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  • Meaningful Use:

    Introduction to Meaningful Use

    Eligible Providers

  • Introduction to Meaningful Use:

    Webinar Overview

     Define Meaningful Use

     Review Meaningful Use Key Dates & Program Incentives

     Discuss the 4 Components Necessary to Achieve

    Meaningful Use

     Introduce Meaningful Use Core Requirements, Menu

    Measures, & Clinical Quality Measures

     Provider/Admin Q&A

  • • American Recovery and Reinvestment Act of 2009/Health Information

    Technology for Economic and Clinical Health Information (ARRA/HITECH)

    Act, established programs under Medicare and Medicaid to provide

    incentive payments to eligible professionals that demonstrate

    “meaningful use” of certified electronic health record (EHR) technology.

    • HITECH Act allocates 19 billion for the adoption, upgrade, and or

    implementation of EHR technology. These incentive programs (Medicare

    and Medicaid) are designed to support eligible professionals during health

    IT transition.

    Simply, "meaningful use" means providers must demonstrate that they're using

    certified EHR technology in ways that can be measured in quality and in quantity.

    What is Meaningful Use?

  • Meaningful Use-Objectives

    Meaningful Use is Using Certified EHR Technology to:

     Improve Quality, Safety, Efficiency and Reduce Health Disparities:

    Use of EHR

     Computerized order entry

     Electronic Prescribing/refill automation

     Record Problem list, medications, allergies, etc

     Engage patients and families:

     Patient portals and electronic copies of

     After Visit Summaries

     Educational material

     Improve Care Coordination

     Medication Reconciliation

     Exchange of Data with external Providers

     Improve Population and Public Health

     Electronic Reporting to Registries

     Maintain Patient Privacy and Security

  • • Graduated Approach: Implemented in 3 Stages

    Stages of Meaningful Use:

    Medicare & Medicaid

    FOCUS OF:

    Stage 1

    (2011)

    Data capture and sharing

    Stage 2

    (2013)

    Advanced clinical processes

    Stage 3 (2015) Improved outcomes

  • Meaningful Use:

    Medicare Incentive Payment Structure • Eligible providers can earn up to $44,000 if the provider receives at least $24,000 in

    Medicare payments and successfully meets all meaningful use requirements by

    Oct 1, 2012. The last year to begin participation in the Medicare EHR incentive

    program is 2014 to avoid penalties is 2015.

    0 First Payment Year

    Funding Year 2011 2012 2013 2014 2015 +

    2011 $ 18,000

    2012 $ 12,000 $ 18,000

    2013 $ 8,000 $ 12,000 $ 15,000

    2014 $ 4,000 $ 8,000 $ 12,000 $ 12,000

    2015 $ 2,000 $ 4,000 $ 8,000 $ 8,000

    2016 $ 2,000 $ 4,000 $ 4,000

    Total $ 44,000 $ 44,000 $ 39,000 $ 24,000

    Incentive

    Totals

    Decrease in

    2013

    Medicare payment reductions begin for providers who do not demonstrate meaningful use

  • Meaningful Use:

    Medicaid Incentive Payment Structure

    Adoption Year Adoption Year

    Funding Year 2011 2012 2013 - 2016

    2011 $ 21,250

    No payment adjustments/

    no penalties

    2012 $ 8,500 $ 21,250

    2013 $ 8,500 $ 8,500

    2014 $ 8,500 $ 8,500

    2015 $ 8,500 $ 8,500

    2016 $ 8,500 $ 8,500

    2017 $ 8,500

    Total $ 63,750 $ 63,750 $ 63,750

    Eligible providers can earn up to $63,750 if the provider attests and

    successfully meets all meaningful use requirements. The last year to begin

    participation in the Medicaid EHR incentive program is 2016. Incentive

    payments do not decrease with time and there are no imposed penalties.

