Accommodating Patient Request to access and amend the health record. Michael J. Warner, D.O., C.P.C.

Size: px
Start display at page:

Download "Accommodating Patient Request to access and amend the health record. Michael J. Warner, D.O., C.P.C."

Transcription

1

2 Accommodating Patient Request to access and amend the health record Michael J. Warner, D.O., C.P.C.

3 Access & Amend When it comes to access (looking at, viewing, reading, reviewing) and amend (correct, contribute to, co-author), who knows the rules? A. Doctor B. Nurse C. Office receptionist D. Administrator E. CPC

4 Access & Amend When it comes to access (looking at, viewing, reading, reviewing) and amend (correct, contribute to, co-author), who knows the rules? CPC Certified Professional Coders have a unique skill set to easily understand the concepts of access and amend. You are the go to person for this issue.

5 Access & Amend OBJECTIVES: 1. Understand laws/rules of access & amend 2. Know examples of how to apply access & amend to daily routine. 3. Be aware of how healthcare is rapidly changing as we enter the digital age of medicine.

6 Michael Warner, D.O., C.P.C. Osteopathic physician (dual board certified family medicine & neuromusculoskeletal medicine) Certified professional coder Caretaker & patient Author Researcher Head of non-profit AACOM Health Policy Fellow

7 Access & Amend Standards for Privacy of Individually Identifiable Health Information (HIPAA Privacy Rule) Compliance required for all providers as of April 14, 2004 as a final rule of the Health Insurance Portability & Accountability Act of 1996 (HIPAA) 45 C.F.R = access 45 C.F.R = amend

8 Access HIPAA Privacy Rule Patient should submit a written request to access or amend Access Provider has 30 days to respond with written notification. Provider may deny if content could harm the patient. Provider may request an additional 30 days with written notification. HIPAA exempt: psychiatric notes, most work comp & MVA May charge customary fee for photocopy & postage, CD, flash drive May charge nominal fee for search/retrieval (Act 26 in Pennsylvania)

9 Amend HIPAA Privacy Rule Patient should submit a written request to access or amend Amend Provider has 60 days to respond with written notification. Provider may deny link & notify check health record activity log to identify who to notify. Receiver of notification must review record to see if Medical Decision Making requires alteration. Provider may not charge to act on request to amend the health record

10 Access & Amend HIPAA Privacy Rule Enforcement Office for Civil Rights (OCR) complaint investigations compliance reviews enforcement of policy empowered to assign civil money penalties and criminal prosecution against medical providers (penalties skyrocket if evidence of retaliation )

11 Healthcare Documentation Timeline We are entering a new age of healthcare = Digital Age Pre Digital Age Digital Age We are currently in transition

12 Healthcare Documentation Timeline Listen to the patient, he is telling you the diagnosis Sir William Olser Egyptian stone carving up to 3,000 B.C. William Osler, M.D. Father of Modern Medicine

13 Healthcare Documentation Guidelines S.O.A.P. note S = subjective O = objective A = assessment Lawrence Weed, M.D. Standardized medical documentation P = plan in the late 1960 s

14 Healthcare Documentation Guidelines S.O.A.P. note CMS medical encounter S = subjective History O = objective A = assessment Examination Medical Decision Making P = plan Standardized medical documentation 1995 & 1997 guidelines data collection focus in the late 1960 s

15 The Digital Age Our government foresaw the digital age of healthcare

16 The Digital Age Payoff Digitalized health records will allow for data analysis beyond claims data (ICD, cpt, HCPCS) and will venture into the History, Examination and Medical Decision Making. Analytics will identify best practices and allow for personalized care. Predictive algorithms will guide us to drastic improvements in healthcare quality, cost and satisfaction.

17 The Digital Age better Payoff Healthcare in the U.S.A. = trouble Quality: #42 life expectancy/223 #169 infant mortality 64/100 National Scorecard 2011 (67/100 in 2006) Cost: $3 trillion per year 17.5% GDP 2014, projected 34% by 2040 Satisfaction: 66% of Americans approve of the way the healthcare system works for them.

18 HIPAA The Health Insurance Portability and Accountability Act of 1996 Law written to prepare healthcare for information technology Initial focus on how medical information is stored and transmitted

19 HIPAA Privacy Rule The standards for Privacy of Individually Identifiable Health Information (HIPAA Privacy Rule) Final rule of HIPAA with compliance required by all providers April 2004 Clarified patient s role: access and amend the health record

20 Electronic Health Record Adoption The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 was enacted as part of the American Recovery and Reinvestment Act of Directed the Office of the National Coordinator (ONC established 2004) to promote the adoption and meaningful use of electronic health records (EHR s). $19.2 billion EHR use is part of the Federal Health IT Strategic Plan.

