Meaningful Use of EHR Technology:

Size: px
Start display at page:

Download "Meaningful Use of EHR Technology:"

Transcription

1 Meaningful Use of EHR Technology: What Do the New Standards and Certification Criteria Mean for Your Organization? January 20, 2010 Mitchell J. Olejko Ropes & Gray LLP Michael D. Beauvais Ropes & Gray LLP Joanna L. Bergmann Ropes & Gray LLP Sarah V. Ferranti Ropes & Gray LLP ROPES & GRAY LLP This information should not be construed as legal advice or a legal opinion on any specific facts or circumstances. This information is not intended to create, and receipt of it does not constitute, a lawyer-client relationship. The contents are intended for general informational purposes only, and you are urged to consult your own lawyer concerning your own situation and any specific legal questions you may have.

2 Agenda Background on American Recovery and Reinvestment Act of 2009 ( Recovery Act ) Eligibility for Incentive Payments Criteria for Certified Electronic Health Records ( EHR ) Technology Incentives and Penalties Meaningful Use Clinical Quality Measures Ambiguities and Concerns Practice Tips 2 ROPES & GRAY

3 Background: American Recovery and Reinvestment Act of 2009 Pre-Recovery Act EHR Landscape Federal EHR Incentives Stark Law Exception Anti-Kickback Statute Safe Harbor E-Prescribing Incentive Program (MIPPA) State Experiments HIPAA Electronic transaction X12 Version 5010 and NCPDP Version D.0 standards (March 17, 2009) Full compliance by January 1, 2012 ICD-10 Full compliance by October 1, 2013 Centers for Disease Control and Prevention Report on EHR Use by Physicians (December 2009) 43.9% report using all or partial EMR/EHR systems in their office-based practices (excluding systems solely for billing); 20.5% report having systems that meet criteria of a basic system; 6.3% report having a fully functional system 3 ROPES & GRAY

4 Background: American Recovery and Reinvestment Act of 2009 (Cont.) Objectives of Recovery Act The role of health information technology in improving efficiency and quality Proposition accepted by Congress General Framework for Incentive Programs Medicare Fee-for-Service, Medicare Advantage, Medicaid Not full payment for technology Eligible professionals and eligible hospitals Focus on use of EHR (not just adoption) Exception: Medicaid at outset Technology requirements Incentives and penalties 4 ROPES & GRAY

5 Interim and Proposed Regulations Office of the National Coordinator for Health Information Technology (ONC) Interim Final Rule Criteria for certification of EHR Technology Centers for Medicare and Medicaid Services (CMS) Notice of Proposed Rulemaking Defines meaningful use of certified EHR technology and eligibility Opportunity for comment on both rules 5 ROPES & GRAY

6 Eligibility: Hospitals Medicare Hospitals reimbursed under Inpatient Prospective Payment System (IPPS) (including hospitals in Maryland) Critical access hospitals (CAHs) Exclusions: Psychiatric, rehabilitation, long-term care, children s and cancer hospitals Such hospitals and hospital units are statutorily excluded from the IPPS Medicaid Acute care hospitals At least a 10% Medicaid patient volume for each year EHR incentive payment is sought Children s hospitals (or units) No patient volume threshold Payments from one state only 6 ROPES & GRAY

7 Eligibility: Hospitals (Cont.) A hospital is determined by its unique CMS certification number (CCN) Issue: One CCN may include multiple sites Payment cap derived from number of discharges may disadvantage integrated facilities and sites that are part of a single campus Payments under both programs permitted for those hospitals that are otherwise eligible Exclusion: Provider-based clinics 7 ROPES & GRAY

8 Eligibility: Professionals ( EPs ) Medicare Doctors of medicine or osteopathy, dentists, podiatrists, optometrists and licensed chiropractors Medicaid Physicians, dentists, certified nurse-midwives, nurse practitioners and certain physician assistants Patient volume requirements Have a minimum 30% patient volume attributable to individuals receiving Medicaid Have a minimum 20% patient volume attributable to individuals receiving Medicaid, and be a pediatrician Practice predominantly in a FQHC or RHC and have a minimum 30% patient volume attributable to needy individuals Needy individuals include Medicaid (both FFS and MC) and CHIP patients, patients furnished uncompensated care by the provider, and patients for whom charges are reduced based on their ability to pay 8 ROPES & GRAY

9 Eligibility: Professionals ( EPs ) (Cont.) Deadline No incentive payments available to otherwise eligible professionals whose meaningful use of certified EHR begins after 2015 Program Election EP must choose one program; may switch once during the incentive program if prior to 2014 Exclusion: Hospital-Based Eligible Professionals EPs who furnish 90% or more of their Medicare-covered professional services in an inpatient hospital, outpatient hospital (including provider-based clinics), or emergency room of a hospital Proposing use of HIPAA 837 place of service (POS) codes on physician claims to determine site of service 9 ROPES & GRAY

10 Certified EHR Technology Initial set of standards, implementation specifications and certification criteria that EHR technology will need in order to support Stage 1 meaningful use Interim rule focuses on standards for certified EHRs (the process for EHR certification is expected later this year) Standards and implementation specifications Vocabulary Standards (standardized codes to describe clinical problems and procedures, medications and allergies) Content Exchange Standards (standards used to share clinical information such as patient records, prescriptions) Transport Standards (standards to establish a common and secure communication to electronically exchange health information) Privacy and Security Standards (authentication, data protection security) 10 ROPES & GRAY

11 Certified EHR Technology (Cont.) Certification Criteria Designed to correspond with and enable achievement of initial meaningful use objectives through the establishment of capabilities and identification of standards that must be used by these capabilities Where meaningful use criteria for eligible professionals and eligible hospitals are identical, the EHR capabilities are also the same Example (objective same for EPs and eligible hospitals) Meaningful Use Objective. Implement drug-drug, drug-allergy, drug-formulary check Capability. Automatic and electronic real-time alerts at the point of care for drug-drug and drug-allergy contraindications Example (objective differs between EPs and eligible hospitals) Meaningful Use Objective. Use CPOE Capability (EP). Enable user to electronically record, store, retrieve and manage, at a minimum, the following order types: medications, labs, radiology/imaging and referrals Capability (EH). Same but with different order type list; does not include referrals but does include additions such as physical therapy, blood bank and dialysis Incremental approach (greater specificity and fewer alternatives over time) 11 ROPES & GRAY

12 Certified EHR Technology (Cont.) To be Qualified EHR Technology Technology must have been tested and certified in accordance with the certification program established by the ONC EHR certification process not established, including how certification entities will be selected All certification criteria must be met EP or hospital responsible for proper combination of EHR Modules Each module must be separately certified 12 ROPES & GRAY

