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
|
|
- Emil Garrett
- 5 years ago
- Views:
Transcription
1 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 to expect in near future Why it matters to coders copyright, pswilson AAPC 2002 (pswilson) 1
2 What will not be discussed in this presentation No specific product or company will be endorsed or discussed How all the technology works copyright, pswilson Once upon a time. copyright, pswilson AAPC 2002 (pswilson) 2
3 In attempting to arrive at the truth, I have applied everywhere for information, but in scarcely an instance have I been able to obtain hospital records fit for any purposes of comparison. If they could be obtained they would show subscribers how their money was being spent, what amount of good was really being done with it, or whether the money was not doing mischief rather than good.. copyright, pswilson Florence Nightingale 1863 copyright, pswilson AAPC 2002 (pswilson) 3
4 Statistics on medical errors truth or fiction? To Err is Human 98,000 deaths due to medical errors 2010 Inspector General of HHS 180,000 Medicare deaths due to bad hospital care 2013 Journal of Patient Safety medical errors are the 3 rd leading cause of death in the USA copyright, pswilson The problem One in every seven primary care visits is affected by missing medical information. In a recent study, 80% of errors were initiated by miscommunication, including missed communication between physicians, misinformation in medical records, mishandling of patient requests and messages, inaccessibly records, mislabeled specimens, misfiled or missing charts, and inadequate reminder systems. Commission on Systemic Interoperability, Ending the Document Game copyright, pswilson 2016 AAPC 2002 (pswilson) 4
5 copyright, pswilson The Electronic Health Record (EHR) Started in mid 1960s, primarily by academic hospitals. Intended to: Provide clinical data as part of workflow Automate and streamline clinician workflow Generate a complete record of a patient encounter Directly or indirectly support other care-related activities: HELP System: Origin goes back to 1954 (LDS Hospital s Cardiovascular Laboratory). Developed by Dr. Homer Warner, first chair of the University of Utah Department of Medical Informatics, with Dr. Allan Pryor and Dr. Reed Gardner, and others. copyright, pswilson AAPC 2002 (pswilson) 5
6 Objectives as defined by IOM (1999) Support patient care and improve its quality Enhance productivity of healthcare professionals and reduce administrative costs Support clinical and health services and research Accommodate future development in healthcare technology, policy management, and finance Have mechanisms in place to ensure patient data confidentiality at all times copyright, pswilson Barriers to adoption (from IOM) Design requirements Standards and systems development Demonstrate cost benefits Reduce legal constraints Coordination of resources Coordination for secondary uses Education and training copyright, pswilson AAPC 2002 (pswilson) 6
7 How we got to where we are today HIPAA Health Insurance Portability and Accountability Act Portability Provide continuity of healthcare coverage Administrative simplification Reduce cost Standardization of information exchange Protect patient s confidentiality Minimal set of security standards copyright, pswilson 2016 AAPC 2002 (pswilson) 7
8 Goals of standards Interoperability ability to exchange information between organizations Comparability ability to ascertain the equivalence of data from different sources Data Quality measurement of completeness, accuracy and precision copyright, pswilson Presidential Executive Order President George Bush April 2004 Office of the National Coordinator for Health Information Technology (ONC) Consolidated Health Informatics (CHI) Health Information Technology Standards Panel (HITSP) copyright, pswilson AAPC 2002 (pswilson) 8
9 Definition of an EHR Longitudinal electronic record Patient data Multiple encounters Any care setting copyright, pswilson What an EHR should do Collect information Improve patient care Reduce costs Create more efficient use of time copyright, pswilson AAPC 2002 (pswilson) 9