21 Electronic Health Record Adoption HITECH Meaningful Use: financial incentives to promote the adoption and meaningful use of interoperable health information technology (HIT) and qualified electronic health records (EHRs). MU1 = are you using an EHR? (electronic capture of data and provide patient with electronic copies of health information) MU2 = Portal (lists, results), 2 way communication (continuous quality improvement at point of care and exchange of information) MU3 = set for 2017, full access portal??, absorbed by MACRA

22 Electronic Health Record Adoption Goal: Digitize health records % doctors used EHR systems % 2015 financial penalty if not using CEHRT

23 MACRA The Medicare Access & CHIP Reauthorization Act of 2015 (data capture started Jan. 1, 2017) calls for patient access and amendment of the health record as part of the physician payment formula. Patient Generated Health Data (PGHD) is part of an objective to coordinate care through patient engagement.

24 Electronic Health Records How is it working so far? deleted files wrong chart power outage/ loss of Internet click, type, scroll.? Interoperable? Computers were supposed to make healthcare more efficient!

25 Electronic Health Records How is it working for patients? wrong chart inaccurate information template story narrative from previous encounters University of Michigan Kellogg Eye Center Study Compared waiting room report to EHR JAMA Ophthalmology January 2017

26 Access & Amend Use of Patient-Authored Prehistory to Improve Patient Experience and Accommodate Federal Law Feb 2017 JAOA Allowed the patient to complete a replica of the CMS History and we recognized it as a written request to amend the health record. A patient authored History is considered a form of Patient Generated Health Data (PGHD).

27 Access & Amend 263, age 14-94, average age 66, 64% response, 60% male Invited the patient to complete a PreHistory in preparation for a medical encounter. Invite help from family members, friends and caretakers. Scanned the document as a pdf. Transcribed the information into the History until a PreHx is an automated feature of the EHR patient portal. Gave patient copy of note at check out window

28 Patient-Authored PreHistory

29 Patient-Authored PreHistory

30 Access HIPAA Privacy Rule Patient (and/or authorized patient representative) should submit a written request to access or amend Access Provider has 30 days to respond with written notification. Provider may deny if content could harm the patient. Provider may request an additional 30 days with written notification. HIPAA exempt: psychiatric notes, most work comp & MVA May charge customary fee for photocopy & postage, CD, flash drive May charge nominal fee for search/retrieval (Act 26 in Pennsylvania)

31 Amend HIPAA Privacy Rule Patient (and/or authorized patient representative) should submit a written request to access or amend Amend Provider has 60 days to respond with written notification. Provider may deny link & notify Provider may not charge to act on request to amend the health record

32 Access & Amend HIPAA Privacy Rule Enforcement Office for Civil Rights (OCR) complaint investigations compliance reviews enforcement of policy empowered to assign civil money penalties and criminal prosecution against medical providers (penalties skyrocket if evidence of retaliation )

33 Access & Amend When it comes to access (looking at, viewing, reading, reviewing) and amend (correct, contribute to, co-author), who knows the rules? A. Doctor B. Nurse C. Office receptionist D. Administrator E. CPC and the patient

34 Big change is coming to healthcare Access and Amend laws seem easy, until you try to accommodate the patient s federal rights. Application will require a certified profession coder s knowledge to organize and maintain processes to allow for patients to request to access and amend the health record.

35 Drills/Scenarios Access: What is your protocol or process? How is the provider notified? Audit trail? Who monitors? Authorization for release of protected health information form? How do you identify the person? What about authorized personal representatives? What if the patient wants personal access? What if request is to receive records in paper form vs. electronic? KEY: Consistent and Referenced in your HIPAA compliance manual

36 Drills/Scenarios Amend: What is your protocol or process? How is the provider notified? Audit trail? Who monitors? Link & Notify? What happens when the provider receives a link & notify notice? MRI order for wrong shoulder? Diabetes mellitus diagnosis, yet no Diabetes?? Abdominal pain diagnosis, yet chart documents no abdominal tenderness KEY: Consistent and Referenced in your HIPAA compliance manual

37 Thank you! Patient Advocacy Initiatives Facebook and.org YouTube: Patient Advocacy Show episode 1 Inaccurate Health Records (like and comment!) drmichaelwarner@patientadvocacyinitiatives.org

38

39

40

Accommodating a Patient s Request to Access and Amend the health record. Michael J. Warner, DO, CPC, CPMA Patient Advocacy Initiatives

