1 12/15/2010 EMR Incentive Program for Eligible Professionals
2 Topics for Today Meaningful Use Program Overview Who is eligible What is Meaningful Use (MU) How do you qualify How do you sign up How to determine the incentive amount
3 Not Included Today MU for Hospitals Technical details of Clinical Quality Measures (CQM) Data Security Rules
4 Law and Rule Overview American Recovery & Reinvestment Act (Recovery Act) February 2009 Two sections are known as the Health Information Technology for Economic and Clinical Health ACT HITECH Medicare & Medicaid Electronic Health Record (EHR) Incentive Program Notice of Proposed Rulemaking (NPRM)Publication January 13, 2010 Final Rule on Display July 13, 2010 Final Rule Published July 28, CFR Parts 412, 413, 422, and 495
5 Program Overview HITECH provides an incentive to Eligible Professionals, participating in either Medicare or Medicaid (not both), who demonstrate Meaningful Use of Certified Electronic Health Record Technology beginning in calendar year Additionally it provides for a downward adjustment in Medicare reimbursement rates as early as 2015 for EPs not achieving MU. The rate adjustment is 1% per year until the total is 3% where it remains until an EP becomes a MU of EHR. Hardship exemptions may be granted up to 5 years.
6 Eligible Provider An Eligible provider is an individual, not a group or practice. All providers must: Be enrolled in Medicare FFS, MA, or Medicaid (FFS or managed care) Have a National Provider Identifier (NPI) Register via the EHR Incentive Program website Individual Providers may assign their incentive to an employer or practice.
7 Eligibility Overview Medicare Fee-For-Service (FFS) Medicare Advantage (MA) Medicaid, provided more than 30% (20% for Pediatricians) of EP s patient encounters have any payment liability by Medicaid. A patient encounter is defined as services provided by an EP on a single day.
8 Eligible Providers in Medicare FFS Doctor of Medicine or Osteopathy Doctor of Dental Surgery or Dental Medicine Doctor of Podiatric Medicine Doctor of Optometry Chiropractor
9 Eligible Providers in Medicare Advantage (MA) Must furnish, on average, at least 20 hours/week of patient-care services and be employed by the qualifying MA organization. or Must be employed by, or be a partner of, an entity that through contract with the qualifying MA organization furnishes at least 80 percent of the entity s Medicare patient care services to enrollees of the qualifying MA organization.
10 Eligible Providers in Medicaid Physicians Nurse Practitioners (NPs) Certified Nurse-Midwives (CNMs) Dentists Physician Assistants (PAs) working in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) that is led by a PA
11 Hospital-based EPs Hospital-based EPs do not qualify for Medicare or Medicaid EHR incentive payments. The Continuing Extension Act of 2010 modified the definition of a hospital-based EP as performing substantially all of their services in an inpatient hospital setting or emergency room A hospital-based EP furnishes 90% or more of their services in either the inpatient or emergency department of a hospital. POS codes 21 and 23.
12 Meaningful Use: HITECH Act Description The Act specifies the following 3 components of Meaningful Use: 1. Use of certified EHR in a meaningful manner (e.g., e-prescribing) 2. Use of certified EHR technology for electronic exchange of health information to improve quality of health care 3. Use of certified EHR technology to submit clinical quality measures(cqm) and other such measures selected by the Secretary
13 Meaningful Use: CMS Description Meaningful Use is using certified EHR technology to Improve quality, safety, efficiency, and reduce health disparities Engage patients and families in their health care Improve care coordination Improve population and public health All the while maintaining privacy and security Meaningful Use mandated in law to receive incentives
14 Meaningful Use Achieved in Stages CMS adopted a phased approach to defining meaningful use with three stages. Only Stage 1 criteria is established at this point. CMS plans to increase the expectations of Stage 1 functionalities over time and to propose that every objective in the Stage1 menu set is included in the Stage 2 core set. The Table on the next slide lists the stage of meaningful use criteria that would apply in various payment years, depending on what an EP s first payment year might be.