10 How an EHR does this Automates and streamlines the clinician's workflow Generate a complete record of a clinical patient encounter Support other care-related activities directly or indirectly Evidence-based decision support Quality management Outcomes reporting copyright, pswilson What an EHR contains Demographics Progress notes Problems Medications Vital signs Past medical history Immunizations Laboratory data Radiology reports copyright, pswilson AAPC 2002 (pswilson) 10
11 Limitations to EHR No system does all functionality Different standards used by each system Lack of interface capabilities between different systems copyright, pswilson Administrative and financial systems First to be implemented in an electronic format Study indicated that of physician groups who are given full functionality, only 9% use the total system 91% use only the scheduling and billing/financial portions of their system copyright, pswilson AAPC 2002 (pswilson) 11
12 HITECH Health Information Technology for Economic and Clinical Health Act Public health Improve health care quality Ensure privacy and security copyright, pswilson Meaningful Use use a certified EHR Improve Quality Coordination of care Safety Efficiency Population and public health Engage patients and family Maintain privacy and security copyright, pswilson AAPC 2002 (pswilson) 12
13 Meaningful Use criteria Includes patient demographics Contains clinical health information Medical history Problem lists Has capacity to provide: Clinical decision support Physician order entry Health care quality information Integrate with other sources copyright, pswilson Key components of Meaningful Use Use of Certified Electronic Health Record Technology (CEHRT) to meet improvement and efficiency goals Electronic exchange of health information to improve outcomes Electronic submission of clinical and quality measures Implemented in stages Incentives for eligible providers copyright, pswilson AAPC 2002 (pswilson) 13
14 Stage 1 Meaningful Use Meet core objectives 5 out of 10 from the menu set 6 quality measures Core objectives include: Computerized provider order entry Provide patients with electronic copy of record Record allergies, vital sign changes, problem lists, medications, etc Protect the data copyright, pswilson Stage 1 Clinical Quality Measures 3 of 38 management scenarios to be met such as: Diabetes management Heart disease Preventive screening Medication management Weight and nutrition management Immunizations and allergy management Behavioral health copyright, pswilson AAPC 2002 (pswilson) 14
15 Stage 2 Meaningful Use Everything in Stage 1 with an increase in percentage plus Family history Surveillance of syndromes sent to public health agency Electronic notes Problem list in ICD-9-CM, ICD-10-CM, or SNOMED CT Manage transition of care copyright, pswilson Incentive requirements for Meaningful Use Reporting period is 90 days for first year and 1 year after Reporting through attestation Objectives and Clinical Quality Measures Reporting may be yes/no or numerator/denominator attestation To meet certain objectives/measures, 80% of patients must have records in the certified EHR technology copyright, pswilson AAPC 2002 (pswilson) 15
16 Incentive requirement impacts coders because.. Codes are now being used to establish the quality of patient care More codes and different types of codes are needed to provide specific clinical data to be measured copyright, pswilson Implementing standards in MU objectives Data Immunizations CVX July 30, 2009 CVX July 11, 2011 Problems ICD-9 -CM/SNOMED CT July 2009 SNOMED CT July 2012 and March US extension Procedures ICD-9 -CM/ CPT-4 HCPCS & CPT-4 SNOMED CT Lab Tests LOINC 2.27 LOINC 2.40 Medications and Medication Allergies, E-prescribing Any source vocabulary in RxNorm RxNorm August 2012 Race & Ethnicity OMB standards OMB standards Smoking Status N/A SNOMED CT + US Extension Preferred Language N/A ISO constrained by ISO Family History N/A SNOMED CT + US extension HL7 Pedigree Encounter Diagnosis N/A SNOMED CT +US extension ICD-10-CM 32 copyright, pswilson 2016 AAPC 2002 (pswilson) 16
