext. 43928 Travis Skinner Senior Managing Consultant tskinner@bkd.com 254.776.8244 ext. 43936 1 TO

More information

The Future of Meaningful Use

The Future of Meaningful Use The Future of Meaningful Use Stage 3 Erin Dormaier, CHTS-IM, PCMH CCE Transformation Support Services Manager 2015 CORHIO All Rights Reserved CORHIO Proprietary Not For Redistribution 1 Agenda Stage 3

More information

Completing Your MPIP Attestation: Supporting Documentation

Completing Your MPIP Attestation: Supporting Documentation Overview This tip sheet provides examples of the types of supporting documentation that may be requested during a pre-payment review in order to verify an eligible professional's (EP) or eligible hospital's

More information

9/9/2015. Medicare/Medicaid Incentive Program. Medicare/Medicaid Incentive Program. Meaningful Use, Penalties and Audits

9/9/2015. Medicare/Medicaid Incentive Program. Medicare/Medicaid Incentive Program. Meaningful Use, Penalties and Audits Meaningful Use, Penalties and Audits SHERI SMITH, FACMPE STATE VOLUNTEER MUTUAL INSURANCE COMPANY Copyright 2014 State Volunteer Mutual Insurance Company Medicare/Medicaid Incentive Program Medicare/Medicaid

More information

Navigating a Meaningful Use Audit: Are You Ready? Brian Flood

Navigating a Meaningful Use Audit: Are You Ready? Brian Flood Navigating a Meaningful Use Audit: Are You Ready? Brian Flood 2014 Husch Blackwell LLP Agenda For This Segment ARRA, HITECH, and Meaningful Use What is Meaningful Use? Progress to Date How providers meet

More information

Meaningful Use Update

Meaningful Use Update Meaningful Use Update AGENDA Quick Refresher on Meaningful Use Overview of Stage 2 Meaningful Use Audits 2 MEANINGFUL USE STAGES Stage 1 focus on data capture, getting the foundation in place Stage 2 focus

More information

WHAT S NEW ON THE EHR FRONT?

WHAT S NEW ON THE EHR FRONT? WHAT S NEW ON THE EHR FRONT? Mike Orr, Director Travis Skinner, Senior Managing Consultant TODAYS AGENDA Finalized 2015 EHR Modification Rule (EHs & EPs) New Measures & Objectives EHR Tentative Settlement

More information

CMS and ONC release final rules for Stage 2 meaningful use requirements

CMS and ONC release final rules for Stage 2 meaningful use requirements SEPTEMBER 11, 2012 CMS and ONC release final rules for Stage 2 meaningful use requirements By Linn Foster Freedman and Kathryn Sylvia On August 23, 2012, the Centers for Medicare and Medicaid Services

More information

WHAT S NEW ON THE EHRFRONT?

WHAT S NEW ON THE EHRFRONT? WHAT S NEW ON THE EHRFRONT? Mike Orr, Director Travis Skinner, Senior Managing Consultant TODAYS AGENDA Finalized 2015 EHR Modification Rule (EHs & EPs) New Measures & Objectives EHR Tentative Settlement

More information

Achieving Meaningful Use in 2014. Presented by the SFREC

Achieving Meaningful Use in 2014. Presented by the SFREC Achieving Meaningful Use in 2014 Presented by the SFREC About the SFREC HEALTH CHOICE NETWORK DBA South Florida Regional Extension Center Established in 2010 as part of the ARRA The mission of the SFREC

More information

Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH

Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH Program Timeline Meaningful Use Timeline Meaningful Use Stages st year 0 0 03 04 05 06 07 08 09 00 0 0 AIU $,50 3 TBD TBD TBD TBD 0 AIU

More information

Become Audit Proof. What You Need To Know To Protect Your Practice

Become Audit Proof. What You Need To Know To Protect Your Practice Become Audit Proof What You Need To Know To Protect Your Practice Disclaimer This webinar is based on official guidance by the Centers for Medicare and Medicaid Services (CMS) and the Office of the National