13 Incentive Payments: Professionals - Medicare Overview Payments to begin in 2011 Amount equal to 75% of Medicare allowable charges for covered professional services furnished by the EP in the payment year, subject to maximum payment amount Maximum payment amount over five years is $44,000 Extra 10% available for providers in geographic Health Professional Shortage Areas Physician can assign payments to a single employer or entity with which the physician has a valid contractual arrangement allowing the entity to bill for the physician s services Interaction with MIPPA e-prescribing Incentive Program EPs accepting a Medicare EHR incentive payment in a given year would be excluded from being eligible for the e-prescribing incentive program payment for that year 13 ROPES & GRAY

14 Incentive Payments: Professionals Medicare (Cont.) Maximum Total Amount of EHR Incentive Payments for a Medicare EP who does not Predominantly Furnish Services in a Geographic Health Professional Shortage Area Calendar Year First Calendar Year in which the EP Receives an Incentive Payment subsequent years 2011 $18, $12,000 $18, $8,000 $12,000 $15, $4,000 $8,000 $12,000 $12, $2,000 $4,000 $8,000 $8,000 $ $2,000 $4,000 $4,000 $0 TOTAL $44,000 $44,000 $39,000 $24,000 $0 14 ROPES & GRAY

15 Incentive Payments: Professionals - Medicaid Overview Payment to EPs under Medicaid are statutorily capped at 85% of net average allowable costs Net average allowable costs are also capped $25,000 in year 1 $10,000 in subsequent years Net average allowable costs are a function of average allowable costs and average allowable costs are determined by the Secretary of HHS For year 1, average allowable costs are associated with initial adoption of certified EHR technology For subsequent years, average allowable costs are associated with maintenance and operation of certified EHR technology Net average allowable costs = (Average allowable cost) - (Payments from other sources*) * Other than from state or local governments 15 ROPES & GRAY

16 Incentive Payments: Professionals Medicaid (Cont.) Overview (cont.) Year 1 Average allowable costs are $54,000 Net average allowable costs capped at $25,000 Maximum payment is $21,250 (85% of $25,000) Subsequent Payment Years Average allowable costs are $20,610 Net average allowable costs capped at $10,000 Maximum payment is (85% of $10,000) Medicaid EPs may participate for a total of 6 years May not begin receiving payments any later than CY 2016 Maximum payment amount over 6 years - $63,750 Interaction with MIPPA e-prescribing Incentive Program EPs receiving Medicaid EHR incentive payments would remain eligible for the e-prescribing incentive program payment 16 ROPES & GRAY

17 Incentive Payments: Professionals Medicaid (Cont.) Calendar Year Maximum Payments for Medicaid EPs who begin adoption in $21, $21, $21, $21, $21, $21, TOTAL $63,750 $63,750 $63,750 $63,750 $63,750 $63, ROPES & GRAY

18 Incentive Payments: Hospitals - Medicare Formula (base amount + discharge-related amount) x (transition factor) x (Medicare share) Factors Initial Amount Base amount of $2 million, plus Discharge-related amount of $200 for each hospital discharge during a payment year, beginning with a hospital s 1,150th discharge of the payment year, and ending with a hospital s 23,000th discharge of the payment year Transition Factor Phases down incentive payment over the payment years Transition factor in year 1 = 1; in year 2 = ¾; in year 3 = ½; in year 4 = ¼; subsequent years = 0 If payment year 1 is 2014, payments are as though hospital became meaningful user in 2013 (i.e., transition factor in year 1 ¾ etc.) 18 ROPES & GRAY

19 Incentive Payments: Hospitals Medicare (Cont.) Factors (cont.) Medicare Share Based on Medicare FFS and managed care inpatient bed days divided by total inpatient bed days (and modified by charges for charity care) Estimated # Part A inpatient bed days + Estimated # MA inpatient bed days (Total # inpatient bed days) X (Total charges - charity care charges) Total charges Estimated Range of Total Payments Over 4 Years Per hospital between $9,000 and $10.4 million with a median of $3.6 million 19 ROPES & GRAY

20 Incentive Payments: Hospitals Medicare (Cont.) Critical Access Hospitals CAHs normally paid on a cost basis Incentive payments based on reasonable costs incurred for purchase of certified EHR technology and Medicare share percentage Reasonable Costs. Reasonable acquisition costs incurred for the purchase of certain depreciable assets, such as computers and associated hardware and software, necessary to administer certified EHR technology excluding any associated depreciation and interest expenses Costs to be expensed over a single payment year; not depreciated over time Medicare Share. Number derived in same manner for other Medicare eligible hospitals plus 20 percentage points (not to exceed 100%) 20 ROPES & GRAY

21 Incentive Payments: Hospitals Medicare (Cont.) Critical Access Hospitals (cont.) Payments would not be made with respect to a reporting period beginning during a payment year after 2015 In no case would a CAH receive payment for more than 4 consecutive payment years 21 ROPES & GRAY

22 Incentive Payments: Hospitals - Medicaid Generally The payment is provided over a minimum of a 3-year period and a maximum of a 6-year period No hospital may begin receiving incentive payments for any year after 2016 Total incentive payment received over all payment years of the program is not greater than the aggregate EHR incentive amount (based upon a theoretical 4 years of payment the hospital would receive) 22 ROPES & GRAY

23 Incentive Payments: Hospitals Medicaid (Cont.) EHR Incentive Amount. The product of the (Overall EHR Amount) X (the Medicaid Share) Overall EHR Amount = (Initial Amount) x (Transition Factor) x (Medicare Share) Initial Amount: Same formula used under Medicare program Transition Factor: Same factors used under Medicare program Medicare Share: 1 Medicaid Share = A / B + C A = (# Medicaid inpatient bed days) + (# inpatient bed days attributable to individuals enrolled in a managed care organization, prepaid inpatient health plan or prepaid ambulatory health plan) B = Total # inpatient bed days for hospital Excludes inpatient bed days attributable to Medicare Part A and Part C patients C = (Total # hospital s charges excluding those attributable to charity care) / (total amount of hospital s charges) 23 ROPES & GRAY

24 Penalties ( Adjustments ) Medicare Eligible Professionals Physicians who are not meaningful EHR users in 2015 will face a 1% reduction to their Medicare Physician Fee Schedule payments (or 2%, if these physicians also were required, but failed, to e- prescribe) Payment penalty increases to 2% in 2016 and to 3% in 2017 In 2018 and afterward, if the proportion of eligible professionals who are meaningful EHR users is less than 75%, reductions may be increased by one percentage point each year but by not more than 5% overall 24 ROPES & GRAY