Accommodating a Patient s Request to Access and Amend the health record. Michael J. Warner, DO, CPC, CPMA Patient Advocacy Initiatives Accommodating a Patient s Request to Access and Amend the health record. Michael J. Warner, DO, CPC, CPMA Patient Advocacy Initiatives Control Your Future Physician s Computer Company (PCC) Users Conference

More information

Hot Topic: Meaningful Use

Hot Topic: Meaningful Use Hot Topic: Meaningful Use Rebecca Hancock Manager, Quality & HIT Policy American Academy of Ophthalmology How did this start? 2004 President George W. Bush State of Union Address: By computerizing health

More information

U.S. Healthcare Problem

U.S. Healthcare Problem U.S. Healthcare Problem U.S. Federal Spending GDP (%) Source: Congressional Budget Office This graph shows that government has to spend a lot of more money in healthcare in the future and it is growing

More information

Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Transition Measure 2018 Performance Period

Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Transition Measure 2018 Performance Period Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Transition Measure 2018 Performance Period Objective: Measure: Measure ID: Patient Electronic Access View, Download

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

Unintended Consequences of Electronic Health Records

Unintended Consequences of Electronic Health Records Financial Disclosure Unintended Consequences of Electronic Health Records The instructor acknowledges a financial interest in the subject matter of this presentation. Kirk A. Mack, COMT, CPC, COE Senior

More information

HITECH Act. Overview and Estimated Timeline

HITECH Act. Overview and Estimated Timeline HITECH Act Overview and Estimated Timeline Key Program, Distribution, Use and Recipients for the HITECH Act* Focused Funds ($2 billion) PROGRAM DISTRIBUTION AGENCY USE OF FUNDS RECIPIENTS HIE Planning

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

Meaningful Use: Is Your Practice Ready? E L I Z A B E T H W O O D C O C K

Meaningful Use: Is Your Practice Ready? E L I Z A B E T H W O O D C O C K Meaningful Use: Is Your Practice Ready? E L I Z A B E T H W O O D C O C K Is Your Practice Ready? Elizabeth W. Woodcock, MBA, FACMPE, CPC Elizabeth W. Woodcock, MBA, FACMPE, CPC Speaker, Author, Trainer

More information

The Business of Medicine

The Business of Medicine The Business of Medicine Coding as a profession Objectives How the coder fits in Hospital vs. physician services Hierarchy of providers Reimbursement aspects Payers Medical necessity ABN 1 Regulations

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

CIO Legislative Brief

CIO Legislative Brief CIO Legislative Brief Comparison of Health IT Provisions in the Committee Print of the 21 st Century Cures Act (dated November 25, 2016), H.R. 6 (21 st Century Cures Act) and S. 2511 (Improving Health

More information

Comparison of Health IT Provisions in H.R. 6 (21 st Century Cures Act) and S (Improving Health Information Technology Act)

Comparison of Health IT Provisions in H.R. 6 (21 st Century Cures Act) and S (Improving Health Information Technology Act) Comparison of Health IT Provisions in H.R. 6 (21 st Century Cures Act) and S. 2511 (Improving Health Information Technology Act) Policy Proposal Health Software Regulation Senate Innovations Initiative

More information

Abstract. Are eligible providers participating? AdvancedMD EHR features streamline meaningful use processes: Complete & accurate information

Abstract. Are eligible providers participating? AdvancedMD EHR features streamline meaningful use processes: Complete & accurate information Abstract As part of the American Recovery and Reinvestment Act of 2009, the Federal Government laid the groundwork for the nationwide implementation of electronic health records (EHR) systems as a measure

More information

American Recovery and Reinvestment Act. Centers for Medicare and Medicaid Services. Medical Assistance Provider Incentive Repository

American Recovery and Reinvestment Act. Centers for Medicare and Medicaid Services. Medical Assistance Provider Incentive Repository Terminology ARRA CMS EHR HIE HIT MAPIR OMAP ONC SMHP American Recovery and Reinvestment Act Centers for Medicare and Medicaid Services Electronic Health Record Health Information Exchange Health Information

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

The History of Meaningful Use

The History of Meaningful Use A Guide to Modified Meaningful Use Stage 2 for Wound Care Practitioners for 2015 The History of Meaningful Use During the first term of the Obama administration in 2009, Congress passed the Health Information

More information

Using Updox to Succeed with MIPS

Using Updox to Succeed with MIPS Using Updox to Succeed with MIPS Who is Updox? A Communications Platform built by physicians, for physicians 56,000+ providers and more than 300,000 users--and growing 100+ EMR integrations 72 million

More information

THE MEANING OF MEANINGFUL USE CHANGES IN THE STAGE 2 MU FINAL RULE. Angel L. Moore, MAEd, RHIA Eastern AHEC REC

THE MEANING OF MEANINGFUL USE CHANGES IN THE STAGE 2 MU FINAL RULE. Angel L. Moore, MAEd, RHIA Eastern AHEC REC THE MEANING OF MEANINGFUL USE CHANGES IN THE STAGE 2 MU FINAL RULE Angel L. Moore, MAEd, RHIA Eastern AHEC REC WE WILL BRIEFLY DISCUSS Meaningful Use (MU) Incentive Programs, Eligibility & Timelines WE

More information

2015 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.