More information

Agenda. Overview of Stage 2 Final Rule Impact to Program

Agenda. Overview of Stage 2 Final Rule Impact to Program Electronic Health Record (EHR) Incentive Payment Program Review of Meaningful Use Stage 2 Regulation Changes and Other Impacts to the Medicaid EHR Incentive Program for 2014 that combines the effective

More information

EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet

EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet CMS recently published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals,

More information

MEDICAL ASSISTANCE STAGE 2 SUMMARY

MEDICAL ASSISTANCE STAGE 2 SUMMARY MEDICAL ASSISTANCE STAGE 2 SUMMARY OVERVIEW On September 4, 2012, CMS published a final rule that specifies the Stage 2 Meaningful Use criteria that eligible professionals (EPs), eligible hospitals (EHs)

More information

Meaningful Use Stage 2 MU Audits

Meaningful Use Stage 2 MU Audits Meaningful Use Stage 2 MU Audits Presented by: Deb Anderson, CPHIMS HTS Consultant HTS, a division of Mountain Pacific Quality Health Foundation 1 CEHRT Certified Electronic Health Record Technology (EHR)

More information

Meaningful Use Updates. HIT Summit September 19, 2015

Meaningful Use Updates. HIT Summit September 19, 2015 Meaningful Use Updates HIT Summit September 19, 2015 Meaningful Use Updates Nadine Owen, BS,CHTS-IS, CHTS-IM Health IT Analyst Hawaii Health Information Exchange No other relevant financial disclosures.

More information

Modified Stage 2 Final Rule 2015-2017

Modified Stage 2 Final Rule 2015-2017 Modified Stage 2 Final Rule 2015-2017 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois Health Information Technology Regional Extension

More information

Meaningful Use in 2015 and Beyond Changes for Stage 2

Meaningful Use in 2015 and Beyond Changes for Stage 2 Meaningful Use in 2015 and Beyond Changes for Stage 2 Jennifer Boaz Transformation Support Specialist Proprietary 1 Definitions AIU = Adopt, Implement or Upgrade EP = Eligible Professional API = Application

More information

2015 Meaningful Use CMS EHR Incentive Program. DeeAnne McCallin, REC Program Director 11/12/2015 update

2015 Meaningful Use CMS EHR Incentive Program. DeeAnne McCallin, REC Program Director 11/12/2015 update 2015 Meaningful Use CMS EHR Incentive Program DeeAnne McCallin, REC Program Director 11/12/2015 update 1 Disclaimer The information included in this presentation is for informational purposes only The

More information

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality Stage 2 Meaningful Use What the Future Holds Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.

More information

Modified Stage 2 Meaningful Use 2015-2017

Modified Stage 2 Meaningful Use 2015-2017 Click to edit Master title style Modified Stage 2 Meaningful Use 2015-2017 Bruce Maki, MA M-CEITA / Altarum Institute Regulatory & Incentive Program Analyst 12/14/2015 1 1 Agenda 1. Overview of M-CEITA

More information

EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures

EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures Objective 1: Protect Patient Health Information Measures: 1 (Complete

More information

Meaningful Use Stages 1 and 2 and How to Survive a Meaningful Use Audit. Charles Jarvis, Senior Manager

Meaningful Use Stages 1 and 2 and How to Survive a Meaningful Use Audit. Charles Jarvis, Senior Manager Meaningful Use Stages 1 and 2 and How to Survive a Meaningful Use Audit Charles Jarvis, Senior Manager Outline Overview Meaningful Use Stage 1 Differences between Stage 1 and Stage 2 Surviving a Meaningful

More information

CMS Meaningful Use Proposed Rule

CMS Meaningful Use Proposed Rule 2015 Modifications for Stage 1 and Stage 2 CMS Meaningful Use Proposed Rule June 11, 2015 Nick Maisel, EHR Program Coordinator Office of the Governor Mississippi Division of Medicaid OFFICE OF THE GOVERNOR

More information

MEDICARE EHR: PREPARING FOR 2015. Community Counts Practice Effectiveness Web Series ION June 26, 2014 Risë Marie Cleland Oplinc, Inc.