25 Penalties ( Adjustments ) (Cont.) Medicare (cont.) Eligible Hospitals Beginning in 2015, eligible hospitals that are not meaningful users of certified EHR technology would receive a net reduction of ¼, ½, and ¾ of the market basket update to the IPPS payment rate that would apply in 2015, 2016, 2017 and thereafter, respectively The reduction would apply to ¾ of the applicable market basket update Beginning in 2015, the IPPS applicable percentage increase may also be reduced for a hospital s failure to submit data on quality measures This reduction would equal ¼ of the applicable market basket update Example. FY 2015, market basket percentage = 2.0 Hospital reports quality data; not meaningful EHR user - update of 1.5 % (2% update minus 0.5 percentage point (33.3% of ¾ of the full update)) Hospital fails to report quality data; is meaningful EHR user - update of 1.5% (2% update minus ¼ reduction (0.5 percentage point) for failing to report quality data) 25 ROPES & GRAY

26 Penalties ( Adjustments ) (Cont.) Medicare (cont.) Critical Access Hospitals Medicaid For cost reporting periods beginning in 2015, eligible CAHs that are not meaningful users of certified EHR technology for a fiscal year (and that otherwise would be paid at 101% of reasonable costs) are subject to the following payment adjustments: FY2015: reimbursement for inpatient services at % of reasonable costs FY2016: reimbursement for inpatient services at % of reasonable costs FY2017: reimbursement for inpatient services at 100% of reasonable costs None 26 ROPES & GRAY

27 Penalties ( Adjustments ) (Cont.) Significant Hardship Exception Statutory requirement (Section 1848(a)(7)(B) of the Social Security Act) Secretary may, on a case-by-case basis, exempt an EP who is not a meaningful EHR user for the year from the application of the payment adjustment if the Secretary determines that compliance with the meaningful use requirements would result in a significant hardship Example: An EP who practices in a rural area without sufficient Internet access The exception is subject to annual renewal, but in no case may an EP be granted a hardship exemption for more than 5 years In the same manner that hospital-based physicians will not be eligible for incentive payments, they similarly will not be subject to payment penalties 27 ROPES & GRAY

28 Meaningful Use: Background Meaningful use is a statutory requirement with three main elements (Sections 1848(o)(2)(A) and 1886(n)(3) of the Social Security Act) Use of certified EHR in a meaningful manner Certified EHR technology is connected in a manner that provides for electronic exchange of health information to improve quality of care In using certified EHR technology, provider submits to HHS information on clinical quality measures Common definition for Medicare and Medicaid programs Incentive payments and payment penalties Generally, providers must achieve and document meaningful use of their certified EHR system 28 ROPES & GRAY

29 Meaningful Use: A Staged Approach Stage 1: Capture health information in coded format; track vital signs and conditions; coordinate care; and report clinical quality measures and public health information Stage 2: Expand on Stage 1 to encourage use of HIT for continuous quality improvement at the point of care and exchange of information in the most structured format possible Stage 3: Use EHR to improve quality, safety and efficiency; provide decision-support for high priority conditions; and give patients tools to manage their own care Stage 2 and 3 criteria are left for future rulemaking 29 ROPES & GRAY

30 Meaningful Use: Criteria Stage 1 criteria applicable in first payment year (until 2014) First payment year refers to the first year in which EP or eligible hospital receives an incentive payment Will vary by provider Organized around health outcome policy priorities and corresponding care goals, objectives and measures including HIT functionality measures Stage 2 criteria to be proposed by end of 2011 Stage 3 criteria to be proposed by end of ROPES & GRAY

31 Meaningful Use: Criteria (Cont.) Health Outcomes Policy Priority Care Goals Eligible Professionals Stage 1 Objectives Hospitals Stage 1 Measures Improving quality, safety, efficiency, and reducing health disparities SAMPLE PAGE Provide access to comprehensive patient health data for patient's health care team Use evidence-based order sets and CPOE Apply clinical decision support at the point of care Generate lists of patients who need care and use them to reach out to patients Report information for quality improvement and public reporting Use CPOE Implement drug-drug, drugallergy, drug-formulary checks Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT Generate and transmit permissible prescriptions electronically (erx) Maintain active medication list Use of CPOE for orders (any type) directly entered by authorizing provider (for example, MD, DO, RN, PA, NP) Implement drug-drug, drugallergy, drug-formulary checks Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT Maintain active medication list For EPs, CPOE is used for at least 80% of all orders For eligible hospitals, CPOE is used for 10% of all orders The EP/eligible hospital has enabled this functionality At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry or an indication of none recorded as structured data At least 75% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry (or an indication of none if the patient is not currently prescribed any medication) recorded as structured data Maintain active medication allergy list Maintain active medication allergy list At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry (or an indication of none if the patient has no medication allergies) recorded as structured data 31 ROPES & GRAY

32 Meaningful Use: Goals, Objectives & Measures Each Stage 1 meaningful use objective linked to a measure Example Care Goal: Improve quality, safety, efficiency; reduce health disparities Objective: Maintain active medication list (EPs and hospitals) Measure: At least 80% of patients have one coded entry recorded (EPs and hospitals) Example Care Goal: Engage patients and families in their health care Objective: Provide patients with an electronic copy of health information upon request (EPs and hospitals) Measure: At least 80% of all patients who request an electronic copy are provided it within 48 hours (EPs and hospitals) 32 ROPES & GRAY

33 Meaningful Use: Goals, Objectives & Measures (Cont.) Each Stage 1 meaningful use objective linked to a measure Example Care Goal: Improve care coordination Objective: Capability to exchange clinical information electronically among providers (EPs and hospitals) Measure: Performed at least one test of certified EHR technology s capacity to electronically exchange clinical information (EPs and hospitals) Currently an all or nothing approach 23 measures for eligible hospitals 25 measures for eligible professionals No variations by physician specialty or provider type 33 ROPES & GRAY

34 Meaningful Use Demonstrating Meaningful Use In 2011, all of the results for all objectives/measures (including quality measures) would be reported through attestation In 2012, direct submission of clinical quality measures proposed Variations: Medicaid Medicaid providers (hospital or EP) will qualify for 2011 incentive payment if able to demonstrate that they have engaged in efforts to adopt, implement or upgrade certified EHR technology States may adopt additional meaningful use requirements; CMS must approve 100% Federal financial participation to States for Medicaid incentive payments and 90% for associated State administrative expenses Timing; Reporting Periods 90-day reporting window in first payment year (must report for a continuous period starting and ending in the same calendar year) After first payment year, EHR reporting period is proposed to be entire year 34 ROPES & GRAY

35 Meaningful Use (Cont.) Additional Requirements Provide certain administrative data to fulfill ONC s requirements of online posting, avoid duplicate incentive payments and ensure accurate and timely incentive payments Overpayments According to preamble, CMS will identify (through audits) and recoup overpayments resulting from incorrect or fraudulent attestations, quality measures, cost data, patient data or any other submission required to establish eligibility or qualify for payment Differences From HIT Policy Committee Recommendations for Meaningful Use Does not include requirement to record advance directives Does not include requirement to provide access to patient-specific education resources upon request Adds additional clinical decision-support rules 35 ROPES & GRAY