15 MU Stage Table First Payment Year Pay Year Stage 1 Stage 1 Stage 2 Stage 2 TBD 2012 Stage 1 Stage 1 Stage 2 TBD 2013 Stage 1 Stage 2 TBD 2014 Stage 1 TBD
16 Meaningful Use: Basic Overview of Final Rule Stage 1 (2011 and 2012)To meet certain objectives/measures, 80% of patients must have records in the certified EHR technology EPs have to report on 20 of 25 MU objectives, 15 required core and 5 selected menu objectives Reporting Period 90 continuous days for first year; full year subsequently Medicaid EPs may Adopt, Implement, or Upgrade (A/I/U) certified EHR technology in first year and still use 90 day MU period in year 2.
17 Meaningful Use Stage 1 Health Outcome Priorities* Improve quality, safety, efficiency, and reduce health disparities Engage patients and families in their health care Improve care coordination Improve population and public health Ensure adequate privacy and security protections for personal health information *Adapted from National Priorities Partnership. National Priorities and Goals: Aligning Our Efforts to Transform America s Healthcare. Washington, DC: National Quality Forum; 2008.
18 Meaningful Use: Core Set Objectives 1. Computerized provider order entry (CPOE) 2. E-Prescribing (erx) 3. Report ambulatory clinical quality measures to CMS/States 4. Implement one clinical decision support rule 5. Provide patients with an electronic copy of their health information, upon request 6. Provide clinical summaries for patients for each office visit 7. Drug-drug and drug-allergy interaction checks 8. Record demographics 9. Maintain an up-to-date problem list of current and active diagnoses 10. Maintain active medication list 11. Maintain active medication allergy list 12. Record and chart changes in vital signs 13. Record smoking status for patients 13 years or older 14. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically 15. Protect electronic health information
19 Meaningful Use: Menu Set Objectives* 1. Drug-formulary checks 2. Incorporate clinical lab test results as structured data 3. Generate lists of patients by specific conditions 4. Send reminders to patients per patient preference for preventive/follow up care 5. Provide patients with timely electronic access to their health information 6. Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate 7. Medication reconciliation 8. Summary of care record for each transition of care/referrals 9. Capability to submit electronic data to immunization registries/systems* 10. Capability to provide electronic syndromic surveillance data to public health agencies* *At least 1 public health objective must be selected
20 Meaningful Use: Stage 2 Intend to propose 2 additional Stages through future rulemaking. Future Stages will expand upon Stage 1 criteria. Stage 1 menu set will be transitioned into core set for Stage 2 Will reevaluate measures possibly higher thresholds Will include greater emphasis on health information exchange across institutional boundaries
21 Meaningful Use: Applicability of Objectives and Measures Some MU objectives are not applicable to every provider s clinical practice, thus they would not have any eligible patients or actions for the measure denominator. Exclusions do not count against the 5 deferred measures In these cases, the EP would be excluded from having to meet that measure E.g., Dentists who do not perform immunizations; Chiropractors do not e-prescribe
22 Meaningful Use: Denominators Two types of percentage-based measures are included to address the burden of demonstrating MU 1. Denominator is all patients seen during the EHR reporting period The denominator is all patients regardless of whether their records are kept using certified EHR technology 2. Denominator is actions or subsets of patients seen during the EHR reporting period The denominator only includes patients, or actions taken on behalf of those patients, whose records are kept using certified EHR technology
23 Meaningful Use Stage 1 Menu Set MU_Final_Rule_Matrix_with_Exclusions.pdf
24 Meaningful Use for EPs who Work at Multiple Sites An EP who works at multiple locations, but does not have certified EHR technology available at all of them would: Have to have 50% of their total patient encounters at locations where certified EHR technology is available Would base all meaningful use measures only on encounters that occurred at locations where certified EHR technology is available
25 Certified EHR Technology The Office of the National Coordinator for Health Information Technology (ONC) rule establishes the required capabilities and related standards and implementation specifications that Certified EHR Technology (Complete EHRs or EHR Modules) will need to include, at minimum, to support the achievement of meaningful use Stage 1 under the Medicare and Medicaid EHR Incentive Programs
26 Standards and Certification: Process Certified EHR Technology: Standards and certification criteria published in final rule on July 13, ONC in process of authorizing temporary certification bodies 3 currently authorized As of 10/1/2010, 20 full and 16 modular products have been certified List of certified EHRs and EHR modules will be posted on ONC web site upon receipt from authorized certification bodies to support providers in identifying certified products For more information:
27 Clinical Quality Measures (CQM) Overview 2011 EPs seeking to demonstrate Meaningful Use are required to submit aggregate CQM numerator, denominator, and exclusion data to CMS or the States by attestation EPs seeking to demonstrate Meaningful Use are required to electronically submit aggregate CQM numerator, denominator, and exclusion data to CMS or the States.