2015 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission. EHR Documentation and CDI: What to Expect and How to Successfully Handle the Transition Sam Antonios, MD, FACP, FHM, CCDS CDI and ICD 10 Physician Advisor Hospital CMIO Via Christi Health Wichita, Kansas

More information

HIT Glossary and Acronym List

HIT Glossary and Acronym List HIT Glossary and Acronym List November 2011 FACT SHEET ACA Patient Protection and Affordable Care Act (see PPACA). ACO Accountable Care Organization: A group of health care providers (e.g. primary care,

More information

What is HIPAA? Purpose. Health Insurance Portability and Accountability Act of 1996

What is HIPAA? Purpose. Health Insurance Portability and Accountability Act of 1996 Patient Privacy and HIPAA/HITECH What is HIPAA? Health Insurance Portability and Accountability Act of 1996 Implemented in 2003 Title II Administrative Simplification It s a federal law HIPAA is mandatory,

More information

Meaningful Use Stages 1 & 2

Meaningful Use Stages 1 & 2 Meaningful Use Stages 1 & 2 Making Sure You Get the Most Out of Your EHR Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Meaningful Use Stages & Incentive Program Timing 2014 Changes to

More information

Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure 2018 Performance Period

Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure 2018 Performance Period Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure 2018 Performance Period Objective: Measure: Measure ID: Patient Electronic Access Provide Patient Access

More information

Meaningful Use Audits for Medicare and Medicaid. Shay Surowiak, RN, BSN, CHTS-CP HIT Practice Advisor

Meaningful Use Audits for Medicare and Medicaid. Shay Surowiak, RN, BSN, CHTS-CP HIT Practice Advisor Meaningful Use Audits for Medicare and Medicaid Shay Surowiak, RN, BSN, CHTS-CP HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter

More information

Quality Payment Program: The future of reimbursement

Quality Payment Program: The future of reimbursement Quality Payment Program: The future of reimbursement Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA CMQP Executive Vice President 1 Dr. Evan Gwilliam Education Bachelor

More information

HIE Success - Physician Education Series

HIE Success - Physician Education Series HIE Success - Physician Education Series Meaningful Use 2016 Meeting the Health Information Exchange (HIE) Measure Watch the Video at: https://youtu.be/z2gwnv78i6s 1 Many THANKS to our Webinar Supporters!

More information

EHR and Meaningful Use: How it Impacts the Coder. What you get may not be what you expect Patricia S. Wilson, RT (R), CPC, PMP

EHR and Meaningful Use: How it Impacts the Coder. What you get may not be what you expect Patricia S. Wilson, RT (R), CPC, PMP EHR and Meaningful Use: How it Impacts the Coder What you get may not be what you expect Patricia S. Wilson, RT (R), CPC, PMP AAPC HEALTHCON 2016 April 12, 2016 WIIFM History What is happening today What

More information

Transforming Health Care with Health IT

Transforming Health Care with Health IT Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better

More information

PHYSICIAN QUALITY REPORTING SYSTEM (PQRS) and e-prescribing Update James R. Christina, DPM Director Scientific Affairs APMA

PHYSICIAN QUALITY REPORTING SYSTEM (PQRS) and e-prescribing Update James R. Christina, DPM Director Scientific Affairs APMA PHYSICIAN QUALITY REPORTING SYSTEM (PQRS) and e-prescribing Update 2013 James R. Christina, DPM Director Scientific Affairs APMA Physician Quality Reporting System (PQRS) UNDERSTANDING A MEASURE Each measure

More information

MACRA Frequently Asked Questions

MACRA Frequently Asked Questions Following the release of the Quality Payment Program Interim Final Rule, the American Medical Association (AMA) conducted numerous informational and training sessions for physicians and medical societies.

More information

Thank you, and enjoy the webinar.