36 Clinical Quality Measures Clinical Quality Measures Measures must be reported to achieve meaningful use Measures are of processes, experience and/or outcomes of patient care, observations or treatment that relate to one or more quality aims for health care such as effective, safe, efficient, patient-centered, equitable and timely care Measures must be reported for all patients, not just Medicare and Medicaid beneficiaries Reporting to CMS and/or the States Ambulatory quality measures reported to CMS except Medicaid EPs should report to the States Hospital quality measures reported to CMS except Medicaid eligible hospitals report to the States 36 ROPES & GRAY

37 Clinical Quality Measures (Cont.) Phased Reporting 2011 Attest to use of certified EHR system to capture data elements and calculate results for applicable clinical quality measures Attest to accuracy and completeness of data for each of the applicable measures 2012 and beyond (anticipated) Electronic submission using certified EHR technology assuming CMS can electronically receive submissions 37 ROPES & GRAY

38 Clinical Quality Measures: EPs Core measures 90 measures (nearly all endorsed by Physician Quality Reporting Initiative or National Quality Forum) Only 9 have an existing electronic standard Example: Inquiry regarding tobacco use (number of patients who use tobacco and percentage of patients aged 18 years and older who received advice to quit smoking) Specialty-specific measures Specialty Groups Include: Cardiology, Oncology, Pediatrics, OB/GYN, Surgery, Primary Care Measures Example: 6 measures for oncology specialty including certain types of cancer Example: 10 measures for cardiology specialty including CAD and heart failure For 2011 and 2012, EP must submit information on: Two core measures (tobacco use screening, blood pressure management, drugs to be avoided in the elderly) PLUS All measures for one specialty group EP selects specialty group 38 ROPES & GRAY

39 Clinical Quality Measures: Hospitals 34 Clinical Quality Measures Example: Acute myocardial infarction patients who are prescribed a beta-blocker at discharge Example: Emergency department throughput For Medicaid-eligible hospitals, if the first set of measures do not apply to their patient population, hospitals may select a second set of clinical quality measures to meet the clinical quality measure reporting requirement under the Medicaid program 8 clinical quality measures; geared toward children s hospitals Example: PICU Pain Assessment on Admission Example: Pneumonia care 39 ROPES & GRAY

40 Ambiguities and Areas of Concern Eligibility Hospital-based eligible professionals Certified EHR Technology Process for certification still open Standards for interoperabilty Technical direction for Stages 2 and 3 Vendor guarantees Meaningful Use All or nothing approach to implement EHR technology Criteria do not take into account differences between specialties 40 ROPES & GRAY

41 Ambiguities and Areas of Concern (Cont.) Meaningful Use (cont.) Concern regarding providers ability to achieve a number of meaningful use criteria (e.g., use of CPOE, 48 hours to compile a patient health record) CPOE requirement requires hospitals to count all physician orders, including paper orders a process that might not currently exist May require changes to workflow and technology Interaction with Other Laws E-prescribing incentive (Medicare Improvements for Patients and Providers Act of 2008) Federal anti-kickback and anti-self referral laws Safe harbor/exception for EHR includes certification criteria for interoperability 41 ROPES & GRAY

42 Practice Tips Achieving Meaningful Use Self-assessment Vendor negotiations Acquisition and implementation Tracking and reporting compliance Contracting with Vendors 42 ROPES & GRAY

43 Questions? Mitchell J. Olejko Michael D. Beauvais Ropes & Gray LLP January 20, ROPES & GRAY

Legal Issues in Medicare/Medicaid Incentive Programss

Legal Issues in Medicare/Medicaid Incentive Programss Meaningful Use Legal Issues in Medicare/Medicaid Incentive Programss Jane Eckels, Esq. Partner, Health Information Technology Group Deputy Chair, Technology, ebusiness and Digital Media Group Overview

More information

A Lawyer s Take on Meaningful Use. By Steven J. Fox & Vadim Schick

A Lawyer s Take on Meaningful Use. By Steven J. Fox & Vadim Schick A Lawyer s Take on Meaningful Use By Steven J. Fox & Vadim Schick Overview American Reinvestment & Recovery Act (ARRA) February 2009 HITECH Act provides incentives for EHR adoption EHR Incentive NPRM issued

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Southwest Regional Health Care Compliance Association Conference February 18, 2011 Travis Broome, Special Assistant for Quality Improvement and Survey & Certification

More information

Eligibility. Program Structure and Process for Receiving Incentives

Eligibility. Program Structure and Process for Receiving Incentives Overview of Medicare Incentives in the Centers for Medicare & Medicaid Services (CMS) Final Rule on Meaningful Use of Certified Electronic Health Records 1 Eligibility Medicare Eligibility: For Medicare

More information

Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals. August 11, 2010

Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals. August 11, 2010 Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals August 11, 2010 Today s Session This training will cover the following topics: EHR Incentive Programs a Background Who Is

More information

CMS Meaningful Use Incentives NPRM

CMS Meaningful Use Incentives NPRM CMS Meaningful Use Incentives NPRM Margret Amatayakul MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, FHIMSS President, Margret\A Consulting, LLC Faculty and Board of Examiners, Health IT Certification, LLC Notice

More information

HITECH* Update Meaningful Use Regulations Eligible Professionals

HITECH* Update Meaningful Use Regulations Eligible Professionals HITECH* Update Meaningful Use Regulations Eligible Professionals October 2010 * Health Information Technology for Economic and Clinical Health, a component of the ARRA of 2009 McDowell Lecture December

More information

Agenda 2. EHR Incentive Programs 3/5/2015. Overview EHR incentive programs Meaningful Use Differences between Stage 1 and Stage 2

Agenda 2. EHR Incentive Programs 3/5/2015. Overview EHR incentive programs Meaningful Use Differences between Stage 1 and Stage 2 Meaningful Use and the Electronic Health Record Presented by: Susan Reehill CPC, CEMC, CHONC, CPMA Certified Professional Medical Auditor AHIMA Approved ICD-10 CM/PCS Trainer Overview EHR incentive programs

More information

Measures Reporting for Eligible Hospitals

Measures Reporting for Eligible Hospitals Meaningful Use White Paper Series Paper no. 5b: Measures Reporting for Eligible Hospitals Published September 5, 2010 Measures Reporting for Eligible Hospitals The fourth paper in this series reviewed

More information

Electronic Health Records Incentive Program. Agency: Centers for Medicare and Medicaid Services (CMS)

Electronic Health Records Incentive Program. Agency: Centers for Medicare and Medicaid Services (CMS) Outline of the Medicare and Medicaid Programs; Electronic Health Record Incentive Program (Meaningful Use) Under the Health Information Technology for Economic and Clinical Health Act (Title XIII of the

More information

First View of Implementing Regulations Under the Medicare and Medicaid Health IT Programs