28 CQM: Eligible Professionals Core, Alternate Core, and Additional CQM sets for EPs EPs must report on 3 required core CQM, and if the denominator of 1 or more of the required core measures is 0, then EPs are required to report results for up to 3 alternate core measures EPs also must select 3 additional CQM from a set of 38 additional CQM In sum, EPs must report on 6 total measures: 3 required core measures (substituting alternate core measures where necessary) and 3 additional measures
29 CQM: Core Set for EPs NQF Measure Number & PQRI Implementation Number NQF 0013 NQF 0028 NQF 0421 PQRI 128 Clinical Quality Measure Title Hypertension: Blood Pressure Measurement Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment, b) Tobacco Cessation Intervention Adult Weight Screening and Follow-up
30 CQM: Alternate Core Set for EPs NQF Measure Number & PQRI Implementation Number NQF 0024 NQF 0041 PQRI 110 NQF 0038 Clinical Quality Measure Title Weight Assessment and Counseling for Children and Adolescents Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older Childhood Immunization Status
31 CQM: Additional Set for EPs 1. Diabetes: Hemoglobin A1c Poor Control 2. Diabetes: Low Density Lipoprotein (LDL) Management and Control 3. Diabetes: Blood Pressure Management 4. Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 5. Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) 6. Pneumonia Vaccination Status for Older Adults 7. Breast Cancer Screening 8.Colorectal Cancer Screening 9. Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD 10. Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 11. Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b)effective Continuation Phase Treatment 12. Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation 13. Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy 14. Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 15. Asthma Pharmacologic Therapy
32 CQM: Additional Set for EPs cont d 16. Asthma Assessment 17. Appropriate Testing for Children with Pharyngitis 18. Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer 19. Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients 20. Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients 21. Smoking and Tobacco Use Cessation, Medical Assistance: a) Advising Smokers and Tobacco Users to Quit, b) Discussing Smoking and Tobacco Use Cessation Medications, c) Discussing Smoking and Tobacco Use Cessation Strategies 22. Diabetes: Eye Exam 23. Diabetes: Urine Screening 24. Diabetes: Foot Exam 25. Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol 26. Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation 27. Ischemic Vascular Disease (IVD): Blood Pressure Management 28. Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 29. Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b) Engagement 30. Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) 31. Prenatal Care: Anti-D Immune Globulin 32. Controlling High Blood Pressure
33 CQM: Additional Set for EPs cont d 33. Cervical Cancer Screening 34. Chlamydia Screening for Women 35. Use of Appropriate Medications for Asthma 36. Low Back Pain: Use of Imaging Studies 37. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control 38. Diabetes: Hemoglobin A1c Control (<8.0%)
34 Registration Overview All providers must: Register via the EHR Incentive Program website Be enrolled in Medicare FFS, MA, or Medicaid (FFS or managed care) Have a National Provider Identifier (NPI) Use certified EHR technology to demonstrate Meaningful Use Medicaid providers may adopt, implement, or upgrade in their first year All Medicare providers and Medicaid eligible hospitals must be enrolled in PECOS
35 Registration: Requirements 1. Name of the EP 2. National Provider Identifier (NPI) 3. Business address and business phone 4. Taxpayer Identification Number (TIN) to which the provider would like their incentive payment made 5. Medicare or Medicaid program selection may switch only once after receiving an incentive payment before State selection for Medicaid providers
36 Incentive Payments - Medicare FFS The HITECH Act, provides for incentive payments to EPs who are meaningful users of certified EHR technology during the relevant EHR reporting periods. The incentive payment amount, subject to an annual limit, is equal to 75 percent of the Secretary s estimate of the Medicare allowed charges for covered professional services furnished by the EP during the relevant payment year. The Medicare EHR incentive program for Eligible professionals (EPs) starts in 2011 and continues through Eligible professionals can participate for up to 5 years throughout the duration of the program. The last year to begin participation is 2014.