MEDICARE EHR: PREPARING FOR 2015. Community Counts Practice Effectiveness Web Series ION June 26, 2014 Risë Marie Cleland Oplinc, Inc. MEDICARE EHR: PREPARING FOR 2015 Community Counts Practice Effectiveness Web Series ION June 26, 2014 Risë Marie Cleland Oplinc, Inc. Important to Remember The information provided in this presentation

More information

Summary of the Final Rule for Meaningful Use for 2015 and 2016. Meaningful Use Objectives for 2015 and 2016

Summary of the Final Rule for Meaningful Use for 2015 and 2016. Meaningful Use Objectives for 2015 and 2016 Image Research, LLC Christopher B. Sullivan, Ph.D. 2901 Quail Rise Court, Tallahassee, FL 32309 Summary of the Final Rule for Meaningful Use for 2015 and 2016 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers

More information

Meaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist

Meaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist Meaningful Use 2015 and beyond Presented by: Anna Mrvelj EMR Training Specialist 1 Agenda A look at the CMS Website Finding your EMR version Certification Number Proposed Rule by the Centers for Medicare

More information

Meaningful Use for Physician Offices

Meaningful Use for Physician Offices Meaningful Use for Physician Offices Eligibility, Registration and Meeting the Criteria Elizabeth M. Neuwirth 203 772 7742 eneuwirth@murthalaw.com H. Kennedy Hudner 860 240 6029 khudner@murthalaw.comemail

More information

EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview

EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access

More information

EHR/Meaningful Use 2015-2017

EHR/Meaningful Use 2015-2017 EHR/Meaningful Use 2015-2017 The requirements for Meaningful Use attestation have changed due to the recently released Medicare and Medicaid Programs: Electronic Health Record Incentive Program Stage 3

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Florida Medicaid Electronic Health Record Incentive Program For additional assistance please contact the Florida EHR Incentive Payment Program Call Center at (855) 231 5472 or

More information

Semi-Annual Blueprint Conference October 20, 2014

Semi-Annual Blueprint Conference October 20, 2014 Semi-Annual Blueprint Conference October 20, 2014 Heather EJ Kendall, PhD Medicaid Operations Administrator EHR Incentive Program Audit Lead VT Department of Health Access Incentive program audit background

More information

CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview October 8, 2015

CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview October 8, 2015 CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview October 8, 2015 Elizabeth S. Holland Center for Clinical Standards and Quality Centers for Medicare & Medicaid

More information

Meaningful Use Updates Stage 2 and 3. Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015

Meaningful Use Updates Stage 2 and 3. Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015 Meaningful Use Updates Stage 2 and 3 Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015 Stage 2 Requirements 2015 EPs beyond 1st year of MU must report on a full year of data EPs in 1 st year

More information

1/16/2015 HOW CLINICAL EDUCATORS CAN DISCLOSURE LEARNING OBJECTIVES MAKE MEANINGFUL USE MEANINGFUL. We have no financial disclosures

1/16/2015 HOW CLINICAL EDUCATORS CAN DISCLOSURE LEARNING OBJECTIVES MAKE MEANINGFUL USE MEANINGFUL. We have no financial disclosures HOW CLINICAL EDUCATORS CAN MAKE MEANINGFUL USE MEANINGFUL Daryl Wieland, MD Tammy Gruenberg, MD Michelle Giannone, MD Albert Einstein College of Medicine, Bronx, NY DISCLOSURE We have no financial disclosures

More information

Meaningful Use Audits. Best Practices for keeping your Incentive Dollars. Mark Norris, CEO Medical Records Services, LLC 4.16.14

Meaningful Use Audits. Best Practices for keeping your Incentive Dollars. Mark Norris, CEO Medical Records Services, LLC 4.16.14 Meaningful Use Audits Best Practices for keeping your Incentive Dollars Mark Norris, CEO Medical Records Services, LLC 4.16.14 1 Are you ready? Are you sure???? 2 3 Audits are here it s not pretty. There

More information

NY Medicaid EHR Incentive Program. Eligible Professionals Meaningful Use Stage 2 (MU2) Webinar www.emedny.org/meipass