First View of Implementing Regulations Under the Medicare and Medicaid Health IT Programs 2010 American Health Lawyers Association January 08, 2010 Vol. VIII Issue 1 First View of Implementing Regulations Under the Medicare and Medicaid Health IT Programs By Alisa Chestler and Susan Christensen,

More information

Eligible Professional Core Measure Frequently Asked Questions

Eligible Professional Core Measure Frequently Asked Questions Eligible Professional Core Measure Frequently Asked Questions CPOE for Medication Orders 1. How should an EP who orders medications infrequently calculate the measure for the CPOE objective if the EP sees

More information

ARRA New Opportunities for Community Mental Health

ARRA New Opportunities for Community Mental Health ARRA New Opportunities for Community Mental Health Presented to: The Indiana Council of Community Behavioral Health Kevin Scalia Executive Vice-President, Corporate Development February 11, 2010 Overview

More information

Alaska Medicaid Program

Alaska Medicaid Program Alaska Medicaid Program ALASKA ELECTRONIC HEALTH RECORDS Incentive Program Updated January 2018 Provider Manual 1 Background... 4 2 How Do I use this manual?... 6 3 How do I get help?... 7 4 Eligible provider

More information

Medicare & Medicaid EHR Incentive Program. Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010

Medicare & Medicaid EHR Incentive Program. Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010 Medicare & Medicaid EHR Incentive Program Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010 1 Overview Background and Policy Context EHR Incentive Program Basics Who is Eligible to Participate How

More information

HHS to Delay Stage 2 of Meaningful Use. A. The Health Information Technology for Economic and Clinical Health Act

HHS to Delay Stage 2 of Meaningful Use. A. The Health Information Technology for Economic and Clinical Health Act December 15, 2011 HHS to Delay Stage 2 of Meaningful Use Late last month (November 30), as part of its efforts to increase healthcare providers adoption of health information technology ( IT ), the Department

More information

Summary. Centers for Medicare and Medicaid Services Medicare and Medicaid Programs

Summary. Centers for Medicare and Medicaid Services Medicare and Medicaid Programs Summary Centers for Medicare and Medicaid Services Medicare and Medicaid Programs Electronic Health Record Incentive Program Proposed Rule (CMS-0033-P) Updated January 15, 2010 Prepared by Chantal Worzala,

More information

Measures Reporting for Eligible Providers

Measures Reporting for Eligible Providers Meaningful Use White Paper Series Paper no. 5a: Measures Reporting for Eligible Providers Published September 4, 2010 Measures Reporting for Eligible Providers The fourth paper in this series reviewed

More information

Meaningful Use: Review of Changes to Objectives and Measures in Final Rule

Meaningful Use: Review of Changes to Objectives and Measures in Final Rule Meaningful Use: Review of Changes to Objectives and Measures in Final Rule The proposed rule on meaningful use established 27 objectives that participants would meet in stage 1 of the program. The final

More information

Medicare & Medicaid EHR Incentive Programs HIT Policy Committee May 6, 2014

Medicare & Medicaid EHR Incentive Programs HIT Policy Committee May 6, 2014 Medicare & Medicaid EHR Incentive Programs HIT Policy Committee May 6, 2014 Registration and Payment Data 2 Active Registrations March 2014 March-14 Program-to-Date Medicare Eligible Professionals 8,361

More information

American Recovery and Reinvestment Act (ARRA) of 2009

American Recovery and Reinvestment Act (ARRA) of 2009 American Recovery and Reinvestment Act (ARRA) of 2009 An In-Depth Look into the Revolution of Health IT Colin Konschak, MBA, FHIMSS Managing Partner Scott Kizer, Esq., MIS Senior Legal Consultant Ernie

More information

Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals

Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals Paul Kleeberg, MD, FAAFP, FHIMSS Clinical Director Regional Extension Assistance Center for HIT (REACH)

More information

HITECH Act, EHR Adoption, Meaningful Use Criteria, ARRA Grants, and Adoption Alternatives. The MARYLAND HEALTH CARE COMMISSION

HITECH Act, EHR Adoption, Meaningful Use Criteria, ARRA Grants, and Adoption Alternatives. The MARYLAND HEALTH CARE COMMISSION HITECH Act, EHR Adoption, Meaningful Use Criteria, ARRA Grants, and Adoption Alternatives The MARYLAND HEALTH CARE COMMISSION On February 17, 2009, President Barack Obama signed the American Recovery

More information

The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Behavioral Health Clients

The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Behavioral Health Clients The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Behavioral Health Clients Updated March 2012 Netsmart Note: The Health Information Technology for Economic

More information

Roll Out of the HIT Meaningful Use Standards and Certification Criteria

Roll Out of the HIT Meaningful Use Standards and Certification Criteria Roll Out of the HIT Meaningful Use Standards and Certification Criteria Chuck Ingoglia, Vice President, Public Policy National Council for Community Behavioral Healthcare February 19, 2010 Purpose of Today

More information

9/28/2011. Learning Agenda. Meaningful Use and why it s here. Meaningful Use Rules of Participation. Categories, Objectives and Thresholds

9/28/2011. Learning Agenda. Meaningful Use and why it s here. Meaningful Use Rules of Participation. Categories, Objectives and Thresholds Coding on the River 10/01/2011 Christina Catalano University of Florida Jacksonville Healthcare Inc. Director, EHR Compliance and Meaningful Use Learning Agenda Meaningful Use and why it s here Meaningful

More information

Medicaid Hospital Incentive Payments Calculations

Medicaid Hospital Incentive Payments Calculations Medicaid Hospital Incentive Payments Calculations Note: This guidance is intended to assist hospitals and others in understanding Medicaid hospital incentive payment calculations. However, all hospitals

More information

Provide an understanding of what comprises "meaningful use" of EHR technology

Provide an understanding of what comprises meaningful use of EHR technology 1 Provide background on federal electronic health record (EHR) incentives Overview of Health IT Incentives Medicare/Medicaid EHR incentives Provide an understanding of what comprises "meaningful use" of

More information

EHR Incentives. Profit by using LOGO a certified EHR. EHR vs. EMR. PQRI Incentives. Incentives available

EHR Incentives. Profit by using LOGO a certified EHR. EHR vs. EMR. PQRI Incentives. Incentives available EHR vs. EMR EHR Incentives Company Profit by using LOGO a certified EHR EMR - Electronic records of health-related information on an individual that can be created, gathered, managed, and consulted by

More information

Meaningful Use of an EHR System

Meaningful Use of an EHR System Meaningful Use of an EHR System Slide content by: David Ford of CMA CalHIPSO Meaningful Use Consultant & Reena Samantaray Director of Outreach & Education, CalHIPSO July 2010 Presented by Dr. Sherellen

More information

Russell B Leftwich, MD

Russell B Leftwich, MD Russell B Leftwich, MD Chief Medical Informatics Officer Office of ehealth Initiatives, State of Tennessee 1 Eligible providers and hospitals can receive incentives for meaningful use of certified EHR

