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Meaningful Use Stage 1 Kickoff

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Get started with Stage 1 of Meaningful Use with our easy-to-use resources and detailed steps to fulfill the criteria.

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Meaningful Use Stage 1 Kickoff

  1. 1. Meaningful Use Stage 1 Kick-Off Webinar Learn how to qualify for the EHR Incentive Program
  2. 2. Defining Key Terms Term Definition The Health Information Technology for Economic and Clinical Health Act (HITECH) The piece of legislation that created the EHR Incentive Program Center for Medicare and Medicaid Services (CMS) The governing body responsible for administering the Meaningful Use program and dispersing payments Attestation The process of reporting information to CMS in order to qualify for an incentive payment Adopt / Implement / Upgrade (A/I/U) Option for a first year Medicaid incentive payment Meaningful Use (MU) Dashboard Practice Fusion’s tool to help you stay on track with meeting Meaningful Use criteria
  3. 3. Utilizing an EHR to improve health outcomes What is Meaningful Use? Objectives + Improve quality, safety, and efficiency of patient care + Engage patients and family + Improve care coordination + Improve public health + Maintain privacy and security of patient health information
  4. 4. Stages of Meaningful Use 1 STAGE Data capture and sharing 2 STAGE 3 STAGE Advanced clinical processes Improve outcomes
  5. 5. Stages of Meaningful Use (based on year of adoption) Year of adoption Year 2011 2012 2013 2014 2015 2016 2017 2011 1 1 1 2 2 2 3 2012 1 1 2 2 2 3 2013 1 1 2 2 3 2014 1 1 2 2 2015 1 1 2 2016 1 1
  6. 6. + 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 Eligible Professional in the EHR Incentive Program 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
  7. 7. + 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. Is Meaningful Use based on all patients?
  8. 8. + Medicare  Maximum incentive by starting in 2014: $23,520  Penalties are applicable if you do not participate  Year 1: Meet Meaningful Use requirements for 90 days + Medicaid  Maximum incentive by starting in 2014: $63,750  Penalties do not apply  Year 1: A/I/U or meet Meaningful Use requirements for 90 days Medicare v Medicaid
  9. 9. + Incentives decrease over time + Sliding scale payment + You will earn 75% of your allowed charges up to the annual cap Medicare Incentive Payment Timeline Max payout in year… First year of participation 2013 2014 No adoption 2011 2012 2013 $14,700 2014 $11,760 $11,760 2015 $7,840 $7,840 -1% 2016 $3,920 $3,920 -2% Total $38,220 $23,520 $0
  10. 10. + Lump-sum payment + Max incentive does not change based on year of adoption + You will need to report your Medicaid patient volume each year Medicaid Incentive Payment Timeline Max payout in year… Year of adoption 2013 2014 2015 2011 2012 2013 $21,250 2014 $8,500 $21,250 2015 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 2017 $8,500 $8,500 $8,500 2018 $8,500 $8,500 $8,500 2019 $8,500 $8,500 2020 $8,500 Total $63,750 $63,750 $63,750
  11. 11. + Apply to providers who receive Medicare Part B reimbursements + 2 year look back + 2014 exception:  1st year participants can avoid a penalty in 2015 and 2016  Must attest by October 1, 2014 + You must continue to meet the program requirements each year to avoid penalty Penalties Reporting Year Penalty Year Penalty Amount 2013 2015 -1% 2014 2016 -2% 2015 2017 -3% 2016 2018 -4% 2017 2019 -5%
  12. 12. + 2014 - 3 month quarter reporting period options:  Q1 (Jan 1 – March 31)  Q2 (Apr 1 – Jun 30)  Q3 (Jul 1 – Sept 31)  Q4 (Oct 1 – Dec 1) + 1st year Medicare providers may choose a custom 90 day reporting period + State Medicaid programs may allow different reporting periods  Check with your state agency for more details  Completing the requirements for A/I/U does not involve a reporting period Reporting Period
  13. 13. + Avoid penalties on future Medicare reimbursements. + Attestation deadline is October 1st, which means you must begin your reporting period by July 1, 2014. + Waiting until the last minute could cost you up to $23,520 and saddle you with a penalty on all of your Medicare Part B reimbursements starting in 2015. Why Start Now
  14. 14. Stage 1 Requirements 9 Clinical Quality Measures (CQMs) + You must report at least 9 CQMs directly from Practice Fusion’s 2014 CQM report 13 CORE 5 MENU 18MEASURES
  15. 15. Exclusions exempt you from completing certain measures What if a measure is outside the scope of my practice? Key Facts + Eligible exclusions can be claimed during attestation + If you claim an exclusion, you should have relevant documentation for support + Exclusions will not count towards meeting a menu measure, so you must first select menu measures that are relevant to your scope of practice + If you can’t achieve 5 of the 9 menu measures, you must attest to an exclusion for the remaining menu measures Example + Core 9 – Record Smoking Status: Any eligible provider who sees no patients 13 years or older.
  16. 16. + Measure: Provide more than 50% of all unique patients seen during the reporting period online access to their health information within 4 business days. + PF Workflow: Give patients access to the Patient Portal (Patient Fusion) + If your patients do not have email:  Ask if they have a spouse, patient, child, guardian, caregiver, or other authorized representative  Educate patients about the benefits of having online access to their information New Core Measure: Patient Electronic Access
  17. 17. Stage 1 Workflow Phases • Record Demographics (C-7) • Collect email / invite to Patient Portal (C-11, C-12) Check-In • Record Vitals (C-8) • Record Smoking Status (C-9) • Record Drug Allergies (C-6) • Record Diagnoses (C-3) • E-Prescribe / CPOE / Maintain Rx List (C-1, 4, 5) • Provide Patient Education (M-6) Intake Exam • Print Clinical Summary if necessary (C-13) • Provide Transition of Care Summary (M-7) • Order Labs (M-2) Post-Exam Phase Action
  18. 18. + You must select encounter type “Office visit” or “Home visit” and sign the SOAP note to receive credit for Meaningful Use measures based on unique patients seen during the reporting period. + Providers must navigate to the new HTML chart note to select an encounter type by clicking “Finalize.” + Only the provider who signs the note receives denominator credit. Choosing An Encounter Type for Meaningful Use
  19. 19. + Attestation is the process of legally declaring you met the Meaningful Use requirements + You must submit values for core, menu, and CQM values online after your reporting period + Deadline to attest for 2014 reporting year: February 28, 2015  First year Medicare participants must attest by October 1, 2014 to avoid a 1% penalty in 2015 + All providers are potentially subject to an audit Attestation
  20. 20. Sign up for eRx and labs Start using Practice Fusion to see all patients Use the Dashboard, Help Forum & MU Center Next Steps for Success

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