NY Medicaid EHR Incentive Program. Eligible Professionals Meaningful Use Stage 2 (MU2) Webinar www.emedny.org/meipass Eligible Professionals Meaningful Use Stage 2 (MU2) Webinar www.emedny.org/meipass May 2015 2 Meaningful Use Stage 2 Overview of EHR Introduction to Meaningful Use Meaningful Use Stage 2 Objectives Clinical

More information

Meaningful Use - The Basics

Meaningful Use - The Basics Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use

More information

MEANINGFUL USE Stages 1 & 2

MEANINGFUL USE Stages 1 & 2 MEANINGFUL USE Stages 1 & 2 OVERVIEW Meaningful Use is the third step in the journey to receive funds under the CMS EHR Incentive Programs. Meaningful Use (MU) is the utilization of certified electronic

More information

Meaningful Use Madness: Stage 3 Overview APRIL 08, 2015

Meaningful Use Madness: Stage 3 Overview APRIL 08, 2015 Meaningful Use Madness: Stage 3 Overview APRIL 08, 2015 Agenda Health IT Updates EHR Meaningful Use Incentive Program Rulemaking CMS Policy NPRM Stage 3 ONC Technical NPRM 2015 Edition CEHRT Proposed structural

More information

Meaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support

Meaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support Meaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support The following is a summary of the Meaningful Use Modifications for 2015-2017.

More information

MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.

More information

2015 Modified Stage 2 Requirements

2015 Modified Stage 2 Requirements 2015 Modified Stage 2 Requirements Your Guide To Being A Meaningful CEHRT User In 2015 Property of Advanced Provider Solutions, LLC. All rights reserved. Executive Summary The Medicare and Medicaid EHR

More information

CMS EHR Incentive Programs:

CMS EHR Incentive Programs: CMS EHR Incentive Programs: An Overview Meaningful Use Stages Vidya Sellappan Centers for Medicare & Medicaid Services Office of E-Health Standards and Services HIT Initiatives Group August 13, 2014 Table

More information

Stage 2 Meaningful Use

Stage 2 Meaningful Use Stage 2 Meaningful Use Stage 2 Topics Overview 2014 Reporting Changes Medicaid Provider Eligibility Measures Overview Core Objectives Comparison Menu Objectives Comparison Clinical Quality Measures 2 High

More information

EHR Incentive Programs

EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Elizabeth Holland Elizabeth.Holland@cms.hhs.gov NRHA 9-6-12 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful

More information

Electronic Health Record (EHR) Incentive Program. Stage 2 Final Rule Update

Electronic Health Record (EHR) Incentive Program. Stage 2 Final Rule Update Electronic Health Record (EHR) Incentive Program Stage 2 Final Rule Update September 6, 2012 Medical Assistance HIT Initiative 1 Introduction Timeframes Agenda Medicaid Eligibility Updates Stage 1 MU Optional

More information

Meaningful Use Stage 2. Presenter: Linda Wise, EMR Training Specialist

Meaningful Use Stage 2. Presenter: Linda Wise, EMR Training Specialist Meaningful Use Stage 2 Presenter: Linda Wise, EMR Training Specialist 1 AGENDA 2 Agenda Meaningful Use in Review Moving Into Stage 2 Meaningful Use Learning the Requirements Understanding the Measures

More information

HITECH and Meaningful Use - An Overview - To Enrich Lives Through Effective And Caring Service

HITECH and Meaningful Use - An Overview - To Enrich Lives Through Effective And Caring Service Health Information Technology for Economic and Clinical Health Act HITECH and Meaningful Use - An Overview - HITECH and Meaningful Use - An Overview - Background What is Meaningful Use (MU) MU Criteria

More information

Community Health Center Association of Connecticut Meaningful Use: Audit Preparedness And Other Challenges February 12, 2015

Community Health Center Association of Connecticut Meaningful Use: Audit Preparedness And Other Challenges February 12, 2015 Community Health Center Association of Connecticut Meaningful Use: Audit Preparedness And Other Challenges February 12, 2015 Joan W. Feldman, Esq. William J. Roberts, Esq. Shipman & Goodwin LLP 2014. All

