1. Changes in EHR
In the Performance Year 2019
For Providers & Hospitals
Pramod is a US Healthcare Specialist who seeks to augment the efficiency of
healthcare administration by integrating regulatory changes into EHR systems
without affecting its existing behavior. He has extensive hands-on experience in
helping multiple EHR applications become MU Stage 2 and Stage 3 compliant.
His responsibilities include the development of test plans and strategies for the
investigation of potential solutions to looming healthcare problems.

2. 2019 Quality Payment
Program (QPP) Changes
Eligibility
MIPS Promoting
Interoperability Performance
Category in 2019
MIPS Cost Performance
Category in 2019
MIPS Quality Performance
Category in 2019
MIPS Improvement Activities
Performance Category In
2019
MIPS Bonuses In 2019
2019 EHR Eligible Hospital
Payment Adjustment
CMS Exception Process
Payment Adjustment With
Respect to Meaningful Use
Criteria
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3. In order to avoid the payment adjustment, eligible hospitals can apply for hardship exceptions claiming that there were
extreme and uncontrollable circumstances that prevented them from being compliant to meaningful use. Hardship
exceptions are granted on a case-by-case basis, only if the CMS finds that requiring an eligible hospital to be using
the 2015 Edition CEHRT, would result in a significant hardship for the hospital. Hospitals and CAHs are required to
submit the applications on or before July 1st of the year before the applicable payment adjustment year. For the FY
2019 payment adjustment, for instance, the deadline was July 1, 2018.
The following are the categories where eligible hospitals can apply for hardship exceptions:
Hospitals have to demonstrate that they are compliant to meaningful use every year according to the timelines defined
by CMS in order to avoid negative Medicare payments adjustments. For example, an eligible hospital that demonstrates
meaningful use for the first time in 2013 will avoid the negative payment adjustment in FY 2015, but will need to
demonstrate meaningful use again in 2015 in order to avoid the negative payment adjustment in FY 2017.
The CMS Exception Process
Payment Adjustment with respect to Meaningful
Use criteria
New eligible hospitals:
Eligible hospitals with new CMS Certification Numbers (CCNs) that do not have the time to become meaningful
EHR users can apply for an exception for one full cost reporting period.
Infrastructure:
Eligible hospitals should demonstrate that they are in a remote location lacking sufficient internet access or
the provision to obtain necessary infrastructure (e.g., lack of broadband).
Unforeseen Circumstances:
This may include a natural disaster or other unforeseeable natural calamities or geographical barriers.
EHR Vendor Issues:
This includes hospitals that were unable to implement meaningful use due to EHR certification delays or the
eligible hospital’s EHR vendor’s failure to obtain certification.
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4. We listen, we understand and we deliver.
WehavebeenaroundforawhilenowandhavebeenmakingourmarkintheHealthcare
industry. We have been steadily moving into various areas of US Healthcare, starting
off from Meaningful Use Stage 2. With time we have traversed the journey from the
clinical space to financial aspects of healthcare. Kind words from our clients and their
continued belief in our capabilities to deliver have kept us steadfast on the path of
growth.
Nalashaa has the expertise and experience that can help care
providers adapt to the 2019 changes to the certified EHR criteria.
With the CMS upping the focus on Certified EHR technology in
a bid to ramp up the interoperability of Healthcare IT systems,
providers need to stay on top of the most recent changes in EHR
regulatory requirements. This is required in order to be eligible
to participate in MIPS improvement activities from the year
2019.
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732-602-2560 X 200 www.nalashaahealth.com
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