17 Future for Meaningful Use? January 2016 CMS announced the end of Meaningful Use incentives Stage 3 October 2015 exemptions and reductions Build on the needs of the provider not the government Use feedback to inform policy makers of need for more customization Tied to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) 33 copyright, pswilson 2016 Pros and Cons of EHR and Meaningful Use copyright, pswilson AAPC 2002 (pswilson) 17
18 PROS copyright, pswilson copyright, pswilson AAPC 2002 (pswilson) 18
19 Benefits to EHR adoption by physicians as of % of all physicians plan to participate in incentive program (up 18% since 2001) 80% reported overall, improved patient care 65% caught critical lab values 62% caught potential medical errors 81% accessed patient chart remotely copyright, pswilson Data, Data, Data Clinical Care Comprehensive and correct patient health information Improve care coordination Facilitate electronic health data exchange Improve population health through analytics Legal documentation to support standard of care in medical liability claims Billing and financial source of information Research AAPC 2002 (pswilson) 19
20 CONS copyright, pswilson Man versus Computer [A] computer lets you make more mistakes faster than any invention in human history - with the possible exceptions of handguns and tequila." Mitch Ratcliffe (quote from "The pleasure machine: Computers, Technology Review Apr 1992) copyright, pswilson 2016 AAPC 2002 (pswilson) 20
21 EHRs and MU Hard to meet MU requirements Dissatisfied end users Poor workflow Limited Vendor Support Lack of desired functionality Challenges in making data meaningful Implementing and Integrating Standard Terminologies Integrating data from Multiple EHR vendors or EHR modules (e.g., inpatient to outpatient) Collecting electronic Clinical Quality Measures Enterprise wide collection and management of Big Data Incorporate structured local data that does not fit into a standard terminology Data across state lines copyright, pswilson AAPC 2002 (pswilson) 21
22 Different types of standards Messaging standards HL7 Clinical data X12 Financial data, HIPAA mandated transactions DICOM Images Terminology standards Drugs NLM/FDA/VA collaboration (RxNorm, NDF-RT) Billing CPT, ICD-9-CM, ICD-10-CM/PCS Clinical UMLS, SNOMED CT, LOINC, and others copyright, pswilson Specific examples of the impact on coding copyright, pswilson AAPC 2002 (pswilson) 22
23 Templates copyright, pswilson Computer Assisted Coding AAPC 2002 (pswilson) 23
24 How a computer decides which code Natural Language Processing (NLP) Clinical Document Improvement (CDI) Site specific rules copyright, pswilson Automated tools Manual review is daunting Many commercial tools for mapping and coding Institution developed tools for needs and use cases Feasibility and effectiveness of automation Dependency on use cases and heuristics that must be programmed into the software Level of confidence can vary from application to application copyright, pswilson AAPC 2002 (pswilson) 24
25 Issues with automating the coding process Consistency Size of content Maintenance Synonyms copyright, pswilson No patient data in mapping Mapping does not involve any patient information The map is performed between source and target terminologies based solely on use case and heuristics No assumptions can be made when mapping, unless the assumption is clearly defined in the heuristics copyright, pswilson 2016 AAPC 2002 (pswilson) 25
26 Example of no patient information Coder reviewing a patient s medical record to select a code for the diagnosis of stress incontinence. The coder will look at the patient s gender in order to decide which code to choose: , Stress incontinence, male Stress incontinence, female Mapper cannot look at a patient record for gender The term stress incontinence will rely on Heuristics Synonymy for non-gender-specific map copyright, pswilson General Equivalence Maps (GEMS) is... an attempt to translate equivalent meaning from source to target one source system code linked to one or more target system codes copyright, pswilson 2016 AAPC 2002 (pswilson) 26