More information

Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs)

Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Julia Alejandre, Medicaid / CHIP Health IT Jason Phipps, Medicaid / CHIP Health IT July 20, 2012

More information

Eligible Professionals: NH Medicaid Electronic Health Records Incentive Program. Eve Fralick Project Director, NH DHHS Medicaid EHR Incentive Program

Eligible Professionals: NH Medicaid Electronic Health Records Incentive Program. Eve Fralick Project Director, NH DHHS Medicaid EHR Incentive Program Eligible Professionals: NH Medicaid Electronic Health Records Incentive Program Eve Fralick Project Director, NH DHHS Medicaid EHR Incentive Program Agenda Background on HITECH NH DHHS planning efforts

More information

AHLA. G. Meaningful Use Stage 3 Coming, Stages 1 and 2 Compliance

AHLA. G. Meaningful Use Stage 3 Coming, Stages 1 and 2 Compliance AHLA G. Meaningful Use Stage 3 Coming, Stages 1 and 2 Compliance Samantha Burch Vice President of Health and IT Federation of American Hospitals Washington, DC James F. Flynn Bricker & Eckler LLP Columbus,

More information

Medicare and Medicaid EHR Incentive Payment Basics

Medicare and Medicaid EHR Incentive Payment Basics Medicare and Medicaid EHR Incentive Payment Basics PPS Hospitals and CAHs, along with physicians providing care in OPDs, hospital clinics, and private practices are eligible for the program. These providers

More information

New Mexico Medicaid Electronic Health Records Incentive Payment Program

New Mexico Medicaid Electronic Health Records Incentive Payment Program New Mexico Medicaid Electronic Health Records Incentive Payment Program Specifics of the Program for Eligible Professionals Michele Galleazzi, EHR Incentive Program Manager Human Services Department Medical

More information

HITECH Act American Recovery and Reinvestment Act (ARRA) Stimulus Package. HITECH Act Meaningful Use (MU)

HITECH Act American Recovery and Reinvestment Act (ARRA) Stimulus Package. HITECH Act Meaningful Use (MU) Presents Presents: Speaker: Elizabeth Woodcock, MBA, FACMPE, CPC www.elizabethwoodcock.com Speaker: Elizabeth Woodcock, MBA, FACMPE, CPC www.elizabethwoodcock.com HITECH Act Meaningful Use (MU) Definition

More information

CMS Incentive Programs: Timeline And Reporting Requirements. Webcast Association of Northern California Oncologists May 21, 2013

CMS Incentive Programs: Timeline And Reporting Requirements. Webcast Association of Northern California Oncologists May 21, 2013 CMS Incentive Programs: Timeline And Reporting Requirements Webcast Association of Northern California Oncologists May 21, 2013 Objective This webcast will address CMS s Incentive Program reporting requirements

More information

REQUIREMENTS GUIDE: How to Qualify for EHR Stimulus Funds under ARRA

REQUIREMENTS GUIDE: How to Qualify for EHR Stimulus Funds under ARRA REQUIREMENTS GUIDE: How to Qualify for EHR Stimulus Funds under ARRA Meaningful Use & Certified EHR Technology The American Recovery and Reinvestment Act (ARRA) set aside nearly $20 billion in incentive

More information

Meaningful Use FAQs for Behavioral Health

Meaningful Use FAQs for Behavioral Health Netsmart is your Meaningful Use technology partner with all the solutions you need to meet all Stage 1 Meaningful Use criteria so you don t have to integrate products from multiple vendors. For more information,

More information

Medicaid Provider Incentive Program

Medicaid Provider Incentive Program Medicaid Provider Incentive Program The Road to Meaningful Use Ohio Association of Community Health Centers 2013 Spring Conference March 6, 2013 Presenters: Elbony McIntyre, Project Manager Emma Esmont,

More information

Part I of the HITECH Webinar Series

Part I of the HITECH Webinar Series Part I of the HITECH Webinar Series August 18, 2010 The HITECH EHR Incentives and Certification Requirements Presented by Kathie McDonald-McClure, Esq. Moderators Carole Christian, Esq. Erin McMahon, Esq.

More information

Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health

Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal Lori Hack & Val Tuerk, Object Health 2 3 Agenda Who Qualifies for the EHR Incentive Funds? EHR Incentive Registration Process

More information

The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals

The HITECH EHR Meaningful Use Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals September 1, 2010 Presented and

More information

Proposed Meaningful Use Content and Comment Period. What the American Recovery and Reinvestment Act Means to Medical Practices

Proposed Meaningful Use Content and Comment Period. What the American Recovery and Reinvestment Act Means to Medical Practices Proposed Meaningful Use Content and Comment Period What the American Recovery and Reinvestment Act Means to Medical Practices Session Objectives Gain a basic understanding of CMS EHR Incentive Program.

More information

Stage 1 Meaningful Use Objectives and Measures

Stage 1 Meaningful Use Objectives and Measures Stage 1 Meaningful Use Objectives and Measures Author: Mia Evans About Technosoft Solutions: Technosoft Solutions is a healthcare technology consulting, dedicated to providing software development services

More information

ecw and NextGen MEETING MU REQUIREMENTS

ecw and NextGen MEETING MU REQUIREMENTS ecw and NextGen MEETING MU REQUIREMENTS ecw version 9.0 is Meaningful Use certified and will be upgraded in Munson hosted practices. Anticipated to be released the end of February. NextGen application

More information

Meaningful Use: Introduction to Meaningful Use Eligible Providers

Meaningful Use: Introduction to Meaningful Use Eligible Providers 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

More information

Meaningful Use Participation Basics for the Small Provider

Meaningful Use Participation Basics for the Small Provider Meaningful Use Participation Basics for the Small Provider Vidya Sellappan Centers for Medicare & Medicaid Services Office of E-Health Standards and Services HIT Initiatives Group July 30, 2014 EHR INCENTIVE

More information

THE ECONOMICS OF MEDICAL PRACTICE UNDER HIPAA/HITECH

THE ECONOMICS OF MEDICAL PRACTICE UNDER HIPAA/HITECH THE ECONOMICS OF MEDICAL PRACTICE UNDER HIPAA/HITECH Gerald Jud E. DeLoss Serene K. Zeni (312) 985-5925 (248) 988-5894 gdeloss@ szeni@ AGENDA 1. Meaningful Use Incentives 2. HIPAA Enforcement and Compliance

More information

Eligible Professional s Guide to the Michigan Medicaid EHR Incentive Program

Eligible Professional s Guide to the Michigan Medicaid EHR Incentive Program Eligible Professional s Guide to the Michigan Medicaid EHR Incentive Program Version 6.2, 02/01/2018 Table of Contents About this document... 4 Updates to this document... 4 Revision history... 5 Introduction