37 Incentive Payments for Medicare EPs * First Calendar Year for which an EP receives payment CY 2011 $18,000 C Y 2011 CY 2012 CY 2013 CY 2014 CY 2015 And later CY 2012 $12,000 $18,000 CY 2013 $ 8,000 $12,000 $15,000 CY 2014 $ 4,000 $ 8,000 $12,000 $12,000 CY2015 $ 2,000 $ 4,000 $ 8,000 $ 8,000 $0 CY2016 $ 2,000 $ 4,000 $ 4,000 $0 TOTAL $44,000 $44,000 $39,000 $24,000 $0 The amount of the payment limit for each year will be increased by 10% for Medicare eligible professionals who predominantly furnish services in an area that is designated as a HPSA. Predominantly is defined to mean that more than 50 percent of the EP s covered professional services are furnished in a HPSA.
38 Computation of amounts payable for Medicaid EPs In general, payments for Medicaid EPs are set at 85 percent of "net average allowable costs" as estimated by the Secretary. The net average is subject to a cap for purposes of payment of $25,000 in the first year and $10,000 in each of five subsequent years. The Secretary s estimates of average allowable costs are: $54,000 for purchase and implementation of certified EHR technology $20,610 for annual operating and maintenance costs The difference between the "average allowable cost" and the "net average allowable cost" is the "maximum allowed from other sources." This is the maximum allowable cash payments to the provider that can be received from other sources for its EHR: $29,000 for the initial year and $10,610 for each of the five additional years. In the case of pediatricians with under 30 percent Medicaid patient volume the cap is two-thirds of these amounts. Medicaid pays 85% of this final "net average allowable cost."
39 Medicaid Incentive Calculation Example Category Amount Average allowable cost $54,000 Cash received from other sources $29,000 Net average allowable costs $25,000 15% EP contribution $ 3,750 85% incentive payment amount $21,250
41 HITECH and other Medicare Incentive Programs for EPs Other Medicare Incentive Program Medicare Physician Quality Reporting Initiative (PQRI) Medicare Electronic Health Record Demonstration (EHR Demo) Medicare Case Management Performance Demonstration (MCMP) Electronic Prescribing (erx) Incentive Program Eligible for HITECH EHR Incentive Program? Yes, if the EP is eligible Yes, if the EP is eligible Yes, if the practice is eligible. The MCMP demo will end before EHR incentive payments are available. If the EP chooses to participate in the Medicare EHR Program, they cannot participate in the erx program. EPs in the Medicaid EHR Program can participate in the erx Program.
42 Notable Differences Between the Medicare & Medicaid EHR Programs Medicare Federal Government will implement Payment reductions begin in 2015 for providers that do not demonstrate EHR MU Must demonstrate MU in year 1 MU definition is common for Medicare Maximum incentive is $44,000 (+10% for HPSAs) Last year a provider may initiate program is 2014 EPs must be physician, dentist, or chiropractor Medicaid Voluntary for States to implement No Medicaid payment reductions A/I/U option for 1 st year States can adopt certain additional requirements for MU Maximum incentive is $63,750 Last year a provider may initiate program is types of EPs
43 EHR Incentive Program Timeline January 2011 Registration for the EHR Incentive Programs begins January 2011 For Medicaid providers, States may launch their programs if they so choose April 2011 Attestation for the Medicare EHR Incentive Program begins May 2011 EHR incentive payments begin November 30, 2011 Last day for eligible hospitals and CAHs to register and attest to receive an incentive payment for FFY 2011 February 29, 2012 Last day for EPs to register and attest to receive an incentive payment for CY Medicare payment adjustments begin for EPs and eligible hospitals that are not meaningful users of EHR technology 2016 Last year to receive a Medicare EHR incentive payment; Last year to initiate participation in Medicaid EHR Incentive Program 2021 Last year to receive Medicaid EHR incentive payment
44 Next Steps Fall 2010 Outreach and education campaign CMS to issue State Medicaid Directors Letter with policy guidance on the implementation of the Medicaid EHR Incentive Program Early 2011 EPs and eligible hospitals can register for the Medicare and Medicaid EHR Incentive Programs More Information:
45 ACA Patient Protection and Affordable Care Act A/I/U Adopt, implement, or upgrade CAH Critical Access Hospital CCN CMS Certification Number CHIPRA Children's Health Insurance Program Reauthorization Act of 2009 CMS Centers for Medicare & Medicaid Services CNM Certified Nurse Midwife CPOE Computerized Physician Order Entry CQM Clinical Quality Measures CY Calendar Year EHR Electronic Health Record EP Eligible Professional erx E-Prescribing FFS Fee-for-service FQHC Federally Qualified Health Center FFY Federal Fiscal Year HHS U.S. Department of Health and Human Services HIT Health Information Technology HITECH Act Health Information Technology for Economic and Clinical Health Act HITPC Health Information Technology Policy Committee HIPAA Health Insurance Portability and Accountability Act of 1996 HPSA Health Professional Shortage Area MA Medicare Advantage MCMP Medicare Care Management Performance Demonstration MU Meaningful Use NCVHS National Committee on Vital and Health Statistics NP Nurse Practitioner NPI National Provider Identifier NPRM Notice of Proposed Rulemaking OMB Office of Management and Budget ONC Office of the National Coordinator of Health Information Technology PA Physician Assistant PECOS Provider Enrollment, Chain, and Ownership System PPS Prospective Payment System (Part A) PQRI Medicare Physician Quality Reporting Initiative Recovery Act American Reinvestment & Recovery Act of 2009 RHC Rural Health Clinic RHQDAPU Reporting Hospital Quality Data for Annual Payment Update TIN Taxpayer Identification Number
46 Contact Information John Wheeler, HIT Financial Planner Fort Drum regional Health Planning Organization 120 Washington Street, Suite 302 Watertown, NY Phone: (315) , ext. 20 Fax: (315) Kathleen Maynard, HIT Nurse Informaticist Fort Drum regional Health Planning Organization 120 Washington Street, Suite 302 Watertown, NY Phone: (315) , ext. 19 Fax: (315)
47 Contact Information Corey Zeigler, HIT Program Manager Fort Drum regional Health Planning Organization 120 Washington Street, Suite 302 Watertown, NY Phone: (315) , ext. 11 Fax: (315)
48 12/15/2010 EMR Incentive Program for Eligible Professionals
Medicare & Medicaid EHR Incentive Program Specifics of the Program for Eligible Professionals August 10, 2010 Today s Session This training will cover the following topics: EHR Incentive Programs a Background
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate
Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Overview 2010 What is Meaningful Use? Meaningful Use is using certified EHR technology to Improve quality, safety, efficiency,
Psychiatrists and Reporting on Meaningful Use Stage 1 August 6, 2012 Quick Overview Functional Measures Providers (tracked by NPI) must report on 15 core objectives and associated measures and 5 objectives
Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Summary 2010 What are the Requirements of Stage 1 Meaningful Use? Basic Overview of Stage 1 Meaningful Use: Reporting period
Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services R Official CMS Information for Medicare Fee-For-Service Providers 2012 Physician Quality : Medicare Electronic Health Record
EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) An Introduction to the Medicare EHR Incentive Program for Eligible Professionals cms.gov/ehrincentiveprograms
Understanding the CMS Final Rule "Meaningful Use" Requirements CME Course Announcements The Carolinas Center for Medical Excellence is accredited by the Accreditation Council for Continuing Medical Education
Medicare Electronic Health Record Incentive Program The American Recovery and Reinvestment Act (Recovery Act) of 2009 provides for incentive payments for Medicare eligible professionals (EPs) who are meaningful
Slide 1 An Update on ARRA and Its Impact on Laboratories Presented By: Curt Johnson VP of Sales & Marketing email@example.com www.orchardsoft.com (800) 856-1948 Orchard Software Webinar August 19,
EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) An Introduction to the Medicare EHR Incentive Program for Eligible Professionals cms.gov/ehrincentiveprograms
Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary
Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery and Reinvestment Act of 2009 Presented by: Kevin R. Burchill, Esq., FACHE Director Date: August 19, 2010 Overview
Stage 2 June 13, 2014 1 General Overview of Idaho Medicaid s EHR Incentive Program Stage 2 Meaningful Use (MU) Overview 2014 Reporting Helpful Resources 2 3 Medicaid can pay certain providers an incentive
An Overview of Meaningful Use: FAQs On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (ARRA) into law. This new law includes provisions (known as the HITECH Act)
Teasing Some Meaning Out of Meaningful Use An Overview Colorado Bar Association, Health Law Section December 15, 2010 Steve Nash, Partner SNash@PattonBoggs.com Melodi (Mel) Mosley Gates MGates@PattonBoggs.com
Meaningful Use: No Cash for Clunkers EHR Certification & Meaningful Use ANCO/MOASC Business of Oncology: 2010 and Beyond October 28, 2010 Cash for Clunkers 2 1 NO Cash for Clunkers 3 What is a clunker?