Thank you, and enjoy the webinar. Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that

More information

Health Information Exchange 101. Your Introduction to HIE and It s Relevance to Senior Living

Health Information Exchange 101. Your Introduction to HIE and It s Relevance to Senior Living Health Information Exchange 101 Your Introduction to HIE and It s Relevance to Senior Living Objectives for Today Provide an introduction to Health Information Exchange Define a Health Information Exchange

More information

Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Transition Measure 2018 Performance Period

Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Transition Measure 2018 Performance Period Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Transition Measure 2018 Performance Period Objective: Measure: Measure ID: Exclusion: Measure Exclusion ID: Health

More information

Centers for Medicare and Medicaid CMS Updates. Christol Green, Anthem Inc.

Centers for Medicare and Medicaid CMS Updates. Christol Green, Anthem Inc. Centers for Medicare and Medicaid CMS 2016-2017 Updates Christol Green, Anthem Inc. Agenda Topic Page Payment Models - BPCI 3 Sequestration 5 CPC+ Initiative 7 What is MACRA? 12 CMS Social Security Number

More information

New Medicaid EHR Incentive Program Attestation System Overview. September 21, 2017 Kelly Hernandez Medicaid EHR Incentive Program Coordinator

New Medicaid EHR Incentive Program Attestation System Overview. September 21, 2017 Kelly Hernandez Medicaid EHR Incentive Program Coordinator New Medicaid EHR Incentive Program Attestation System Overview September 21, 2017 Kelly Hernandez Medicaid EHR Incentive Program Coordinator 1 Agenda Timeline What is changing with new portal How to access

More information

Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care

Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care Small Rural Hospital Transition (SRHT) Project HELP Webinar Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care Paul Kleeberg, MD, FAAFP, FHIMSS Aledade Medical Director

More information

How CME is Changing: The Influence of Population Health, MACRA, and MIPS

How CME is Changing: The Influence of Population Health, MACRA, and MIPS How CME is Changing: The Influence of Population Health, MACRA, and MIPS Table of Contents Population Health: Definition and Use Case The Future of Population Health and Performance Improvement MACRA and

More information

Moving MACRA-MIPS Forward: Role by Role

Moving MACRA-MIPS Forward: Role by Role Moving MACRA-MIPS Forward: Role by Role Todd Searls, President & Founder 10/24/2017 Wanda Kelley, VP Clinical Informatics Rhonda Luetkenhaus, Manager Quality Programs 888.848.9876 info@phc.guru www.praesidioconsulting.com

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

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

Sevocity v Improvement Activities User Reference Guide

Sevocity v Improvement Activities User Reference Guide Sevocity v.12 User Reference Guide 1 877 877-2298 support@sevocity.com Table of Contents Table of Contents...2 Product Support Services...2 About Sevocity v.12...2 About This Guide...3 About Improvement

More information

21 st Century Cures Act: Summary of Key Provisions Affecting Hospitals and Health Systems

21 st Century Cures Act: Summary of Key Provisions Affecting Hospitals and Health Systems 21 st Century Cures Act: Summary of Key Provisions Affecting Hospitals and Health Systems 21 st Century Cures Act: Summary of Key Provisions Affecting Hospitals and Health Systems Medicare Provisions Section

More information

FAQ s from TRAKnet webinar MIPS/MACRA: The most up-to-date information and what you need to know in TRAKnet to comply in 2017

FAQ s from TRAKnet webinar MIPS/MACRA: The most up-to-date information and what you need to know in TRAKnet to comply in 2017 FAQ s from TRAKnet webinar MIPS/MACRA: The most up-to-date information and what you need to know in TRAKnet to comply in 2017 Do we have to do the quality measures that we have previously done from the

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

Meaningful Use Update: Stage 3 and Beyond. Carla McCorkle, Midas+ Solutions CQM Product Lead

Meaningful Use Update: Stage 3 and Beyond. Carla McCorkle, Midas+ Solutions CQM Product Lead Meaningful Use Update: Stage 3 and Beyond Carla McCorkle, Midas+ Solutions CQM Product Lead Objectives Discuss major changes to Meaningful Use program for Stage 3 and impact on hospitals Identify steps

More information

Automation and Information Technology

Automation and Information Technology 4 Automation and Information Technology Positions Automation and Information Technology Ensuring Patient Safety and Data Integrity During Cyber-attacks (1701) To advocate that healthcare organizations

More information

Hospital-Based Ambulatory Care

Hospital-Based Ambulatory Care C H A P T E R 2 Hospital-Based Ambulatory Care ANSWERS TO KNOWLEDGE-BASED QUESTIONS 1. What has been the trend in the utilization of hospital-based services? What factors help to account for this trend?