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Travis Broome AMIA 9-20-2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New clinical quality measures

More information

Meaningful Use FAQs for Public Health

Meaningful Use FAQs for Public Health Netsmart is your Meaningful Use technology partner with all the solutions you need to meet all Stage 1 Meaningful Use criteria so you don t have to integrate products from multiple vendors. For more information,

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012 Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of

More information

EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview

EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview EHR Incentive Programs: 2015 through (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals

More information

Overview of the EHR Incentive Program Stage 2 Final Rule published August, 2012

Overview of the EHR Incentive Program Stage 2 Final Rule published August, 2012 I. Executive Summary and Overview (Pre-Publication Page 12) A. Executive Summary (Page 12) 1. Purpose of Regulatory Action (Page 12) a. Need for the Regulatory Action (Page 12) b. Legal Authority for the

More information

Overview of Meaningful Use Medicare and Medicaid EHR Incentive Programs

Overview of Meaningful Use Medicare and Medicaid EHR Incentive Programs Contents Page # I. Background 1 FR 1846 Regulation Language Summary: This proposed rule would implement the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that

More information

Things You Need to Know about the Meaningful Use

Things You Need to Know about the Meaningful Use Things You Need to Know about the Meaningful Use This guide is intended to assist you through the questions related to Meaningful Use and its implications in your practice. Note that this is completely

More information

NEW HAMPSHIRE MEDICAID EHR INCENTIVE PROGRAM

NEW HAMPSHIRE MEDICAID EHR INCENTIVE PROGRAM NEW HAMPSHIRE MEDICAID EHR INCENTIVE PROGRAM Eligible Professional Reference Guide for Modified Stage 2 Meaningful Use EP REVISION HISTORY Version Number Date Comments 1.0 September 2013 Posted on NH Medicaid

More information

Stage 1. Meaningful Use 2014 Edition User Manual

Stage 1. Meaningful Use 2014 Edition User Manual Stage 1 Meaningful Use 2014 Edition User Manual This document, as well as the software described in it, is provided under a software license agreement with STI Computer Services, Inc. Use of this software

More information

NEW HAMPSHIRE MEDICAID EHR INCENTIVE PROGRAM. Reference Guide for Eligible Professionals

NEW HAMPSHIRE MEDICAID EHR INCENTIVE PROGRAM. Reference Guide for Eligible Professionals NEW HAMPSHIRE MEDICAID EHR INCENTIVE PROGRAM Reference Guide for Eligible Professionals REVISION HISTORY Version Number Date Comments 1.0 March 1, 2012 Initial Distribution to Pilot Participants; CMS Review

More information

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009 Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery & Reinvestment Act of 2009 Conceptual Approach to Meaningful Use Improved Data capture and sharing Advanced Clinical

More information

On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into your laptop or desktop.

On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into your laptop or desktop. CMS Final Rule Incentive Programs for Eligible Professionals 1 On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into your laptop or desktop. Download

More information

American Recovery and Reinvestment Act of 2009 (ARRA) January 21, 2010

American Recovery and Reinvestment Act of 2009 (ARRA) January 21, 2010 American Recovery and Reinvestment Act of 2009 (ARRA) January 21, 2010 1 American Recovery & Reinvestment Act of 2009 Enacted February 17, 2009 $787 billion to jumpstart economy Significant focus/dollars

More information

Community Health Centers. May 6, 2010

Community Health Centers. May 6, 2010 Community Health Centers May 6, 2010 Agenda Overview MeHI s Goals and Strategies Health Information Exchange Regional Extension Center Chapter 305 State and Federal Relationship Meaningful Use Eligibility

More information

Meaningful Use May, 2012

Meaningful Use May, 2012 Meaningful Use May, 2012 Shehnaz Scheyer New Jersey Institute of Technology 211 Warren Street, Newark, NJ 07103 Phone: 973-557-4571 x716 Fax: 973-846-4634 Email: sscheyer@csicorp.net www.njhitec.org Eligible

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs HIT Policy Committee January 13, 2014 Registration and Payment Data 2 Active Registrations through November-14 Program-to-Date Medicare Eligible Professionals

More information

Medicaid EHR Incentive Program Health Information Exchange Objective Stage 3 Updated: February 2017

Medicaid EHR Incentive Program Health Information Exchange Objective Stage 3 Updated: February 2017 Medicaid EHR Incentive Program Health Information Exchange Objective Stage 3 Updated: February 2017 The Health Information Exchange (HIE) objective (formerly known as Summary of Care ) is required for

More information

EHR/Meaningful Use

EHR/Meaningful Use EHR/Meaningful Use 2015-2017 The requirements for Meaningful Use attestation have changed due to the recently released Medicare and Medicaid Programs: Electronic Health Record Incentive Program Stage 3

More information

Connecticut Medicaid EHR Incentive Program Flexibility Checklist for Eligible Professionals for Meaningful Use Last Revision: May 27, 2015

Connecticut Medicaid EHR Incentive Program Flexibility Checklist for Eligible Professionals for Meaningful Use Last Revision: May 27, 2015 Connecticut Medicaid EHR Incentive Program Flexibility Checklist for Eligible Professionals for Meaningful Use Last Revision: May 27, 2015 The Medicaid EHR Incentive Program provides incentive payments

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Puerto Rico Health & Insurance Conference 2012 Economic Transformation in Health Thomas Novak Health Information Technology for Economic & Clinical Health Centers

More information

Meaningful Use Stage 2

Meaningful Use Stage 2 Meaningful Use Stage 2 Presented by: Deb Anderson, HTS Consultant HTS, a division of Mountain Pacific Quality Health Foundation 1 HTS Who We Are Stage 2 MU Overview Learning Objectives 2014 CEHRT Certification

More information

MEANINGFUL USE FOR THE OB/GYN. Steven L. Zielke, MD 6/13/2014

MEANINGFUL USE FOR THE OB/GYN. Steven L. Zielke, MD 6/13/2014 MEANINGFUL USE FOR THE OB/GYN Steven L. Zielke, MD 6/13/2014 Disclosures: I have no conflicts of interest I am not being paid by CMS to present this talk I am not endorsing any EHR I cannot guarantee attestation

More information

CMS Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Final Rule Overview

CMS Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Final Rule Overview CMS Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Final Rule Overview 1 On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged

More information

Computer Provider Order Entry (CPOE)

Computer Provider Order Entry (CPOE) Computer Provider Order Entry (CPOE) Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record

More information

Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY

Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY 1. Use CPOE (computerized physician order entry) for medication orders directly

More information

American Recovery & Reinvestment Act

American Recovery & Reinvestment Act American Recovery & Reinvestment Act Meaningful Use Dawn Ross, Clinical Informatics Director Linda Wilson, Meaningful Use Coordinator 10/26/2015 Overview American Recovery and Reinvestment Act of 2009

More information

Medicaid EHR Provider Incentive Payment Program. January 2011

Medicaid EHR Provider Incentive Payment Program. January 2011 Medicaid EHR Provider Incentive Payment Program January 2011 Overview Basics of the Medicaid EHR Incentive Payment Program MassHealth Planning Activities 2 Funding Sources for Medicaid EHR Incentive Payments

More information

317: Electronic Health Records Incentive Program.

