Medical Transcription Services - MxSecure

8/9/2019 Medical Transcription Services - MxSecure

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Sponsored by:


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HITECH Act

What is it?

Who qualifies?

What are the incentives?

What do Professionals need to do to qualify?


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Part of the American Recovery andReinvestment Act

Incentives to encourage Professionals and

hospitals to utilize EHR technology Incentives in the form of payments to

Eligible Professionals and hospitals thatsee Medicare/Medicaid patients

Focus on Eligible Professionals


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Medicare: MD, DO, DDS, DPM, OD, DC

Does not include hospital-based Professionals

Incentives are up to $44,000 per provider

Medicaid: Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC

Incentives up to $63,750

Must see 30% Medicaid patients

Pediatricians qualify at 20%

Pick one program onlyyou may switch one time


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Incentives 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 $0

2016 $0 $2,000 $4,000 $4,000 $0

2017 $0 $0 $0 $0 $0

TotalIncentives

$44,000 $44,000 $39,000 $24,000 $0

Adoption Year

Incentiv

eYear

Source: Title IV Subtitle A of the American Recovery

and Reinvestment Act of 2009


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Based on Part B FFS claims

Applies only to services furnished by EP

Professional components only

75% of submitted allowable charges

EPs in Health Provider Shortage Area earn anadditional 10%


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Incentives 2011 2012 Repeated through2017

2011 $21,250 - -

2012 $8,500 $21,250 -

2013 $8,500 $8,500 $21,250

2014 $8,500 $8,500 $8,500 years 2-6

2015 $8,500 $8,500

2016 $8,500 $8,500

2017 - $8,500

TotalIncentives

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

Adoption Year

Incentiv

eYear

Source: Title IV Subtitle A of the American Recovery

and Reinvestment Act of 2009


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Incentive amount based on what CMS hasidentified as the net allowable cost ofpurchasing, implementing and maintainingan EHR system

Per CMS, the cost alone is $54,000 Maximum payment is $63,750 At least 30% of your patient encounters for

the reporting period must be Medicaid Pediatricians qualify at 20%


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Certified EHR

HHS will determine the certifying bodyor bodies

Responsibility of EHR vendor

Meaningful Use

25 criteria have been proposed

Responsibility of the EP


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For Medicare Eligible Professionals, the firstpayment year begins 1/1/2011 and is basedon a calendar year (hospitals are being paidusing the federal fiscal year)

For Medicaid Eligible Professionals, the firstpayment year can begin as early as 2010 if

you are in the process of implementing anEHR already


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First year: any continuous 90-day periodwithin the payment year Example: January 1-March 31, 2011

Second year onward: entire payment year Example: January 1 December 31, 2012


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National Provider Identifier

Single data repository to track identification

Medicare CMS

Medicaid - States


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12/30/09: Notice of Proposed Rule Making 556 pages: www.hhs.org

3/15/10: 60 day comment period expired

Final ruling approximately 6/1/10

Gives us more details definingmeaningful use
http://www.hhs.org/http://www.hhs.org/


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STAGE 1 2011 and 2012 STAGE 2 2013 and 2014 STAGE 3 2015

You only need to meet the Stage 1requirements in your first year, regardlessof when that is. However, in your second

year, you must meet the requirements forthe Stage assigned to that payment year.


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25 meaningful use requirements in Stage 1

5 pillars of meaningful use

Patient/family engagement Coordinated care

Quality, safety and efficiency

Privacy and security

Improve public and population health


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Getting an EHR that is CCHIT certified nowdoes not qualify you for stimulus payments

Meaningful use is up to you

Keep the well-being of your patients andyour practice in mind


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Providers can earn up to $44,000 in Medicare incentives or$63,750 in Medicaid incentives

Requires use of a certified EHR (HHS)

Requires meaningful use and ability to report onmeaningful use

Incentives start in 2011

Earlier adopters can earn more incentives


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For more information contact:

Barbara Brownlee

[email protected]

888.580.1010-Toll Free

480.776.8933-Direct Source:Title XIII of the American Recovery and Investment Act of 2009

www.hhs.org
mailto:[email protected]://thomas.loc.gov/cgi-bin/query/z?c111:H.R.1http://www.hhs.org/http://www.hhs.org/http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.1mailto:[email protected]

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