27 equivalent meaning depends on... Use Cases Purpose of the map Clinical mapping focuses on all possible meanings contained in source system code reimbursement mapping focuses on equivalent payment copyright, pswilson 2016 GEMS reverse map or ICD-10- CM to ICD-9-CM copyright, pswilson 2016 AAPC 2002 (pswilson) 27
28 SNOMED CT for Meaningful Use Problem List Current Active ICD-10-CM Within the patient summary record copyright, pswilson 2016 National Library of Medicine (NLM) Problem List Subset of SNOMED CT for Clinical Observations Recording and Encoding (CORE) project Nursing Veterans Affairs/Kaiser Permanente US extension to SNOMED CT Route of administration copyright, pswilson AAPC 2002 (pswilson) 28
29 NLM has other map sets ICD-9-CM to SNOMED CT (retired) SNOMED CT to ICD-10-CM copyright, pswilson Consistency in applying rules Respiratory obstruction (disorder) Map A to ICD-9-CM 496 Chronic airway obstruction, not elsewhere classified Map B to ICD-9-CM Other diseases of respiratory system, not elsewhere classified copyright, pswilson 2016 AAPC 2002 (pswilson) 29
30 Example Bacterial meningitis (disorder) Map A to ICD-9-CM Meningitis due to unspecified bacterium Map B to ICD-9-CM Meningitis in other bacterial diseases classified elsewhere copyright, pswilson Example of reverse map Cerebrospinal fluid leak (disorder) Map A to ICD-9-CM Other specified disorders of nervous system Map B to ICD-9-CM Other nervous system complications copyright, pswilson AAPC 2002 (pswilson) 30
31 Throwing in ICD-10-CM (CS Fluid Leak) Map A Other specified disorders of nervous system G96.8 Other specified disorders of central nervous system G98.8 Other disorders of nervous system Map B Other nervous system complications G97.0 Cerebrospinal fluid leak from spinal puncture G97.81 Other intraoperative complications of nervous system G97.82 Other postprocedural complications and disorders of nervous system copyright, pswilson Coding directly to ICD-10-CM Cerebrospinal fluid leak (disorder) ICD-10-CM G96.0 Cerebrospinal fluid leak copyright, pswilson AAPC 2002 (pswilson) 31
32 And its reverse map is ICD-10-CM G90.0 Cerebrospinal Fluid Leak ICD-9-CM Cerebrospinal fluid rhinorrhea ICD-9-CM Cerebrospinal fluid otorrhea copyright, pswilson Clarification of synonyms Otitis externa (disorder) Synonym of swimmer s ear Map ICD-9-CM code acute swimmer s ear If the synonym was not present Map ICD-9-CM code Infective otitis externa, unspecified Resolved copyright, pswilson 2016 AAPC 2002 (pswilson) 32
33 Another synonym issue Hypercortisolism due to nonpituitary tumor (disorder) Hypercortisolism not in ICD-9-CM index SNOMED CT is Ectopic ACTH secretion causing Cushing s Syndrome Synonym is correct ICD-9-CM code Correct map is Cushing s Syndrome Resolved copyright, pswilson 2016 Benefits for coders Tendency to record more complete information, thus increase revenue by 25 % to 40% due to more document-supported coding Can prompt for check-ups, screening procedures, etc that may be missed in previous documentation Affords more complete, accurate and consistent documentation to support coding copyright, pswilson AAPC 2002 (pswilson) 33
34 Options for a coder Be alert Ask questions Communicate with your vendor, or the SDO directly Be patient with yourself and others copyright, pswilson Conclusion Automation is an efficient tool Guide to a result Not 100% foolproof Human factor cannot be removed copyright, pswilson AAPC 2002 (pswilson) 34
35 Questions copyright, pswilson References and Resources CMS Program Memorandum Intermediaries/Carriers Transmittal AB May 1, Charlene Marietti, Will the real CPR/EMP/HER please stand up? May 1998 copyright, pswilson AAPC 2002 (pswilson) 35
36 More References Guidance/Legislation/EHRIncentivePrograms/downloads/M U_Stage1_ReqOverview.pdf IHTSDO.org NLM.org RoadtoICD10.org copyright, pswilson AAPC 2002 (pswilson) 36
Quality Data Model (QDM) Style Guide. QDM (version MAT) for Meaningful Use Stage 2
Quality Data Model (QDM) Style Guide QDM (version MAT) for Meaningful Use Stage 2 Introduction to the QDM Style Guide The QDM Style Guide provides guidance as to which QDM categories, datatypes, and attributes
More informationCopyright All Rights Reserved.
