Learn how to successfully attest to CMS with Practice Fusion.

1. Meaningful Use Attestation
Webinar
How to attest successfully to CMS with Practice
Fusion

2. Background
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+ The Center for Medicare and Medicaid Services (CMS)
recently finalized Stage 3 requirements
+ CMS decided to also change existing Stage 1 and Stage 2
requirements
 Didn’t align with Stage 3
 Provider feedback and poor Stage 2 performance
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3. Eligible Professionals in the EHR Incentive Program
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+ Eligibility Guidelines
 You qualify individually
 You practice in the outpatient setting
 You may only participate in one program
+ Medicare
 Receive Medicare Part B reimbursements
+ Medicaid
 Meet 30% patient volume threshold (20% for pediatricians)
 *Meet 30% “needy individual” patient volume
Medicare Medicaid
Doctors of medicine
or osteopathy
Doctors of medicine
or osteopathy
Doctors of dental
surgery or dental
medicine
Nurse practitioner
Doctor of podiatry Certified nurse-
midwife
Doctor of optometry Dentist
Chiropractor *Physician assistant
Furnishes services in a
Federally Qualified Health
Center or Rural Health Clinic
lead by a physician assistant

4. Reporting Periods
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+ All providers in 2015 complete a 90 day reporting period
+ Full year reporting periods resume in 2016
+ Any first year Medicaid participant completes a 90 day reporting period
+ A first year Medicare participant will complete a 90 day reporting period
in 2015 and 2016

5. Modified Stages
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+ Stage 2 providers remain in
Stage 2 for 2015 and 2016
+ Stage 1 providers are in
“Modified Stage 2” for 2015
and Stage 2 in 2016
+ All providers can choose to
complete Stage 3 in 2017
or remain in Stage 2
+ Stage 3 is mandatory for all
in 2018

6. Is Meaningful Use based on all patients?
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+ You must record all patients you see, regardless of their
insurance, in the outpatient setting for Meaningful Use.
+ If you see patients in the hospital, you do not need to include
them in Practice Fusion for Meaningful Use.
+ At minimum, you must maintain more than 80% of your
patients in the certified EHR for Meaningful Use.

7. Deadlines
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+ October 3, 2015
 The last possible start date for a 90 day reporting period in 2015
+ January 4, 2016
 Providers can begin attesting
+ February 29, 2016
 Attestation deadline

8. Attestation
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9. + The process of legally declaring you have achieved
Meaningful Use by reporting information to CMS
+ You will report values for the following:
 Objectives and measures
 Clinical Quality Measures (CQMs)
+ Attestation is completed on the following websites:
 Medicare participants: CMS Registration and Attestation System
 Medicaid participants: State Medicaid program website
What is attestation?

10. + Medicare
 Deadline to attest for 2015 reporting year: February 29, 2016
+ Medicaid
 State Medicaid program deadlines may differ
 You should attest before February 29, 2016
When is the deadline to attest?

11. Preparing for attestation

12. + Maintain more than 80% of your patient records in Practice Fusion
during your reporting period
+ Confirm you achieved OR qualify for an exclusion to ALL the required
measures:
+ Sign notes for all patients seen during your reporting period in order to
see those visits reflected on the Meaningful Use Dashboard
Confirm you have achieved Meaningful Use
Modified Stage 2 Stage 2
10 Objectives 10 Objectives
At least 9 CQMs related to 3 NQS
Domains
At least 9 CQMs related to 3 NQS
Domains

13. + Proof of information exchanges (e.g. email confirmation) for
the following measures:
 Immunization registry data submission
 Syndromic surveillance data submission
 Specialized registry data submission
+ Security Risk Analysis
+ Documentation of any measure(s) for which you are not
using the Meaningful Use Dashboard
Documentation of Actions Completed Outside EHR

14. + Keep screenshots of functionality or reports from Practice
Fusion that are dated during your reporting period for the
following measures:
 Drug Formulary Checks (part of the eRx workflow)
 Drug-drug and drug-allergy interaction checks
 Clinical Decision Support
+ These screenshots serve as additional supporting
documentation in case of an audit
Screenshots for YES/NO measures

15. + Prepare any documentation needed to prove that you qualify
for an exclusion and save it for your records
+ The Meaningful Use Dashboard denominator values may
show that you qualify for an exclusion to a particular measure
 E.g. The denominator value for eRx is less than 100
Save Documentation for Exclusions

16. Print out your Meaningful Use Dashboard
Print out MU
Dashboard

17. + Located on your Meaningful Use Dashboard:
 Reporting period start & end dates
 Practice Fusion’s CMS certification ID
+ From your own records:
 Your NPPES credentials
 Individual NPI number
 Tax Identification Number (TIN)
Other Items to Keep Handy

18. Attesting to CMS

19. + Medicare: https://ehrincentives.cms.gov
+ Medicaid: Contact your individual state Medicaid program
Go to the CMS or Medicaid Attestation Portal

20. Begin your attestation
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+ After logging in, proceed
to the Attestation tab and
select the “Attest” button

21. Select your Public Health Reporting Measures
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+ The Meaningful Use Objectives will be listed,
and you will need to select which Public Health
Reporting measures you are attesting to

22. Review Objectives and Measures and Select Response
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23. + Answer if exclusion
applies to you
+ Choosing “No” will
allow entry of measure
completion
Exclusions

24. + Choose 2nd option if reporting values from the MU Dashboard
 This will be an option for some of the patient-based measures
Patient Records

25. + Option 1: Electronic submission:
January 1, 2016 – February 29th, 2016
 Medicare EPs have the option to submit a full
year of data electronically to receive credit for
the EHR Incentive Program and the Physician
Quality Reporting System (PQRS) if using the
PQRS EHR reporting mechanism.
+ Option 2: Manual submission
 Submitting CQMs manually allows you to
complete your attestation
 Manual submission via attestation only allows
you to receive credit for the EHR Incentive
Program
Reporting Clinical Quality Measures
+ You will not receive an EHR Incentive
payment until your attestation is
complete and you have submitted your
CQM values.
+ Providers may choose to submit CQMs
manually and electronically

26. Confirm you have completed all categories
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27. + Read the disclaimer and click on
Agree or Disagree
+ If you choose Agree and you
have met all Meaningful Use
objectives and measures, you will
receive the “Accepted Attestation”
submission receipt
Confirm Your Submission

28. + Keep your documentation for 6 years after you attest in case
of an audit
+ Print your MU Dashboard on the day you attest
+ Don’t wait until the last minute
+ Contact the EHR Incentive Program hotline if you have
technical difficulty: 888.734.6433
Things to remember

29. Resources
Meaningful Use Center
• Practicefusion.com/meaningfuluse
• Practicefusion.com/attest
Knowledge Base
• knowledgebase.practicefusion.com
Meaningful Use Dashboard

30. Thanks for your attention and engagement
Questions?
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