More information

Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements

Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements The Centers for Medicare and Medicaid Services (CMS) issued the Stage 2 Final Rule on September 4, 2012. The Stage 2 Final Rule

More information

LOOKING FORWARD TO STAGE 2 MEANINGFUL USE. 2012 Louisiana HIPAA & EHR Conference Presenter: Kathleen Keeley

LOOKING FORWARD TO STAGE 2 MEANINGFUL USE. 2012 Louisiana HIPAA & EHR Conference Presenter: Kathleen Keeley LOOKING FORWARD TO STAGE 2 MEANINGFUL USE 2012 Louisiana HIPAA & EHR Conference Presenter: Kathleen Keeley Topics of Discussion Stage 2 Eligibility Stage 2 Meaningful Use Clinical Quality Measures Payment

More information

MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know

MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know Presented by: Kristen Heffernan Director Product Management & Marketing, Henry Schein MicroMD Agenda

More information

Are you ready? Meaningful Use Stage 2 HIT Summit July 26, 2014

Are you ready? Meaningful Use Stage 2 HIT Summit July 26, 2014 Are you ready? Meaningful Use Stage 2 HIT Summit July 26, 2014 Meaningful Use Stage 2 Are you Ready? Speakers: Robyn Polinar, BA, MBA, AMB & Community EMR Supervisor Hawai i Pacific Health Nadine Owen,

More information

Medicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.

Medicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida. Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Considerations Must begin participation by Program Year 2016 Not required

More information

Summary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule)

Summary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule) Summary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule) Structure of the Rules: CMS originally published three separate Proposed Rules: Health

More information

Who are we? *Founded in 2005 by Purdue University, the Regenstrief Center for Healthcare Engineering, and the Indiana Hospital Association.

Who are we? *Founded in 2005 by Purdue University, the Regenstrief Center for Healthcare Engineering, and the Indiana Hospital Association. Who are we? Purdue Healthcare Advisors (PHA)*, a business unit of Purdue University, specializes in affordable assistance to organizations that share our passion for healthcare transformation. We bring

More information

New Hampshire Guidelines for Meaningful Use and Supporting Documents

New Hampshire Guidelines for Meaningful Use and Supporting Documents This document provides New Hampshire Medicaid Office guidelines for Medicaid EHR Incentive Program screenshots and reports that are included as supporting documentation for meaningful use attestations.

More information

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year

More information

PREPARING FOR EMR PROGRAM SUCCESS IN 2016 12/10/2015. December 15, 2015. Travis Skinner, CPA Senior Managing Consultant tskinner@bkd.

PREPARING FOR EMR PROGRAM SUCCESS IN 2016 12/10/2015. December 15, 2015. Travis Skinner, CPA Senior Managing Consultant tskinner@bkd. PREPARING FOR EMR PROGRAM SUCCESS IN 2016 December 15, 2015 Travis Skinner, CPA Senior Managing Consultant tskinner@bkd.com Michael Orr, CPA Director morr@bkd.com David McDonald, CPA Director dmcdonald@bkd.com

More information

EHR Incentive Program Updates. Jason Felts, MS HIT Practice Advisor

EHR Incentive Program Updates. Jason Felts, MS HIT Practice Advisor EHR Incentive Program Updates Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#. Step 3: Mute your

More information

A Guide to Understanding and Qualifying for Meaningful Use Incentives

A Guide to Understanding and Qualifying for Meaningful Use Incentives A Guide to Understanding and Qualifying for Meaningful Use Incentives A White Paper by DrFirst Copyright 2000-2012 DrFirst All Rights Reserved. 1 Table of Contents Understanding and Qualifying for Meaningful

More information

MEDICFUSION / HERFERT. MEANINGFUL USE STAGE 1 and 2 ATTESTATION GUIDE 2015

MEDICFUSION / HERFERT. MEANINGFUL USE STAGE 1 and 2 ATTESTATION GUIDE 2015 MEDICFUSION / HERFERT MEANINGFUL USE STAGE 1 and 2 ATTESTATION GUIDE 2015 The following document is intended to aid in preparation for gathering necessary information to attest in early 2016. All Medicfusion