More information

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 2

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 2 Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 2 Table of Contents Introduction 3 Meaningful Use 3 Terminology 4 Computerized Provider Order Entry (CPOE) for Medication, Laboratory

More information

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 1

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 1 Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 1 Table of Contents Introduction 3 Meaningful Use 3 Terminology 5 Computerized Provider Order Entry (CPOE) for Medication Orders [Core]

More information

Meaningful Use: Today and in the Future VMGMA Spring Conference Richmond, VA March 21, 2016

Meaningful Use: Today and in the Future VMGMA Spring Conference Richmond, VA March 21, 2016 Meaningful Use: Today and in the Future VMGMA Spring Conference Richmond, VA March 21, 2016 Agenda-Three Timeframes 2015 Meaningful Use: hardship exception process 2016-2017 Challenging Requirements Made

More information

2016 Activities and Accomplishments

2016 Activities and Accomplishments FACT SHEET 2016 Activities and Accomplishments JANUARY 2017 Year in Review Health information technology (health IT) can enable the access, engagement and partnership that individuals and families need

More information

EHR Technology: Where Meaningful Use, Compliance, and Clinical IT Intersect Wednesday, November 18, 2015

EHR Technology: Where Meaningful Use, Compliance, and Clinical IT Intersect Wednesday, November 18, 2015 EHR Technology: Where Meaningful Use, Compliance, and Clinical IT Intersect Wednesday, November 18, 2015 Attorney Advertising Prior results do not guarantee a similar outcome Models used are not clients

More information

Meaningful Use CHCANYS Webinar #1

Meaningful Use CHCANYS Webinar #1 Meaningful Use 2016 CHCANYS Webinar #1 Ekem Merchant -Bleiberg, Director of Implementation Services Alliance of Chicago Wednesday February 24, 2016 Agenda 2016 Meaningful Use Guidelines Timelines & Deadlines

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

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

The Physician s Guide to Telemedicine in 2018

The Physician s Guide to Telemedicine in 2018 More Than A Great EHR The Physician s Guide to Telemedicine in 2018 The Physician s Guide to Adding Telemedicine to your Practice 2018 Bizmatics, Inc. Page 1 Table of Contents Introduction to Telemedicine...3

More information

Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure 2018 Performance Period

Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure 2018 Performance Period Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure 2018 Performance Period Objective: Measure: Measure ID: Public Health and Clinical Data Registry Reporting

More information

Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program

Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program September 19 & 20, 2017 Today s presenters: Brendan Gallagher Thomas Bennett Agenda Stage 3 Meaningful Use (MU)

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

Meaningful Use Stage 2 Timeline Monday, 27 August :29

Meaningful Use Stage 2 Timeline Monday, 27 August :29 The idea of Meaningful Use was developed by the National Quality Forum (NQF) in an effort to create a set of national priorities that would help healthcare performance-improvement efforts. In 008 the NQF

More information

= AUDIO. Meaningful Use Audits for Medicare and Medicaid. An Important Reminder. Mission of OFMQ 9/23/2015. Jason Felts, MS HIT Practice Advisor

= AUDIO. Meaningful Use Audits for Medicare and Medicaid. An Important Reminder. Mission of OFMQ 9/23/2015. Jason Felts, MS HIT Practice Advisor Meaningful Use Audits for Medicare and Medicaid Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906 0123. Step 2: Enter code 2071585#.

More information

How can oncology practices deliver better care? It starts with staying connected.

How can oncology practices deliver better care? It starts with staying connected. How can oncology practices deliver better care? It starts with staying connected. A system rooted in oncology Compared to other EHRs that I ve used, iknowmed is the best EHR for medical oncology. Physician

More information

The Law and EHRs in Medical Education: The ARRA World. Overview

The Law and EHRs in Medical Education: The ARRA World. Overview The Law and EHRs in Medical Education: The ARRA World David Donnersberger MD, JD Clinical Assistant Professor of Medicine MS3 Site Director University of Chicago Pritzker School of Medicine Overview American

More information

Here is what we know. Here is what you can do. Here is what we are doing.

