EHR Incentive Registration January 11, 2011
What you need before you start Eligibility requirements Print Registration User Guide NPI Number NPPES web user account, user ID, password PECOS number Social Security number/ Tax ID number/ EIN General information: business address, phone number, email address
Pre-Registration
Pre-registration steps 1. Obtain an NPI (National Provider Identifier) number. 2. Register online with the National Plan and Provider Enumeration System (NPPES) to obtain a web user account, user ID and password.
Pre-registration steps 3. Register as a Medicare provider (Can be done through hard copy or PECOS online) Medicare Enrollment Application (Form CMS-855) Medicare Participating Physician Agreement (Form CMS-460) Medicare Reassignment of Benefits (Form CMS- 855R)
Pre-registration steps 4. Mail Medicare registration to: Palmetto Part B Provider Enrollment P.O. Box 182933 Columbus, OH 43218-2933 Phone: 866-308-5439 http://www.palmettogba.com
Registration for EHR Incentives
Registration user guide Print out the appropriate guide. Medicare Registration Guide for Eligible Professionals Medicaid Registration Guide for Eligible Professionals Medicare & Medicaid Registration Guide for Hospitals
13 Steps to EHR Registration 1. Getting started 2. Login instructions 3. Welcome 4. Registration instructions 5. Reason for registration 6. Incentive questionnaire 7. Personal information 8. Business information 9. Topics for registration 10. Verify registration 11. Registration disclaimer 12. Submission: successful, unsuccessful 13. Status summary page
Step 1 : Getting started Verify if you are eligible for Medicare by checking this EHR Financial Incentive Fact Sheet on OHIP s Physician & Provider page. You also can go to the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program at https://ehrincentives.cms.gov to make sure you re eligible.
Step 2: Login instructions Go to https://ehrincentives.cms.gov to begin the registration process. Enter your National Plan and Provider Enumeration System (NPPES) web user account, user ID and password.
Step 3: Welcome Click on the Registration Tab on this page: Register Finish registration Modify Switch incentive programs Cancel
Step 4: Registration instructions Enter your name, tax ID, National Provider Identification (NPI) number, and click Register.
Step 5: Reason for registration You are: Registering Modifying registration Can work by section: EHR incentive program Personal information Business information
Step 6: Incentive questionnaire Select Medicare or Medicaid, your Eligible Professional Type and if you have a certified EHR system.
Step 7: Personal information Verify Social Security information, National Provider Identification Number and Payee TIN type. This is the process for reassignment Reassignment must be to an employer/ contractor already linked in the PECOS system to that provider s account Provider cannot receive payment if have reassigned all Medicare payments
Step 8: Business information Enter your business address, phone, email. Your business address needs a zip code plus 4 digits, and you may not enter a P.O. box. Data is pre-populated from the NPPES system. If you make changes to address and phone, the information does not go back to NPPES. This address will be published on EHR incentive website once payment is received.
Step 9: Topics for registration Make sure you ve completed the EHR Incentive Program information, personal information, and business contact information.
Step 10: Verify registration Review the information you ve entered.
Step 11: Registration disclaimer Read agreement and check agree or disagree Anti-fraud statement Disclosures voluntary Must notify program if overpaid
Step 12: Submission receipt If submission is successful, print this page for your records.
Submission rejection If submission is unsuccessful, you will be alerted about why you ve been rejected and given resources. Name/information in death master file NPI status is deactivated Enrollment in PECOS/Medicare not approved yet Office of Inspector General (OIG) Exclusion in PECOS Physician a hospital-based professional (bills code 21- Inpatient or 23-Emergency Dept.)
Step 13: Status page summary View your summary.
Eligibility requirements Determine your eligibility. For quick fact sheets, go to the physicians page on the OHIP home page and click on Eligible Professionals. If you re eligible for both Medicare and Medicaid, you need to decide when you register, which one you want to choose. Before 2015, an eligible professional may switch programs only once after the first incentive payment is initiated. Most eligible professionals will maximize their incentive payments by participating in the Medicaid EHR Incentive Program. You also can go to the Centers for Medicare and Medicaid Services at https://www.cms.gov/ehrincentiveprograms/
NPPES numbers You need a National Plan and Provider Enumeration System (NPPES) web user account, user ID and password. You can call, register online or email. The phone number is 800-465-320. Click here Or copy the address below https://nppes.cms.hhs.gov/nppes/npiregistryhome.do to get an account. You also can email customerservice@npienumberator.com
PECOS numbers If you re an eligible professional, you must have an enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) in order to receive a Medicare Electronic Health Record (EHR) incentive payment. If you are a physician working in a group, you need your own individual number to receive the incentive payment directly. If you do not have an enrollment record in PECOS, you should establish your enrollment record now or go to at https://pecos.cms.hhs.gov/pecos/login.do
Appropriate SS/Tax ID, EIN Have your Social Security number ready to input as an individual for your Tax ID Number (TIN). If your group is to receive the payment, it goes to the Employer Identification Number (EIN). For more information, go to the IRS website or copy http://www.irs.gov/businesses/small/international/article/0,,id=96696,00.html
QUESTIONS? CATHY COSTELLO CCOSTELLO@OHIPONLINE.ORG SANDY LOVELAND SLOVELAND@OSMA.ORG