More information

10/19/2015. Meaningful Use: Current and Future Environment. Agenda. MGMA Annual Conference Nashville, TN October 13, 2015

10/19/2015. Meaningful Use: Current and Future Environment. Agenda. MGMA Annual Conference Nashville, TN October 13, 2015 Meaningful Use: Current and Future Environment MGMA Annual Conference Nashville, TN October 13, 2015 Agenda Current Environment Stage 2 Flexibility Final Rule Key challenge for practices A look Ahead at

More information

Nebraska Medicaid. Record (EHR) Incentive Program

Nebraska Medicaid. Record (EHR) Incentive Program Nebraska Medicaid Electronic Health Record (EHR) Incentive Program Sarah Briggs Administrator, Medicaid IT Initiatives Division of Medicaid & Long Term Care Topics Overview of the Program Legislation Medicare/Medicaid

More information

EARLY ASSESSMENT THAT CMS FACES OB STACLES IN OVERSEEING

EARLY ASSESSMENT THAT CMS FACES OB STACLES IN OVERSEEING Department of Health and Human Services OFFICE OF INSPECTOR GENERAL EARLY ASSESSMENT THAT CMS FACES FINDS OB STACLES IN OVERSEEING THE MEDICARE EHR INCENTIVE PROGRAM Daniel R. Levinson Inspector General

More information

CMS & ONC Final Rules: 2015 & Beyond. Today s Presenters: Al Wroblewski, Client Services Relationship Manager Joe Kynoch, Project Manager

CMS & ONC Final Rules: 2015 & Beyond. Today s Presenters: Al Wroblewski, Client Services Relationship Manager Joe Kynoch, Project Manager CMS & ONC Final Rules: 2015 & Beyond Today s Presenters: Al Wroblewski, Client Services Relationship Manager Joe Kynoch, Project Manager Disclaimer This presentation was current at the time it was presented,

More information

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability

More information

Using Medflow EHR V8.1 AMR for 2015 MMU2 Attestation 10/15/2015. 1. Introduction

Using Medflow EHR V8.1 AMR for 2015 MMU2 Attestation 10/15/2015. 1. Introduction 1. Introduction Please review Medflow s document " Finalized!" in order to get background information on the recent CMS Final Rule for "Modified Stage 2" which is retroactively applicable to the 2015 Meaningful

More information

Checklist and Related Guidance for Meaningful Use Audits

Checklist and Related Guidance for Meaningful Use Audits Checklist and Related Guidance for Meaningful Use Audits This checklist was prepared by Jill M. Girardeau, Partner, Womble Carlyle Sandridge & Rice, LLP and Dina Marty, Counsel, Wake Forest Baptist Medical

More information

FCDS Webinar Meaningful Use

FCDS Webinar Meaningful Use FCDS Webinar Meaningful Use January 23, 2014 Monique Hernandez Florida Cancer Data System Meaningful Use Coordinator What is Meaningful Use? O Meaningful Use (MU) is a program through the Centers for Medicare

More information

Adopting an EHR & Meaningful Use

Adopting an EHR & Meaningful Use Adopting an EHR & Meaningful Use Learn how to qualify for the EHR Incentive Program The materials in this presentation, or prepared as part of this presentation, are provided for informational purposes

More information

The now tips, the how tools, and the must timing for your MU path in 2014.

The now tips, the how tools, and the must timing for your MU path in 2014. Meaningful Use in 2014 - Window of Opportunity The now tips, the how tools, and the must timing for your MU path in 2014. Inside you will find: CLICK ON TITLES TO NAVIGATE MU 2014 updates; Must know changes!