Here is what we know. Here is what you can do. Here is what we are doing. With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the

More information

MIPS Program: 2017 Advancing Care Information Category (formerly known as Meaningful Use) Proposed Rule Guide

MIPS Program: 2017 Advancing Care Information Category (formerly known as Meaningful Use) Proposed Rule Guide MIPS Program: 2017 Advancing Care Information Category (formerly known as Meaningful Use) Proposed Rule Guide On April 27, 2016, CMS released a proposed rule on the Quality Payment Program, which includes

More information

CHANGE HEALTHCARE REGULATORY AND STANDARDS UPDATE

CHANGE HEALTHCARE REGULATORY AND STANDARDS UPDATE CHANGE HEALTHCARE REGULATORY AND STANDARDS UPDATE Q2 2018 Update Published: May 15, 2018 Q3 2018 Update Available: August 15, 2018 05.15.2018 2018 Change Healthcare Table of contents CMS New Medicare Card

More information

2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options

2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options Ad 1 P a g e

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

Unleash Healthcare Information Technology for Successful Sites, Investigators and Subjects

Unleash Healthcare Information Technology for Successful Sites, Investigators and Subjects Unleash Healthcare Information Technology for Successful Sites, Investigators and Subjects Timothy J. Kelly, MS, MBA Vice President Dialog Medical Who has heard the term Who has heard the term meaningful

More information

PATIENT PRIVACY: RIGHT TO ACCESS PROTECTED HEALTH INFORMATION IN THE DESIGNATED RECORD SET POLICY

PATIENT PRIVACY: RIGHT TO ACCESS PROTECTED HEALTH INFORMATION IN THE DESIGNATED RECORD SET POLICY PATIENT PRIVACY: RIGHT TO ACCESS PROTECTED HEALTH INFORMATION IN THE DESIGNATED RECORD SET POLICY PURPOSE The purpose of this policy is to: Define the components of information that comprise the patient

More information

Meaningful Use Under MIPS

Meaningful Use Under MIPS Meaningful Use Under MIPS July 20, 2016 Agenda Opening Remarks Housekeeping Polling Question Presentations Q&A Polling Question Closing Remarks 2 Introduction to the atom Alliance Multi-state alliance

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

A McKesson Perspective: ICD-10-CM/PCS

A McKesson Perspective: ICD-10-CM/PCS A McKesson Perspective: ICD-10-CM/PCS Its Far-Reaching Effect on the Healthcare Industry Executive Overview While many healthcare organizations are focused on qualifying for American Recovery & Reinvestment

More information

Making Sense of Clinical Quality Reporting

Making Sense of Clinical Quality Reporting Making Sense of Clinical Quality Reporting June 21, 2016 8-9 AM (Hawaii Time) 10-11 AM (Alaska Time) Noon - 1 PM (Mountain Time) Presented by: Mary Erickson, RN, HIT/QI Consultant HTS, a department of

More information

Health Policy Update 2017: The Evolution of Physician Payment. Declarations. Agenda 10/11/2017. Revised

Health Policy Update 2017: The Evolution of Physician Payment. Declarations. Agenda 10/11/2017. Revised Revised 6-2000 1 Health Policy Update 2017: The Evolution of Physician Payment William P. Moran MD MS Professor and Director, General Internal Medicine and Geriatrics Medical University of South Carolina

More information

Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Transition Measure 2018 Performance Period

Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Transition Measure 2018 Performance Period Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Transition Measure 2018 Performance Period Objective: Measure: Measure ID: Patient Electronic Access Provide

More information

ICD-10 Frequently Asked Questions - SurgiSource

ICD-10 Frequently Asked Questions - SurgiSource ICD-10 Frequently Asked Questions - SurgiSource What Version of SurgiSource is ICD-10 Compliant? Version 6.0 Where can I find ICD-10 Training Materials for SurgiSource? 1. Visit our Client Portal (portal.sourcemed.net)

More information

ABOUT FLORIDA MEDICAID

ABOUT FLORIDA MEDICAID Section I Introduction About eqhealth Solutions ABOUT FLORIDA MEDICAID THE FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION The Florida Agency for Health Care Administration (AHCA or Agency) is the single

More information

Medical Assistance Provider Incentive Repository. User Guide. For Eligible Hospitals

Medical Assistance Provider Incentive Repository. User Guide. For Eligible Hospitals Medical Assistance Provider Incentive Repository User Guide For Eligible Hospitals February 25, 2013 Contents Introduction...1 Before You Begin...2 Complete your R&A registration... 2 Identify one individual

More information

MACRA Implementation: A Review of the Quality Payment Program

MACRA Implementation: A Review of the Quality Payment Program MACRA Implementation: A Review of the Quality Payment Program Neal Logue, Kirk Sadur Centers for Medicare and Medicaid Services, Region IX, September 15, 2017 Disclaimer This presentation was prepared

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

HIPAA. Health Insurance Portability and Accountability Act. Presented by the UMMC Office of Integrity and Compliance

HIPAA. Health Insurance Portability and Accountability Act. Presented by the UMMC Office of Integrity and Compliance HIPAA Health Insurance Portability and Accountability Act Presented by the UMMC Office of Integrity and Compliance Rules and Regulations to ensure Privacy Set Federally recognized standards to ensure both