  • Medicare EHR Incentive Program

    Managed by CMS

    Eligible Providers can receive a maximum incentive amount of $44,000 (over 5

    consecutive years (2011-2016) of program participation)

    Payment reductions begin in 2015 for providers who are eligible but choose not to

    participate

    In the first year and all remaining years providers have MU objectives and associated

    measures they must meet to get incentive payments

    Medicare EHR Incentive Program

  • Medicaid EHR Incentive Program

    Medicaid EHR Incentive Program

    Each State Manages Its Own Program

    Eligible Providers can receive a maximum incentive amount is $63,750 (over 6 years

    (2011-2021) of program participation)

    No Medicaid payment reductions if providers choose not to participate

    In the first year, providers can receive an incentive payment for adopting,

    implementing or upgrading a certified EHR

    In all remaining years, providers must meet the same MU objectives and associated

    measures as Medicare

  • How Do I

    Successfully

    Achieve

    Meaningful Use?

  • 4 Components to Successfully Achieve Meaningful Use

    MEANINGFUL

    USE OF EHR  Compliance with the MU Measures

    and Clinical

    Quality Reporting

     Report or Attest to

    20 MU measures

    (15 core, 5 menu)

    CERTIFIED

    EHR

     Ensure EHR is

    certified by ONC

    Approved Testing

    Body

     Epic is certified for

    MU

    ELIGIBILITY/

    REGISTRATION

     Determine eligibility

    to receive Medicare

    or Medicaid

    incentive

     Register for incentive

    program

    REPORTING/

    ATTESTATION

     For Medicare Year 1

    report after

    demonstrating 90

    consecutive days of

    meaningful use. For

    duration of program

    report after full year

    of demonstrating

    MU

  • Doctor of Medicine

    Doctors of Osteopathy

    Doctors of Dental Medicine

    or Surgery

    Meaningful Use: Eligible Providers

    Doctor of Optometry

    Doctors of Podiatric

    Medicine

    Chiropractor

    Nurse Practitioners

    Certified Nurse-Midwives

    Physician Assistants (PAs)

    when working at an FQHC or RHC

    that is so led by a PA

    Medicare-only

    Eligible Providers

    Medicaid-only

    Eligible Providers

    Could be eligible for either

    Medicare or Medicaid

    (but not both in single year)

  • Additional Meaningful Use

    Eligibility Requirements Medicare Eligibility (must meet all of the following to qualify)

    If you are a physician that participates with Medicare and see patients in an office and

    outpatient setting

    Physicians who see Medicare patients must have Part B allowed charges

    Each eligible professional is only eligible for one incentive payment per year regardless of

    how many practices or locations at which he or she provide services.

    Hospital based professionals are not eligible for incentive payments An eligible professional is considered hospital-based if 90% or more of his or her services are performed in a hospital

    inpatient or emergency room setting. (POS 21 or POS 23)

  • Additional Meaningful Use

    Eligibility Requirements

    Medicaid Eligibility (must meet one of the following to qualify)

    If you are a physician that participates with Medicaid and see patients in an office and

    outpatient setting

    Physicians who have a minimum of 30% Medicaid patient volume

    (Medicaid or Medicaid Managed Care)

    Physicians must have a minimum of 20% Medicaid patient volume and is a pediatrician

    Hospital based professionals are not eligible for incentive payments An eligible professional is considered hospital-based if 90% or more of his or her services are performed in a

    hospital inpatient or emergency room setting. (POS 21 or POS 23)

    Practice predominately in a Federally Qualified Health Center or Rural Health Center and have a

    minimum of 30% patient volume attributable to need individuals

  • Meaningful Use: Registration Overview • Registration is required to participate in the EHR incentive program

    • As an eligible provider you are only required to register once for the duration of the

    incentive program.

    • CMS offers third party registration. Required for third party registration

     Identity & Access Management Account (I&A)

     Association with the eligible providers NPI

    • Eligible providers can register without having implementing certified EHR.

    • Eligible Professionals cannot register for a Medicaid EHR Incentive Program until

    their state's program has launched and the state's site has opened.

    • Providers eligible for both the Medicare and Medicaid EHR Incentive Programs must

    choose which incentive program they wish to participate in when they register.

     Before 2015, an eligible provider may switch programs only once after the first

    incentive payment is initiated..

  • Requirements for Registration

    National Provider Identifier (NPI)

    Provider Enrollment, Chain and Ownership System