Meaningful Use Overview March 31, 2011 Karen Sidell IPC/ MU Consultant IHS Office of Information Technology Stage 1 of Meaningful Use Information contained in this presentation pertains only to Year 1,
Meaningful Use Are you considering purchasing an Electronic Health Record (EHR) or moving from your current vendor? Is your goal to attain Meaningful Use status in order to receive EHR incentive dollars?
Whitepaper Meaningful Use Stage 1: EHR Incentive Program Information -------------------------------------------------------------- Daw Systems, Inc. UPDATED: November 2012 This document is designed to
Foundations for Achieving Meaningful Use and Breaking Down EHR Barriers Prepared by: Coker Group Physicians Institute 1849 The Exchange Atlanta, GA 30339 A BOUT THE PHYSICIANS INSTITUTE The Physicians'
Stage 1 Meaningful Use Criteria Physicians must meet all 15 Core Set objectives and measures and five of the 10 Menu Set objectives and measures. They also must report clinical quality measures (see separate
Meaningful Use: FAQs for Providers On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (ARRA) into law. This law includes provisions (known as the HITECH Act) designed
What GI Practices Need to Know About the Electronic Health Record Incentive Program Joel V. Brill, MD, AGAF Lawrence R. Kosinski, MD, MBA, AGAF Disclosures Joel V. Brill, MD AGAF AGA Registry Executive
Table of Contents EHR INCENTIVE PROGRAM RESOURCE GUIDE... 1 INTRODUCTION TO EHR (ELECTRONIC HEALTH RECORDS) & MEANINGFUL USE (MU)... 1 THE 2014 EHR INCENTIVE PROGRAM - PARTICIPATION... 3 COMPARISONS OF
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
Meaningful Use: Making use of Clinical Decision Support Matt Allison Preparing for Meaningful Use ARRA/HITECH Goals Overview Final Rule for MU Stage 1 Medicare Program Utilizing Clinical Decision Support
Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records
Your Top 10 EHR, Meaningful Use Questions Answered By Physicians Practice Staff Over the last few months, a number of you have responded to our blogs and articles in Physicians Practice with your questions
Meaningful Use Qualification Plan Overview Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure intended to reform the health care system
MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS: MEDICARE AND MEDICAID INCENTIVE PAYMENTS Alabama Psychiatric Association March 24, 2011 by: D. Brent Wills, Esq. Kaufman Gilpin McKenzie Thomas Weiss,
ARRA, HITECH Act, and Meaningful Use Overview American Recovery and Reinvestment Act Health Information Technology for Economic and Clinical Health (HITECH) Act Interoperability and Standards Meaningful
Primary Care in the U.S. Measuring and Improving Primary Care in the United States ISQua Indicators Summit 2012 Cliff Fullerton, MD, MS VP Chronic Disease Baylor Health Care System Number of PCPs in the
Office of Medical Assistance Programs Electronic Health Record (EHR) Incentive Program Stage 2 Final Rule Update Part 2 November 7, 2012 Medical Assistance HIT Initiative 1 Office of Medical Assistance
Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage
More Meaningful Meaningful Use Solutions to help providers maximize reimbursements with minimal office disruption The information and materials provided and referred to herein are not intended to constitute
On July 13, 2010, the Centers for Medicare & Medicaid Services (CMS) released the final rule defining meaningful use of an electronic health record (EHR) system. The original version of this rule was released
Meaningful EHR Use- Details on the Final Rule Immunization Coalition December 9th, 2010 Amanda Parsons, MD, MBA Assistant Commissioner Primary Care Information Project NYC Department of Health & Mental
Clinical Quality Measures for 2014 Mission of OFMQHIT To advance the implementation and use of vital health information technology to improve healthcare quality, efficiency and safety by assisting physician
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
