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Medical Transcription Services - MxSecure

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Learn more about Medical Transcription Services, EHR & The HITECH Act in this OnDemand webinar presented by MxSecure, Inc.

Published in: Health & Medicine
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Medical Transcription Services - MxSecure

  1. 1. Sponsored by:
  2. 2. <ul><li>HITECH Act </li></ul><ul><ul><li>What is it? </li></ul></ul><ul><ul><li>Who qualifies? </li></ul></ul><ul><ul><li>What are the incentives? </li></ul></ul><ul><li>What do Professionals need to do to qualify? </li></ul>
  3. 3. <ul><li>Part of the American Recovery and Reinvestment Act </li></ul><ul><li>Incentives to encourage Professionals and hospitals to utilize EHR technology </li></ul><ul><li>Incentives in the form of payments to “Eligible Professionals” and hospitals that see Medicare/Medicaid patients </li></ul><ul><li>Focus on Eligible Professionals </li></ul>
  4. 4. <ul><li>Medicare: </li></ul><ul><li>MD, DO, DDS, DPM, OD, DC </li></ul><ul><li>Does not include hospital-based Professionals </li></ul><ul><li>Incentives are up to $44,000 per provider </li></ul><ul><li>Medicaid: </li></ul><ul><li>Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC </li></ul><ul><li>Incentives up to $63,750 </li></ul><ul><li>Must see 30% Medicaid patients </li></ul><ul><li>Pediatricians qualify at 20% </li></ul><ul><li>Pick one program only—you may switch one time </li></ul>
  5. 5. Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009 Incentives 2011 2012 2013 2014 2015+ 2011 $18,000 - - - - 2012 $12,000 $18,000 - - - 2013 $8,000 $12,000 $15,000 - - 2014 $4,000 $8,000 $12,000 $12,000 - 2015 $2,000 $4,000 $8,000 $8,000 $0 2016 $0 $2,000 $4,000 $4,000 $0 2017 $0 $0 $0 $0 $0 Total Incentives $44,000 $44,000 $39,000 $24,000 $0
  6. 6. <ul><li>Based on Part B FFS claims </li></ul><ul><li>Applies only to services furnished by EP </li></ul><ul><li>Professional components only </li></ul><ul><li>75% of submitted allowable charges </li></ul><ul><li>EPs in Health Provider Shortage Area earn an additional 10% </li></ul>
  7. 7. Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009 Incentives 2011 2012 Repeated through 2017 2011 $21,250 - - 2012 $8,500 $21,250 - 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 years 2-6 2015 $8,500 $8,500 2016 $8,500 $8,500 2017 - $8,500 Total Incentives $63,750 $63,750 $63,750
  8. 8. <ul><li>Incentive amount based on what CMS has identified as the “net allowable cost” of purchasing, implementing and maintaining an EHR system </li></ul><ul><li>Per CMS, the cost alone is $54,000 </li></ul><ul><li>Maximum payment is $63,750 </li></ul><ul><li>At least 30% of your patient encounters for the reporting period must be Medicaid </li></ul><ul><li>Pediatricians qualify at 20% </li></ul>
  9. 9. <ul><li>Certified EHR </li></ul><ul><ul><li>HHS will determine the certifying body or bodies </li></ul></ul><ul><ul><li>Responsibility of EHR vendor </li></ul></ul><ul><li>Meaningful Use </li></ul><ul><ul><li>25 criteria have been proposed </li></ul></ul><ul><ul><li>Responsibility of the EP </li></ul></ul>
  10. 10. <ul><li>For Medicare Eligible Professionals, the first payment year begins 1/1/2011 and is based on a calendar year (hospitals are being paid using the federal fiscal year) </li></ul><ul><li>For Medicaid Eligible Professionals, the first payment year can begin as early as 2010 if you are in the process of implementing an EHR already </li></ul>
  11. 11. <ul><li>First year: any continuous 90-day period within the payment year </li></ul><ul><ul><li>Example: January 1-March 31, 2011 </li></ul></ul><ul><li>Second year onward: entire payment year </li></ul><ul><ul><li>Example: January 1 – December 31, 2012 </li></ul></ul>
  12. 12. <ul><li>National Provider Identifier </li></ul><ul><li>Single data repository to track identification </li></ul><ul><li>Medicare – CMS </li></ul><ul><li>Medicaid - States </li></ul>
  13. 13. <ul><li>12/30/09: Notice of Proposed Rule Making </li></ul><ul><ul><li>556 pages: www.hhs.org </li></ul></ul><ul><li>3/15/10: 60 day comment period expired </li></ul><ul><li>Final ruling approximately 6/1/10 </li></ul><ul><li>Gives us more details defining </li></ul><ul><li>“ meaningful use” </li></ul>
  14. 14. <ul><li>STAGE 1 2011 and 2012 </li></ul><ul><li>STAGE 2 2013 and 2014 </li></ul><ul><li>STAGE 3 2015 </li></ul><ul><li>You only need to meet the Stage 1 requirements in your first year, regardless of when that is. However, in your second year, you must meet the requirements for the Stage assigned to that payment year. </li></ul>
  15. 15. <ul><li>25 meaningful use requirements in Stage 1 </li></ul><ul><li>5 pillars of meaningful use </li></ul><ul><ul><li>Patient/family engagement </li></ul></ul><ul><ul><li>Coordinated care </li></ul></ul><ul><ul><li>Quality, safety and efficiency </li></ul></ul><ul><ul><li>Privacy and security </li></ul></ul><ul><ul><li>Improve public and population health </li></ul></ul>
  16. 16. <ul><li>Getting an EHR that is CCHIT certified now does not qualify you for stimulus payments </li></ul><ul><li>Meaningful use is up to you </li></ul><ul><li>Keep the well-being of your patients and your practice in mind </li></ul>
  17. 17. <ul><li>Providers can earn up to $44,000 in Medicare incentives or $63,750 in Medicaid incentives </li></ul><ul><li>Requires use of a certified EHR (HHS) </li></ul><ul><li>Requires meaningful use and ability to report on meaningful use </li></ul><ul><li>Incentives start in 2011 </li></ul><ul><li>Earlier adopters can earn more incentives </li></ul>
  18. 18. <ul><li>For more information contact: </li></ul><ul><li>Barbara Brownlee </li></ul><ul><li>[email_address] </li></ul><ul><li>888.580.1010-Toll Free </li></ul><ul><li>480.776.8933-Direct </li></ul><ul><li>Source: Title XIII of the American Recovery and Investment Act of 2009 </li></ul><ul><li>www.hhs.org </li></ul>

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