Copyright 2012. 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). You may contact us at
More information9/28/2011. 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 informationTerminology in Healthcare and
Terminology in Healthcare and Public Health Settings Unit 17-Clinical Vocabularies This material was developed by The University of Alabama at Birmingham, funded by the Department of Health and Human Services,
More informationConsolidated Health Informatics (CHI) Briefing to HITSP Panel
Document Number: HITSP 06 N 55 Rev. Date: March 8, 2006 Consolidated Health Informatics (CHI) Briefing to HITSP Panel March 13, 2006 CHI Overview Background Strategy Adoption Process Federal Governance
More informationJason C. Goldwater, MA, MPA Senior Director
The History of Health Information Technology in 45 Minutes Jason C. Goldwater, MA, MPA Senior Director April 5, 2017 Agenda Where We are With Health Information Technology and Where We are Going The Alphabet
More informationRoll 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 informationStandardized Terminologies Used in the Learning Health System
Standardized Terminologies Used in the Learning Health System Judith J. Warren, PhD, RN, BC, FAAN, FACMI Christine A. Hartley Centennial Professor University of Kansas School of Nursing 1 (With Permission
More informationHealth Information Exchange in South Carolina: SCHIEx in Context
Health Information Exchange in South Carolina: SCHIEx in Context W. David Patterson, Ph.D. Chief, Health and Demographics SC B&CB - SC HIT Coordinator Columbia, SC March 9, 2012 1 SCHIEx South Carolina
More informationAbstract. 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 informationMEANINGFUL USE STAGE 2
MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,
More informationMerit-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 informationMeaningful 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 informationMeaningful 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 informationHIE Implications in Meaningful Use Stage 1 Requirements
HIE Implications in Meaningful Use Stage 1 Requirements HIMSS 2010-2011 Health Information Exchange Committee November 2010 The inclusion of an organization name, product or service in this publication
More informationINTERGY MEANINGFUL USE 2014 STAGE 1 USER GUIDE Spring 2014
INTERGY MEANINGFUL USE 2014 STAGE 1 USER GUIDE Spring 2014 Intergy Meaningful Use 2014 User Guide 2 Copyright 2014 Greenway Health, LLC. All rights reserved. This document and the information it contains
More informationU.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 informationHIE 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 informationComputer 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 informationICD-10 Advantages to Providers Looking beyond the isolated patient provider encounter
A Health Data Consulting White Paper 1056 6th Ave S Edmonds, WA 98020-4035 206-478-8227 www.healthdataconsulting.com ICD-10 Advantages to Providers Looking beyond the isolated patient provider encounter
More informationWebinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12
New York State-Health Centered Controlled Network (NYS HCCN) Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12 December 10, 2013 Ekem Merchant-Bleiberg, Director of Implementation Services
More informationOur Journey In Health IT And Health Information Exchange Working Towards Ubiquitous, Computable Care. Review Data Systems For Monitoring HIV Care
Our Journey In Health IT And Health Information Exchange Working Towards Ubiquitous, Computable Care Data In Kaiser Permanente Presentation To IOM Committee To Review Data Systems For Monitoring HIV Care
More informationMeaningful 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 informationSNOMED CT AND 3M HDD: THE SUCCESSFUL IMPLEMENTATION STRATEGY
SNOMED CT AND 3M HDD: THE SUCCESSFUL IMPLEMENTATION STRATEGY Federal Health Care Agencies Take the Lead The United States government has taken a leading role in the use of health information technologies
More informationQualifying 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 information2015 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 informationMeaningful 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 informationMeasures 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 informationChallenges for National Large Laboratories to Ensure Implementation of ELR Meaningful Use
White Paper Challenges for National Large Laboratories to Ensure Implementation of ELR Meaningful Use January, 2012 Developed by the Council of State and Territorial Epidemiologists (CSTE) and the Centers
More informationHITECH 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 informationComponent Description Unit Topics 1. Introduction to Healthcare and Public Health in the U.S. 2. The Culture of Healthcare
Component Description (Each certification track is tailored for the exam and will only include certain components and units and you can find these on your suggested schedules) 1. Introduction to Healthcare
More informationMeaningful 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 informationMedicare & 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 informationCare360 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 informationImplementation Issues of the Physician Practice. for ICD-10-CM
Implementation Issues of the Physician Practice for ICD-10-CM What are ICD-10-CM and the Version 5010? The Centers for Medicare & Medicaid Services (CMS) is driving the industry to upgrade core HIPAA transactions
More informationQuality 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 informationSNOMED CT AND ICD-10-BE: TWO OF A KIND?