Leslie H. Perkins Leslie H. Perkins It s where we drive Quality Improvement and Get Money to aid in our ability to provide quality patient care The American Recovery and Reinvestment Act (Recovery Act)
Test Procedure for 170.304 (j) Calculate and Submit Clinical Quality Measures This document describes the draft test procedure for evaluating conformance of complete EHRs or EHR modules 1 to the certification
FAQs for AMDA Members on the Medicare and Medicaid Electronic Health Record Incentive Programs, Including Medicare Payment Adjustments Long Term Post-Acute Care Providers I am a physician or nurse practitioner
Federal EHR Incentives part 1 An Introduction to the Implementation & Meaningful Use of EHR Systems Top Facts: EHR Incentives The HITECH Act of 2009 provides more than $20 billion in incentives to encourage
EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) An Introduction to the Medicaid EHR Incentive Program for Eligible Professionals cms.gov/ehrincentiveprograms
Meaningful Use Meaningful Use (MU) criteria allows providers to demonstrate that they are using certified EHR technology in ways that can be measured significantly in quality and in quantity. Many assume
AAP Meaningful Use: Becoming a Meaningful User An Outpatient Checklist On July 13, 2010, the US Centers for Medicare and Medicaid Services (CMS) released a Final Rule establishing the criteria with which
Meaningful Use in a Nutshell Compiled by Phyllis A. Patrick, MBA, FACHE, CHC January, 2011 Phyllis A. Patrick & Associates LLC firstname.lastname@example.org MEANINGFUL USE Defining Meaningful Use Benefits
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
DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014 The chart below lists the measures (and specialty exclusions) that eligible providers must
Medicare & Medicaid EHR Incentive Programs Eligibility 2 Who is Eligible to Participate? Eligibility was defined in statute Hospital-based EPs are NOT eligible for incentives DEFINITION: 90% or more of
Meaningful Use for Eligible Providers Session One: ARRA Meaningful Use Overview How to Navigate This Session Articulate offers many features that may assist with using recorded training. Please check out
Medicaid and Medicare Meaningful Use of Electronic Health Records Program May 15, 2013 Presenters Andie Patterson, Deputy Director of Regulatory Affairs California Primary Care Association email@example.com
EHR Incentive Payments Medicare and Medicaid Indiana OPTIMIZING EHR PAYMENTS William Rees, CPA Director 317-713-7942 firstname.lastname@example.org EHR Regulations EHR Incentive Legislation: American Recovery and
Impact of Meaningful Use and Healthcare Transformation On Patient Access Copyright 2011 BluePrint Healthcare IT. All rights reserved NAHAM Northeast Conference October 2011 Stamford, CT Introduction 1.
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.
EHR Meaningful Use Incentives for School-Based Health Clinics Denise Holmes Institute for Health Care Studies Michigan State University September 27, 2011 Background The Health Information Technology for
EHR Incentive Program Final Rule: Medicaid Provisions Presented by Jessica Kahn and Michelle Mills Centers for Medicare & Medicaid Services Center for Medicaid, CHIP, and Survey & Certification July 19,
DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015 The chart below lists the measures (and specialty exclusions) that eligible providers must
Meaningful Use: Registration, Attestation, Workflow Tips and Tricks Allison L. Weathers, MD Medical Director, Information Services Rush University Medical Center Gregory J. Esper, MD, MBA Vice Chair, Neurology
Federal EHR Incentive Program Sponsored by the Managed Care Advisory Group Agenda Introduction: Lisa P. Goldstein, JD ACC Advocacy Medicare & Medicaid EHR Incentive Programs: Robert Anthony Centers for
ACO 1-7 Patient Satisfaction Survey Consumer Assessment of HealthCare Providers Survey (CAHPS) 1. Getting Timely Care, Appointments, Information 2. How well Your Providers Communicate 3. Patient Rating
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.