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

Meaningful Use Stage 2. Physicians February 2013

Meaningful Use Stage 2. Physicians February 2013 Meaningful Use Stage 2 Physicians February 2013 CME Disclosures J.N. Cook, D.O. MPH has nothing to disclose Randi Terry, MBA has nothing to disclose Credit where credit is due What is Meaningful Use? American

More information

Health Care IT Advisor. Meaningful Use 101. What You Need to Know August 26, Naomi Levinthal, MA, MS, CPHIMS Consultant, Health Care IT Advisor

Health Care IT Advisor. Meaningful Use 101. What You Need to Know August 26, Naomi Levinthal, MA, MS, CPHIMS Consultant, Health Care IT Advisor Health Care IT Advisor Meaningful Use 101 What You Need to Know August 26, 2014 Naomi Levinthal, MA, MS, CPHIMS Consultant, Health Care IT Advisor Road Map 2 1 2 Legislative and Regulatory Beginnings Attestation,

More information

Using Telemedicine to Enhance Meaningful Use Qualification

Using Telemedicine to Enhance Meaningful Use Qualification Beth DeStasio Director, Regulatory Affairs & Strategy, REACH Health September 2014 Copyright 2014 REACH Health, Inc. All rights Reserved Key Takeaways 1. As of September 4, 2014, the Center for Medicare

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

THE REIMBURSEMENT SHIFT: PREPARING YOUR PRACTICE FOR PATIENT-CENTERED PAYMENT REFORM. November 20, 2015

THE REIMBURSEMENT SHIFT: PREPARING YOUR PRACTICE FOR PATIENT-CENTERED PAYMENT REFORM. November 20, 2015 THE REIMBURSEMENT SHIFT: PREPARING YOUR PRACTICE FOR PATIENT-CENTERED PAYMENT REFORM November 20, 2015 TODAYS PRESENTERS Kavon Kaboli Consultant Galen Healthcare Solutions Cece Teague Consultant Galen

More information

The Quality Payment Program Overview Fact Sheet

The Quality Payment Program Overview Fact Sheet Quality Payment Program The Quality Payment Program Overview Background On October 14, 2016, the Department of Health and Human Services (HHS) issued its final rule with comment period implementing the

More information

SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation

SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation 2017-2018 SVS QPMC Quality and Performance Measures Committee Policy and Advocacy Council (Chair Sean Roddy) Chair: Brad Johnson,

More information

Care360 EHR Frequently Asked Questions

Care360 EHR Frequently Asked Questions Care360 EHR Frequently Asked Questions Table of Contents Care360 EHR... 4 What is Care360 EHR?... 4 What are the current capabilities of Care 360 EHR?... 4 Is Care 360 EHR an EMR?... 5 Can I have Care360

More information

Copyright Scottsdale Institute All Rights Reserved.

Copyright Scottsdale Institute All Rights Reserved. Copyright Scottsdale Institute 2017. All Rights Reserved. No part of this document may be reproduced or shared with anyone outside of your organization without prior written consent from the author(s).

More information

Division C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A

Division C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A Division C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A Sec. 15001. Development of Medicare study for HCPCS versions of MS-DRG codes

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

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

Health Information Technology and Coordinating Care in Ohio

Health Information Technology and Coordinating Care in Ohio Health Information Technology and Coordinating Care in Ohio 1 Dan Paoletti, CEO Ohio Health Information Partnership CliniSync Health Information Exchange Health Information Technology in Ohio HITECH Federal

More information

Final Meaningful Use Rules Add Short-Term Flexibility

Final Meaningful Use Rules Add Short-Term Flexibility Final Meaningful Use Rules Add Short-Term Flexibility Allison W. Shuren, Vernessa T. Pollard, Jennifer B. Madsen MPH, and Alexander R. Cohen November 2015 INTRODUCTION On October 16, the Centers for Medicare

More information

Under the MACRAscope:

Under the MACRAscope: Under the MACRAscope: G08: Under the MACRAscope: MIPS and EHRs Robert Tennant, MA Director, HIT Policy, MGMA Government Affairs rtennant@mgma.org Learning Objectives This session will provide you with

More information

Meaningful Use Modified Stage 2 Roadmap Eligible Hospitals

Meaningful Use Modified Stage 2 Roadmap Eligible Hospitals Evident is dedicated to making your transition to Meaningful Use as seamless as possible. In an effort to assist our customers with implementation of the software conducive to meeting Meaningful Use requirements,

More information