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MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES

by on Apr 12, 2013

  • 1,146 views

Who will pay Medicare penalties and miss out on Meaningful Use incentives? How can providers successfully attest to Meaningful Use? This slideshow covers the facts you need to know about Meaningful ...

Who will pay Medicare penalties and miss out on Meaningful Use incentives? How can providers successfully attest to Meaningful Use? This slideshow covers the facts you need to know about Meaningful Use Medicare penalties. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/
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TRANSCRIPT

MEANINGFUL USE: A LOOK BACK
$11.8 BILLION IN TOTAL INCENTIVES PROGRAM TO DATE
o $2.4 BILLION IN MEDICARE INCENTIVES PAID – HOSPITALS/PROVIDERS
o $1.8 BILLION IN MEDICAID INCENTIVES PAID – HOSPITALS/PROVIDERS
o $7.3 BILLION IN MEDICARE/MEDICAID TO HOSPITALS
o 372,000 HOSPITALS / PROFESSIONALS REGISTERED
o 49 STATES, D.C. AND PR HAVE LAUNCHED MEDICAID PROGRAMS
* HAWAII, GUAM, AM. SAMOA – UNKNOWN
* VIRGIN ISLANDS – UNKNOWN

ACTIVE REGISTRATIONS:
o HOSPITALS → 4,257 (5,724 IN U.S. – 74%)
o MEDICARE ELIGIBLE PROVIDERS → 253,477 (834,769 U.S. PHYSICIANS – 30%)
o MEDICAID ELIGIBLE PROVIDERS → 114,866 (U.S. PHYSICIANS – 14%)

TOTAL ATTESTATION:
o HOSPITAL ATTESTATION → $7,861,299,090
o MEDICARE EP STAGE 1 ATTESTATION → $2,134,906,925
o MEDICAID EP YEAR 1 & 2 ATTESTATION → $1,595,896,115

REVIEW: 4 MARKS OF MU

STAGE 1:
• ADOPT & USE EHR
• CAPTURE DATA

STAGE 2
• ADOPT & USE EHR
• CAPTURE DATA
• MOVE DATA
• REPORT DATA

PENALTIES :THE FACTS YOU NEED TO KNOW

HITECH REQUIRES PAYMENT ADJUSTMENT IF A PROVIDER SHOWS NO MU BY 2015
APPLIES TO ALL PROVIDERS TREATING MEDICARE PART B PFS PATIENTS

PAYMENT ADJUSTMENT BASED ON PRIOR YEAR’S REPORTING PERIOD

THERE WILL BE A 2 YEAR LAG BETWEEN WHEN THE DATA IS REPORTED AND WHEN THEY APPLY THE PAYMENT ADJUSTMENT

IF PROVIDER ATTESTED TO MU IN 2011/2012, THEY WILL NEED A FULL YEAR OF MU REPORTING IN 2013 TO AVOID PENALTY.

REMEMBER: ADOPTING, IMPLEMENTING OR UPGRADING YOUR EHR IS NOT MU!

COMPLETE MEDICARE MU REGISTRATION & ATTESTATION BY 10/1/2014 = NO ADJUSTMENT IN 2015

WHICH MEANS: 90-DAY REPORTING PERIOD NO LATER THAN 7/1/2014

PROVIDERS MUST CONTINUE TO MEET MU ANNUALLY TO AVOID ADJUSTMENTS IN SUBSEQUENT YEARS

HOSPITAL-BASED EPS (90% OF SERVICES) NOT ELIGIBLE SO NOT SUBJECT TO PENALTIES

LEARN MORE ABOUT MU STAGE 2:
http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm

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MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES Presentation Transcript