Federal Public Service of Health, Food Chain Safety and Environment Directorate-General Health Care Department Datamanagement Arabella D Havé, chief of Terminology, Classification, Grouping & Audit arabella.dhave@health.belgium.be
More informationOverview of the Changes to the Meaningful Use Program Called for in the Proposed Inpatient Prospective Payment System Rule April 27, 2018
Overview of the Changes to the Meaningful Use Program Called for in the Proposed Inpatient Prospective Payment System Rule April 27, 2018 NOTE: These policies have only been proposed. No policies are final
More informationMeaningful Use and PCC EHR
Meaningful Use and PCC EHR (tim@pcc.com) Users Conference 2016 Agenda MU basics and eligibility How to participate in MU Meeting MU measures in PCC EHR Understanding CQM reporting in PCC EHR Takeaways
More informationTHE 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= 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 informationHITECH* 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 informationThe 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 informationHitting a Grand Slam. The Four Trends. Today s Objectives 3/20/ Trends that Streamline Clinical Operations & Save Financial Resources
Hitting a Grand Slam 4 Trends that Streamline Clinical Operations & Save Financial Resources Carolyn J. Humphrey, RN, MS, FAAN President, CJ Humphrey Associates The Four Trends Evidence based Clinical
More informationARRA 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 informationWHITE PAPER. Taking Meaningful Use to the Next Level: What You Need to Know about the MACRA Advancing Care Information Component
Taking Meaningful Use to the Next Level: What You Need to Know Table of Contents Introduction 1 1. ACI Versus Meaningful Use 2 EHR Certification 2 Reporting Periods 2 Reporting Methods 3 Group Reporting
More informationCHCANYS NYS HCCN ecw Webinar
CHCANYS NYS HCCN ecw Webinar Meaningful Use, V10 and UDS January 30, 2013 Stephanie Rose, Project Director Desiree Railine, HIT Implementation Specialist/Trainer Agenda Meaningful Use Stage 1 2014 Review
More informationof 23 Meaningful Use 2015 PER THE CMS REVISION TO THE FINAL RULE RELEASED OCTOBER 6, 2015 CHARTMAKER MEDICAL SUITE
1 Meaningful Use 2015 PER THE CMS REVISION TO THE FINAL RULE RELEASED OCTOBER 6, 2015 CHARTMAKER MEDICAL SUITE WHEN WE ARE FINISHED TODAY YOU SHOULD KNOW THE FOLLOWING. 2 EHR reporting periods Amended
More informationTransforming 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 informationMedicare & 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 information1. What are the requirements for Stage 1 of the HITECH Act for CPOE to qualify for incentive payments?
CPPM Chapter 8 Review Questions 1. What are the requirements for Stage 1 of the HITECH Act for CPOE to qualify for incentive payments? a. At least 30% of the medications in the practice must be ordered
More information2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
More informationAdvancing Care Information Performance Category Fact Sheet
Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced three quality programs (the Medicare Electronic Health Record (EHR) Incentive program, the Physician Quality Reporting
More informationA 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 informationMeaningful Use Stage 1 Guide for 2013
Meaningful Use Stage 1 Guide for 2013 Aprima PRM 2011 December 20, 2013 2013 Aprima Medical Software. All rights reserved. Aprima is a registered trademark of Aprima Medical Software. All other trademarks
More informationMerit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Measure 2018 Performance Period
Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Measure 2018 Performance Period Objective: Measure: Measure ID: Public Health and Clinical Data Registry Reporting
More informationPresented to you by The Cooperative of American Physicians, Inc.
