First Business Seminar Series

Transcription

1 First Business Seminar Series Government Incentives for Electronic Health Records Mike Fischer June 22, 2011

2 Mike Fischer - Consultant 34 years health care management and IT experience 10 years IT Director - implemented Epic (NE WI multi-specialty ambulatory setting) Additional experience as Clinic Manager, HR Director, Implementation Director health care IT vendor Meaningful Use Project Manager - Aurora Healthcare mfische1219@yahoo.com Cell phone:

3 Agenda HITECH Meaningful Use Overview Who is Eligible Financial Incentive Programs Stages Eligible Professional Summary Report Lessons Learned/How To Prepare to Demonstrate M.U. Third Party Registration and Attestation

4 Overview The American Recovery and Reinvestment Act (Recovery Act) of 2009 Financial Incentive Incentive payments for eligible professionals (EPs) who are meaningful users of certified Electronic Health Record (EHR) Medicare or Medicaid Financial Incentives Stages

5 Eligible Professional Physician (EP) is defined as: doctor of medicine or osteopathy doctor of oral surgery dental medicine doctor of podiatric medicine doctor of optometry Chiropractor (Medicare incentive program)

6 Not Eligible Professional Hospital Base EP s 90% hospital in-patient Emergency room setting Medicare 80% of allowed services Peds OB/GYN (Medicare incentive program)

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8 Ambulatory

9 Maximum Incentives

10 Medicare or MA Incentives?

11 Meaningful Use Stages

12 Confidential Information Epic Systems

13 Preparing for M.U. (Overview) Provider in PECOS + NPPES CMS PECOS Third party registration need Organization Authorized Official UserID and Password System build/setup for Meaningful Use and Quality Reports Determine Medicare and Medicaid Allowable charges by physician Register for Medicare (or Medicaid) EHR incentive program. 90 Day Stage 1 (year 1) reporting period Attestation for Meaningful Use

14 Preparing the EP (Overview) Communicate MU objectives to providers Run baseline compliance report Translate MU objectives to care team workflows Physician tasks Staff member tasks Include the workflows for the Quality Measures they will use for MU attestation Determine what patient lists of specific condition Determine which quality reporting measures (Core Menu) Determine what clinical decision rule Run compliance days Attest to demonstrating meaningful use

15 Registration for M.U. (Overview) Registration choose either Medicare or MA NPI National Plan and Provider Enumeration System (NPPES) User ID and Password Payee Tax Identification Number (assign benefits to Group Tax ID) EHR Certification Number

16 Third Party Registration Links CMS EHR Overview Page Registration Page select Identity & Access Management, to create account Work in two main systems Identity and Access (I&A) System to setup users EHR Incentive Registration/Attestation System

17 New Section Creating Providers and Users in the Identity and Access Management System (PECOS-NPPES)

18 Third Party Registration Steps One person from the organization needs to request to be the Authorized Official (AO) and mail in the tax document. At the same time you could have other people request to be an End User (EU) for the organization. Once the AO is approved they would approve the EU requests. Then the EU's need to request access from each physician. Each physician needs to approve, and next day the EU can see the physician on their I&A account and can register/attest for the physician. Medicare expects the physician to approve, (but at most organizations someone in Compliance has that information). Will want list of all EP's and their NPI number.

19 Once I&A Account is Setup (I&A System) Link:

20 I&A Request Type (I&A System) Need Provider NPI#

21 Applying as an Authorized Official: If you are applying as an Authorized Official, a copy of your provider or supplier's organization CP-575 is required. The CP-575 is generated to the organization by the Internal Revenue Service (IRS), and contains the organization's Legal Business Name and Taxpayer Identification Number. If you cannot locate your CP-575, contact the IRS for a copy of your IRS Federal Tax Deposit Coupon, IRS 147C letter, or other official IRS document which verifies the taxpayer identification number and legal business name of your organization. Make a photocopy of the CP-575 and write your PECOS I&A Tracking ID at the top. Mail the photocopy of the CP-575 or appropriate substitute to the CMS External User Services (EUS) Help Desk.

22 Adding 3 rd Party Access (I&A System)

23 Adding a Provider (I&A System) Be sure to SAVE when done!!!

24 Physician Approves Request (I&A System) Physician needs to sign into their I&A Account and approve Access Requests

25 Physician Approves Request Physician should have few requests so View All and SEARCH. Will display Access Requests where you select the Tracking ID, and Approve. If multiple requests, Approve first request, then HOME to search again, select next request, select the Tracking ID, and Approve. Note: Overnight delay once physicians approves access before end user will see the physician on their I&A account

26 New Section Registering (and Attesting) Providers in the EHR Financial Incentive System

27 Registration (EHR System) Always APPLY

28 Assignment of Payment (EHR System) To assign to group change to EIN

29 Assignment of Payment

30 Confirmation Page (EHR System)

31 Provider Status (EHR System)

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33 Attestation Comments (EHR System) Will Error if more than 5 Menu Objectives

34 Attestation Comments (EHR System) Denominator and Numerator positions switch between Core and Menu Objectives

35 Internet Links CMS EHR Overview Page NPPES-PECOS Identity & Access (I&A) Meaningful Use Stage 1 Requirements Summary eqsummary.pdf Eligible Professional Meaningful Use Table of Contents Core and Menu Set Measures WI Medicaid Incentive Program

36 Questions?