More information

Making Sense of Meaningful Use: Stage 2. Purdue Research Foundation

Making Sense of Meaningful Use: Stage 2. Purdue Research Foundation Making Sense of Meaningful Use: Stage 2 1 Who are we? Purdue Healthcare Advisors (PHA)*, a business unit of Purdue University, specializes in affordable assistance to organizations that share our passion

More information

Proposed Rule for Meaningful Use Stage 2

Proposed Rule for Meaningful Use Stage 2 Proposed Rule for Meaningful Use Stage 2 The Old The Changes The New Continuing Medical Education Disclaimer hi i if h i i S d Ch i This is to certify that Marnivia Spencer and Chris Hudson have disclosed

More information

Stage 2 EHR Incentive Programs Supporting Documentation For Audits Last Updated: February 2014

Stage 2 EHR Incentive Programs Supporting Documentation For Audits Last Updated: February 2014 Stage 2 EHR Incentive Programs Supporting Documentation For Audits Last Updated: February 2014 Overview Providers who receive an EHR incentive payment for Stage 2 of the Medicare or Medicaid EHR Incentive

More information

Achieving Meaningful Use

Achieving Meaningful Use ARRA INCENTIVE FOR ELIGIBLE HOSPITALS On July 13, 2010, the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued the

More information

EHR Incentive Program Focus on Stage One Meaningful Use. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014

EHR Incentive Program Focus on Stage One Meaningful Use. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014 EHR Incentive Program Focus on Stage One Meaningful Use Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014 Checklist Participation Explanation Program Updates Stage One

More information

CMS Medicaid Electronic Health Record (EHR) Incentive Programs 2015 Final Rule Overview Meaningful Use

CMS Medicaid Electronic Health Record (EHR) Incentive Programs 2015 Final Rule Overview Meaningful Use CMS Medicaid Electronic Health Record (EHR) Incentive Programs 2015 Final Rule Overview Meaningful Use Presenter: Sherry Wallace-Barnes, RN Envision Management Solutions, LLC 1 Meaningful Use 2015 Final

More information

Navigating Meaningful Use Stage 2

Navigating Meaningful Use Stage 2 Navigating Meaningful Use Stage 2 Follow Justin Barnes @HITAdvisor Ask Questions & Follow Today s Conversation #askhit Justin T. Barnes VP, Greenway Medical Technologies Chairman Emeritus, EHR Association

More information

How to Play by the (Final) Rules:

How to Play by the (Final) Rules: Click to edit Master title style How to Play by the (Final) Rules: An Overview of Meaningful Use Stage 2 Bruce Maki, MA M-CEITA / Altarum Institute Regulatory and Incentive Program Analyst March 11, 2015

More information

The Meaningful Use Stage 2 Final Rule: Overview and Outlook

The Meaningful Use Stage 2 Final Rule: Overview and Outlook The Meaningful Use Stage 2 Final Rule: Overview and Outlook Devi Mehta, JD, MPH Cand. 1 Taylor Burke, JD, LLM 2 Lara Cartwright-Smith, JD, MPH 3 Jane Hyatt Thorpe, JD 4 Introduction On August 23, 2012,

More information

APPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH 2017 (MODIFIED STAGE 2) EP Objectives and Measures

APPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH 2017 (MODIFIED STAGE 2) EP Objectives and Measures APPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH (MODIFIED STAGE 2) Objectives for Measures for Providers in EP Objectives and Measures Objective 1: Protect Patient Health Information Objective 2:

More information

Meaningful Use and Lab Related Requirements

Meaningful Use and Lab Related Requirements Meaningful Use and Lab Related Requirements ONC State HIE / NILA Workgroup August 20, 2013 What is an EHR? Electronic Health Record Information system used by healthcare providers to store and manage patient

More information

Texas Medicaid EHR Incentive Program

Texas Medicaid EHR Incentive Program Texas Medicaid EHR Incentive Program Medicaid HIT Team July 23, 2012 Why Health IT? Benefits of Health IT A 2011 study* found that 92% of articles published from July 2007 to February 2010 reached conclusions

More information

The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015

The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015 The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015 Today s presenters: Al Wroblewski, Client Services Relationship Manager Elisabeth Renczkowski, Content Specialist Disclaimer

More information

Wyoming. Eligible Professional Meaningful Use Modified Stage 2 User Manual for Program Year 2015. April 2015 Version 1