ICD-10 Action Guide for Medical Practices PAGE 1 Presented to you by The Cooperative of American Physicians, Inc. Table of Contents Introduction... 3 What Is Changing and Why?... 4 What Are the Main Provisions
More informationSuccess with ICD-10: Streamlining Clinical Workflow. November 8, 2013
Success with ICD-10: Streamlining Clinical Workflow November 8, 2013 Culbert Healthcare Solutions Angela Hickman CPC, CEDC, AHIMA-approved ICD-10- CM/PCS Trainer, AHIMA Ambassador Senior Consultant Angela
More informationecw 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 informationStage 2 Eligible Professional Meaningful Use Core Measures Measure 15 of 17 Last Updated: November 2013
Summary of Care Objective Measures Exclusion Table of Contents Stage 2 Eligible Professional Meaningful Use Core Measures Measure 15 of 17 Last Updated: November 2013 The EP who transitions their patient
More informationMedicare and Medicaid EHR Incentive Program. Stage 3 and Modifications to Meaningful Use in 2015 through 2017 Final Rule with Comment
Medicare and Medicaid EHR Incentive Program Stage 3 and Modifications to Meaningful Use in 2015 through 2017 Final Rule with Comment Measures, and Proposed Alternative Measures with Select Proposed 1 Protect
More informationStage 2 Eligible Hospital and Critical Access Hospital Meaningful Use Core Measures Measure 12 of 16 Date issued: May 2013
Summary of Care Objective Measure Exclusion Stage 2 Eligible Hospital and Critical Access Hospital Meaningful Use Core Measures Measure 12 of 16 Date issued: May 2013 The eligible hospital or CAH who transitions
More informationMeaningful 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 informationNational Electronic Health Record Interoperability Chronology
MILITARY MEDICINE, 174, 5:35, 2009 National Electronic Health Record Interoperability Chronology Stephen P. Hufnagel, PhD ABSTRACT The federal initiative for electronic health record (EHR) interoperability
More informationThe 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 informationAgenda 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 informationEligible 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 informationEligibility. 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 informationINTERGY MEANINGFUL USE 2014 STAGE 2 USER GUIDE Spring 2014
INTERGY MEANINGFUL USE 2014 STAGE 2 USER GUIDE Spring 2014 Intergy Meaningful Use 2014 User Guide 2 Copyright 2014 Greenway Health, LLC. All rights reserved. This document and the information it contains
More informationOverview 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 informationMEANINGFUL USE 2015 PROPOSED 2015 MEANINGFUL USE FLEXIBILITY RULE
MEANINGFUL USE 2015 PROPOSED 2015 MEANINGFUL USE FLEXIBILITY RULE *Please note, the below guidelines are currently proposed. ASCRS will let you know if and when they are finalized through regulatory alerts
More informationAppendix 5. PCSP PCMH 2014 Crosswalk
Appendix 5 Crosswalk NCQA Patient-Centered Medical Home 2014 July 28, 2014 Appendix 5 Crosswalk 5-1 APPENDIX 5 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice () standards with
More informationStage 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 informationAPPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS
Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet
More informationMeaningful Use 2016 and beyond
Meaningful Use 2016 and beyond Main Street Medical Consulting May 12, 2016 Meaningful use, MACRA, MIPS? Whaaaaat? 1 Reporting Period and Timeline In 2016 all providers are required to use CEHRT versions
More informationStage 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 informationRecent Legislative Changes: MU, PQRS, and MIPS
Recent Legislative Changes: MU, PQRS, and MIPS Catherine Chuter Sr. Associate, athenahealth This event is live as of XYZ 2 Projected number of Medicare beneficiaries Source: CMS, 2013 Annual Report of
More informationAmerican 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 informationPart 3: NCQA PCMH 2014 Standards
Part 3: NCQA PCMH 2014 Standards Heather Russo, CCE PCMH Consultant September 15, 2015 Advancing Healthcare Improving Health PCMH Standard 4: Care What s New? Management and Support Combined 2011 Standards
More informationQuanum Electronic Health Record Frequently Asked Questions
