TNC Meaningful Use Webinar

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  • Use #HITECH hashtag
  • Use #Medicaid and #Medicare hashtags
  • #EHR hashtag
  • #Medicare and #Medicaid hashtags
  • HIMSS username - @HIMSS
  • #EHR
  • #EHR
  • TNC Meaningful Use Webinar

    1. 1. Get Ready for HIT Incentive Payments<br /> in 2011<br />Ann Boughtin, Principal<br />Amy Machtay, CPHIMS<br />
    2. 2. Meaningful UseAnd the survey says…<br />
    3. 3. Meaningful UseWebinar Goals<br />Focus on meaningful use opportunities for community behavioral health providers.<br />
    4. 4. Meaningful Use ARRA Legislation<br />
    5. 5. Meaningful Use Goals<br />Ensure adequate privacy & security protections for personal health information <br />Engage patients and families<br />Improve quality, safety, efficiency, and reduce health disparities<br />Improve population and public health <br />Improve care coordination <br />These goals align perfectly with the mission, vision and core values of provider organizations.<br />
    6. 6. Meaningful Use Who Can Participate?<br />
    7. 7. Meaningful Use How Does it Work?<br />
    8. 8. Meaningful Use Medicaid EP Qualifications<br />
    9. 9. Meaningful Use Medicare vs. Medicaid Participation<br />
    10. 10. Meaningful Use Medicare vs. Medicaid EPs<br />95,500<br />CMS estimates between 36% and 70% of all Medicare eligible professionals will comply with meaningful use by 2020. For Medicaid EPs, CMS estimates that between 59.9% and 95.9% will receive one or more incentive payments during that same timeframe.<br />
    11. 11. Meaningful Use How To Sign Up<br />
    12. 12. Meaningful Use Going Green or…<br />SHOW ME THE MONEY!<br />
    13. 13. Meaningful Use Medicaid Incentive Payments<br />$63,750 over 6 years per Prescriber<br />Year 1 payment = $21,250/Prescriber<br />Years 2 - 6 payment = $8,500/Prescriber<br />In this example, incentive payments through Medicaid could total $318,750 over 6 years.<br />
    14. 14. Meaningful Use Incentive Payments<br />Medicare (but not Medicaid) fee schedule reductions will take effect in 2015 for any provider who does not meet MU requirements.<br />
    15. 15. Meaningful Use Medicare Fee Schedule Reductions<br />Legislation allows up to a 5% reduction in the Medicare fee schedule for failure to comply with meaningful use.<br />
    16. 16. Meaningful Use More Money…<br />Meaningful Use isn’t the only way to generate revenue!<br />
    17. 17. Meaningful Use ROI from an EHR<br />Health Information and Management Systems Society (HIMSS) published a study on Hard and Soft ROI for EHRs in December 2008 that was presented to the Obama Administration and Congress. Examined Davies Award Winners – Nicholas E. Davies award recognizes excellence and value from health IT.<br />
    18. 18. Meaningful Use Hard & Soft ROI<br />
    19. 19. Meaningful Use Real Cases, Real Money<br /><ul><li>Heritage Behavioral Health saved $473,859 over three years in the following areas: $211,000 for transcription and documentation; $146,000 for chart audit paybacks; and $117,000 for back-office staffing reductions.
    20. 20. Southwest Texas Medical, in Beaumont, saw charges rise from $171 to $206 per patient encounter, a 20% jump. A year after implementation, the clinic’s total billable hours increased by $2.1 million, while collections rose $1.4 million.
    21. 21. Chicago’s Riverpoint Pediatrics increased collection rates from 52% to 88 % and eliminated claims denied due to coding errors. Insurance payment turnaround time fell from between 30 and 60 days, to approximately 15 days.</li></li></ul><li>Meaningful Use Real Cases, Real Money<br />For more information on ROI and EHR implementation lessons learned go to:<br />http://www.himss.org/content/files/davies/Davies_WP_Ambulatory.pdf<br />
    22. 22. Meaningful UseOverview of Requirements<br />
    23. 23. Meaningful Use What Does “Certified” Mean?<br /><ul><li>Certification Bodies (to see a list of the criteria go to:</li></ul>http://onc-chpl.force.com/ehrcert)<br /><ul><li>Complete EHR
    24. 24. Certified modules combined for complete EHR
    25. 25. Certify an in-house system (cost estimate: may be $250,000 or more)</li></li></ul><li>Meaningful Use Is your EHR Certified?<br /><ul><li>Talk to your current vendor about certification
    26. 26. Go online to view full list of certified EHRs:</li></ul>http://onc-chpl.force.com/ehrcert<br /><ul><li>Many resources available with advice on the EHR assessment, selection & implementation process (http://www.himss.org/ASP/topics_ehr.asp)</li></li></ul><li>Meaningful Use Medicaid Year 1 Options<br />
    27. 27. Meaningful UseTimelines for Success<br />
    28. 28. Meaningful UseTimelines for Success<br />
    29. 29. Meaningful UseTimelines for Success<br />
    30. 30. Meaningful Use Measures<br />Stage 1 Measures*<br />*A full description of the meaningful use measures for Stage 1 can be found in the final rule. http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf<br />
    31. 31. Meaningful Use Stage 1 Core Measures<br />
    32. 32. Meaningful Use Stage 1 Menu Measures<br />*Must report at least one from this category unless EP is excluded from both.<br />
    33. 33. Meaningful Use Stage 1 Core Measures<br />
    34. 34. Meaningful Use Other Core Measures<br />
    35. 35. Meaningful Use Stage 1 Menu Measures<br />
    36. 36. Meaningful UseStrategy for Success<br />Strategy for Success<br />
    37. 37. Meaningful Use How do you get there?<br /><ul><li>Assess your organization’s readiness to meet meaningful use
    38. 38. Talk to your State Medicaid office
    39. 39. Build a project plan
    40. 40. Designate a Project Manager
    41. 41. Select, purchase and implement a CERTIFIED EHR
    42. 42. Develop a Rollout Strategy for MU
    43. 43. Assign a Meaningful Use Team – committing internal resources
    44. 44. Identify tasks and necessary process changes and scope out a timeline
    45. 45. Train entire staff and maintain transparency throughout the project
    46. 46. Validate and monitor meaningful use measurements on an on-going basis</li></li></ul><li>Meaningful Use Why Do It?<br />
    47. 47. Meaningful Use Questions?<br />QUESTIONS?<br />Contact us at:<br />www.boughtin@boughtinandorndoff.com<br />To download a copy of this presentation go to:<br />www.boughtinandorndoff.com<br />

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