317: Electronic Health Records Incentive Program. TITLE 317. OKLAHOMA HEALTH CARE AUTHORITY CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE SUBCHAPTER 3. GENERAL PROVIDER POLICIES PART 1. GENERAL SCOPE AND ADMINISTRATION 317:30-3-28. Electronic Health Records

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013 Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013 What is in the Rule Changes to Stage 1 of meaningful use Stage

More information

Overview of the EHR Incentive Program Stage 2 Final Rule

Overview of the EHR Incentive Program Stage 2 Final Rule HIMSS applauds the Department of Health and Human Services for its diligence in writing this rule, particularly in light of the comments and recommendations made by our organization and other stakeholders.

More information

2015 Meaningful Use and emipp Updates (for Eligible Professionals)

2015 Meaningful Use and emipp Updates (for Eligible Professionals) 2015 Meaningful Use and emipp Updates (for Eligible Professionals) Kai-Yun Kao Department of Health and Mental Hygiene Presented to: Maryland Medicaid Providers Date: February 18, 2016 Webinar Agenda 2

More information

Meaningful Use Stage 2 For Eligible and Critical Access Hospitals

Meaningful Use Stage 2 For Eligible and Critical Access Hospitals Meaningful Use Stage 2 For Eligible and Critical Access Hospitals Eileen Colen This material was prepared by HealthInsight, the Medicare Quality Improvement Organization for Nevada and Utah, under contract

More information

Eligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011

Eligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011 Eligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011 1 On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Florida Medicaid Electronic Health Record Incentive Program For additional assistance, please contact the Florida EHR Incentive Program Call Center at (855) 231-5472 or email

More information

The Incentive Roadmap

The Incentive Roadmap The Incentive Roadmap The Meaningful Use of Certified Technology: Stage 1 A Manual for Medical Practices Jim Tate jimtate@emradvocate.com www.emradvocate.com 2010 by EMRAdvocate.com All rights reserved.

More information

Agenda. Meaningful Use: What You Really Need to Know. Am I Eligible? Which Program? Meaningful Use Progression 6/14/2013. Overview of Meaningful Use

Agenda. Meaningful Use: What You Really Need to Know. Am I Eligible? Which Program? Meaningful Use Progression 6/14/2013. Overview of Meaningful Use Agenda Meaningful Use: What You Really Need to Know Presented by: Melissa Francisco American College of Rheumatology Overview of Meaningful Use Eligibility Requirements Stage 1: Basics, Key Changes When

More information

ARRA HEALTH IT INCENTIVES - UNCERTAINTIES ABOUT "MEANINGFUL USE"

ARRA HEALTH IT INCENTIVES - UNCERTAINTIES ABOUT MEANINGFUL USE ARRA HEALTH IT INCENTIVES - UNCERTAINTIES ABOUT "MEANINGFUL USE" Publication ARRA HEALTH IT INCENTIVES - UNCERTAINTIES ABOUT "MEANINGFUL USE" September 08, 2009 HITECH1 gives a great deal of discretion

More information

EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2016 Tipsheet

EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2016 Tipsheet EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2016 Tipsheet CMS published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and

More information

Overview of Federal Stimulus Funds Available for HIT. Gerry Hinkley

Overview of Federal Stimulus Funds Available for HIT. Gerry Hinkley Overview of Federal Stimulus Funds Available for HIT Gerry Hinkley gerryhinkley@dwt.com Overview $2B to the Office of the National Coordinator for Health IT $20M to NIST for R&D program $300M for health

More information

CHIME Concordance Analysis of Stage 2 Meaningful Use Final Rule - Objectives & Measures

CHIME Concordance Analysis of Stage 2 Meaningful Use Final Rule - Objectives & Measures CHIME Concordance Analysis of Stage 2 Meaningful Use Final Rule - Objectives & Measures Stage 2 MU Objectives and Measures for EHs - Core More than 60 percent of medication, 1. Use CPOE for medication,

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New

More information

Medicaid EHR Incentive Program What You Need to Know about Program Year 2016

Medicaid EHR Incentive Program What You Need to Know about Program Year 2016 Medicaid EHR Incentive Program What You Need to Know about Program Year 2016 February 2017 Carrie Ortega, Health IT Project Manager Imeincentives@dhs.state.ia.us 1 Attestation Reminders 2016 Dates to Remember

More information

Qualifying for Medicare Incentive Payments with Crystal Practice Management. Version 1.0

Qualifying for Medicare Incentive Payments with Crystal Practice Management. Version 1.0 Qualifying for Medicare Incentive Payments with Crystal Practice Management Version 1.0 July 18, Table of Contents Qualifying for Medicare Incentive Payments with... 1 General Information... 3 Links to

More information

Harnessing the Power of MHS Information Systems to Achieve Meaningful Use of Health Information

Harnessing the Power of MHS Information Systems to Achieve Meaningful Use of Health Information 2011 Military Health System Conference Harnessing the Power of MHS Information Systems to Achieve Meaningful Use of Health Information The Quadruple Aim: Working Together, Achieving Success Forum Moderator:

More information

Medicare & Medicaid. William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA

Medicare & Medicaid. William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA Medicare & Medicaid EHR Incentive Program William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA Overview Background / Policy Context EHR Incentive Program basics

More information

MIPS Advancing Care Information: Tips, Tools and Support Q&A from Live Webinar March 29, 2017

MIPS Advancing Care Information: Tips, Tools and Support Q&A from Live Webinar March 29, 2017 MIPS Advancing Care Information: Tips, Tools and Support Q&A from Live Webinar March 29, 2017 Below are questions that were submitted during the Quality Insights Advancing Care Information webinar on March

More information

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009 Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery & Reinvestment Act of 2009 Purpose of this Presentation To give an overview of the CMS final rule on the EHR Incentive

More information

HIE Implications in Meaningful Use Stage 1 Requirements

HIE Implications in Meaningful Use Stage 1 Requirements s in Meaningful Use Stage 1 Requirements HIMSS Health Information Exchange Steering Committee March 2010 2010 Healthcare Information and Management Systems Society (HIMSS). 1 An HIE Overview Health Information

More information

CMS EHR Incentive Programs Overview

CMS EHR Incentive Programs Overview CMS EHR Incentive Programs Overview Elizabeth Holland and Robert Anthony Session 20, Room 320 Monday, February 24 at 11:30 AM DISCLAIMER: The views and opinions expressed in this presentation are those

More information