Quanum Electronic Health Record Frequently Asked Questions Table of Contents... 4 What is Quanum EHR?... 4 What are the current capabilities of Quanum EHR?... 4 Is Quanum EHR an EMR?... 5 Can I have Quanum
More informationJune 25, Barriers exist to widespread interoperability
June 25, 2018 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1694-P P.O. Box 8011 Baltimore, MD 21244-1850 RE: Docket ID: CMS-1694-P, Medicare Program;
More informationMedicare & 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 informationMedicaid Electronic Health Records Meaningful Use. Lisa Reuland, Program Manager October 15, 2015
Medicaid Electronic Health Records Meaningful Use Lisa Reuland, Program Manager October 15, 2015 1 Agenda Medicaid Overview Stage 1: Meaningful Use Stage 2: Meaningful Use CQM Reporting Stage 3: Meaningful
More informationMeaningful 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 informationCIO 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 informationGE Healthcare. Meaningful Use 2014 Prep: Core Part 1. Ramsey Antoun, Training Operations Coordinator December 12, 2013
GE Healthcare Meaningful Use 2014 Prep: Core Part 1 Ramsey Antoun, Training Operations Coordinator December 12, 2013 2013 General Electric Company All rights reserved. This does not constitute a representation
More informationCHIME 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 informationIatric Systems Supports the Achievement of Meaningful Use
Iatric Systems Supports the Achievement of Meaningful Use Iatric Systems offers a wide variety of solutions to assist with today s business challenges and support hospitals in providing superior patient
More informationHealth Current: Roadmap Practice Transformation using Information & Data
Health Current: Roadmap Practice Transformation using Information & Data Melissa A. Kotrys, MPH Chief Executive Officer July 2017 2 Arizona Health-e Connection is now Health Current. Powering the future
More informationMeaningful 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 informationPROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On February 23, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated proposed
More informationMay 7, Re: Document ID RIN 0991-AB82. Dear Dr. Mostashari:
May 7, 2012 Office of the National Coordinator for Health Information Technology Department of Health and Human Services Attention: 2014 Edition EHR Standards and Certification Criteria Proposed Rule Hubert
More informationMACRA 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 informationMeaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond)
Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Core Measures Required: All 17 objectives Objective: Requirement: Exclusions: Accomplish in Clinical 1. Computerized - Documenting
More informationPilot Results. Beth Israel Deaconess Medical Center (BIDMC) Massachusetts ehealth Collaborative (MAeHC)
Pilot Results Beth Israel Deaconess Medical Center (BIDMC) Massachusetts ehealth Collaborative (MAeHC) 2 Pilot Objectives Test the scalability of pophealth on a large dataset (1.9 million continuity of
More informationRussell 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 informationICD-10 Frequently Asked Questions
ICD-10 Frequently Asked Questions September 2015 pulseinc.com + 1.800.444.0882 We care for your practice, as if it were our own. Acknowledgments Document Number: 01 Date: September 7, 2015 Pulse Systems
More informationUPDATE ON MEANINGFUL USE. HITECH Stimulus Act of 2009: CSC Point of View
HITECH Stimulus Act of 2009: CSC Point of View UPDATE ON MEANINGFUL USE Introduction The HITECH provisions of the American Recovery and Reinvestment Act of 2009 provide a commanding $36 billion dollars
More information2011 Electronic Prescribing Incentive Program
2011 Electronic Prescribing Incentive Program Hardship Codes In 2012, the physician fee schedule amount for covered professional services furnished by an eligible professional who is not a successful electronic
More informationSevocity v Advancing Care Information User Reference Guide
Sevocity v.12 User Reference Guide 1 877 877-2298 support@sevocity.com Table of Contents About Advancing Care Information... 3 Setup Requirements... 3 Product Support Services... 3 About Sevocity v.12...
More information