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Improving Quality of Medicare Patients: Overview The Centers for Medicare & Medicaid Services (), an agency within the Department
A Detailed Look at Meaningful Use Last Updated: March 31, 2010 IHS Office of Information Technology Overview ARRA Funding and Its Impact on IHS Overview of EHR Certification and Meaningful Use Overview
SUCCOR CONSULTING GROUP Help has arrived. Medicare & Medicaid Meaningful Use Incentives Program Specifics May 2011 Copyright 2011 Succor Consulting Group, Inc TABLE OF CONTENTS EHR INCENTIVE PROGRAM OVERVIEW
Eligible Hospitals and CAHs (Federal Fiscal Year Base) Meaningful Use Timeline Year One: October 1, 2010 Reporting year begins for eligible hospitals and CAHs. July 3, 2011 Last day for eligible hospitals
Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.email@example.com Considerations Must begin participation by Program Year 2016 Not required
EHR Incentive Funding for Medicare and Medicaid Implementing the American Reinvestment & Recovery Act of 2009 Mike Stigler, FHFMA, CPA Director 502.992.3510 firstname.lastname@example.org EHR Incentives EHR Incentive
CMS EHR Incentive Programs Meaningful Use and the ASC CMS Ambulatory Surgical Centers, as an institution, are not eligible for any of the CMS EHR Incentive programs. However, Eligible Professionals that
Medicare & Medicaid EHR Incentive Programs Proposed Rule for Stage 2 Meaningful Use Requirements Proposed Rule Everything discussed in this presentation is part of a notice of proposed rulemaking (NPRM).
Meaningful Use and Electronic Health Record May 16, 2012 Who is Promedica? 2 Who is Promedica? ProMedica is a mission-based, not-for-profit healthcare organization formed in 1986. ProMedica has more than
The EHR Incentive Program Summary of the Centers for Medicare and Medicaid Services (CMS) Final Rule on Meaningful Use On July 13th, the Centers for Medicare and Medicaid Services (CMS) released its final
Connecting America for Better Health Medicare Electronic Health Record Incentive Payments for Eligible Professionals The American Recovery and Reinvestment Act (Recovery Act) of 2009 provides for incentive
Medicare Electronic Health Record Incentive Payments for Eligible Professionals Last Updated: May 2013 The Medicare Electronic Health Record (EHR) Incentive Program provides for incentive payments to Medicare
Meaningful Use for Physician Offices Eligibility, Registration and Meeting the Criteria Elizabeth M. Neuwirth 203 772 7742 email@example.com H. Kennedy Hudner 860 240 6029 firstname.lastname@example.org
Page 27 VIII. Dentist Crosswalk Overview The final rule on meaningful use requires that an Eligible Professional (EP) report on both clinical quality measures and functional objectives and measures. While
Achieving Meaningful Use Training Manual Terms EP Eligible Professional Medicare Eligible Professional o Doctor of Medicine or Osteopathy o Doctor of Dental Surgery or Dental Medicine o Doctor of Podiatric
OBJECTIVES Kimberly S. Hodge, PhDc, MSN, RN, ACNS-BC, CCRN- K Director, ACO Care Management & Clinical Nurse Specialist Franciscan ACO, Inc. Central Indiana Region Indianapolis, IN By the end of this session
Meaningful Use of EHR Technology GA-HIT Regional Extension Center (GA-HITREC) Dominic H. Mack MD, MBA Project Director, GA-HITREC Deputy Director, National Center for Primary Care Morehouse School of Medicine
01 BEGINNER» An Introduction to: MEDICAID EHR INCENTIVE PROGRAM FOR ELIGIBLE PROFESSIONALS Last Updated: April 2014 Table of contents How to use this guide... 2 1. Program basics... 5 What is the Medicaid
EMR Use in the Age of Healthcare Reform C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic Executive Director, ecleveland Clinic Agenda General Overview Requirements Payments Process to
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