Wyoming. Eligible Professional Meaningful Use Modified Stage 2 User Manual for Program Year 2015. April 2015 Version 1 Wyoming Eligible Professional Meaningful Use Modified Stage 2 User Manual for Program Year 2015 April 2015 Version 1 Table of Contents 1 Background... 1 2 Introduction... 2 3 Eligibility... 3 3.1 Out-of-State

More information

The HITECH Act and Meaningful Use Implications for Population and Public Health

The HITECH Act and Meaningful Use Implications for Population and Public Health The HITECH Act and Meaningful Use Implications for Population and Public Health Bill Brand, MPH Public Health Informatics Institute Meaningful Use for Public Health Professionals: Basic Training May 16,

More information

Proposed Stage 3 Meaningful Use Criteria

Proposed Stage 3 Meaningful Use Criteria Centers for Medicare and Medicaid Services Proposed Stage 3 Meaningful Use Criteria Objectives and Measure Summary March 20, 2015 Provided by Clinical Architecture LLC Contents Overview... 3 Objective

More information

EHR Incentive Programs Supporting Documentation For Audits Last Updated: February 2013

EHR Incentive Programs Supporting Documentation For Audits Last Updated: February 2013 Overview EHR Incentive Programs Supporting Documentation For Audits Last Updated: February 2013 Providers who receive an EHR incentive payment for either the Medicare or Medicaid EHR Incentive Program

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Florida Medicaid Electronic Health Record Incentive Program March 9, 2015 Version 4.2 For additional assistance please contact the Florida EHR Incentive Payment Program Call

More information

Medicare & Medicaid EHR Incentive Programs- Past, Present, & Future. Travis Broome, Centers for Medicare & Medicaid Services 12/18/2012

Medicare & Medicaid EHR Incentive Programs- Past, Present, & Future. Travis Broome, Centers for Medicare & Medicaid Services 12/18/2012 Medicare & Medicaid EHR Incentive Programs- Past, Present, & Future Travis Broome, Centers for Medicare & Medicaid Services 12/18/2012 Medicare-only Eligible Professionals Medicaid-only Eligible Professionals

More information

Medicaid EHR Incentive Program

Medicaid EHR Incentive Program Medicaid EHR Incentive Program Modified Stage 2: through 2017 November 10, Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com November 10, 1 Key Concepts for Modified Stage 2 Restructured

More information

Meaningful Use Audits. NextGen Physician Consulting Services

Meaningful Use Audits. NextGen Physician Consulting Services Meaningful Use Audits NextGen Physician Consulting Services Agenda Audit Overview Documentation for measures requiring numerator and denominator data Documentation for attestation only measures Security

More information

NY Medicaid. EHR Incentive Program

NY Medicaid. EHR Incentive Program Eligible Hospitals Participation Year 2-3 (MU1) Webinar www.emedny.org/meipass 1 Background Original Legislation The Health Information Technology for Economic and Clinical Health (HITECH) Act, part of

More information

Reporting Period: For Stage 2, the reporting period must be the entire Federal Fiscal Year.

Reporting Period: For Stage 2, the reporting period must be the entire Federal Fiscal Year. Eligible Hospital and Critical Access Hospital (CAH) Attestation Worksheet for Stage 2 of the Medicare Electronic Health Record (EHR) Incentive Program The Eligible Hospital and CAH Attestation Worksheet

More information

Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals Last Updated: March 2014

Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals Last Updated: March 2014 Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals Last Updated: March 2014 Overview As part of the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated payment

More information

Navigating Meaningful Use Stage 2

Navigating Meaningful Use Stage 2 Navigating Meaningful Use Stage 2 Follow Justin Barnes @HITAdvisor Ask Questions & Follow Today s Conversation #askhit Justin T. Barnes VP, Greenway Medical Technologies Chairman Emeritus, EHR Association

More information

Meaningful Use of EHR. Presenter: Jay.Fisher@C3Partners.biz

Meaningful Use of EHR. Presenter: Jay.Fisher@C3Partners.biz Meaningful Use of EHR and CMS Audit Presenter: Jay.Fisher@C3Partners.biz Structure of Today s Discussion Impact of Audit Event Likelihood of Audit Event Probable Audit Selection Factors Audit Processes

More information