Gain added clarity about your 2014 Meaningful Use attestation options to avoid Medicare payment adjustments, including timeline and impacts of recent CMS proposed rule changes. Preview the new interactive decision tool and understand compliance exemptions.
Meaningful Use Stage 2 Summary of Care Data Exchange with Practice FusionPractice Fusion
Stage 2 of Meaningful Use requires that providers complete three Summary of Care measures related to sending referrals. Practice Fusion has enabled providers to complete these measures through our new referral workflows.
To learn about how these referral workflows work (including Direct messaging) and how these workflows relate to Meaningful Use, review the slideshow. This detailed guide will walk you through understanding Direct and how to enable it, the variety of ways to send a referral in Practice Fusion, and how to achieve the related Meaningful Use measures.
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
Meaningful Use Stage 2 Summary of Care Data Exchange with Practice FusionPractice Fusion
Stage 2 of Meaningful Use requires that providers complete three Summary of Care measures related to sending referrals. Practice Fusion has enabled providers to complete these measures through our new referral workflows.
To learn about how these referral workflows work (including Direct messaging) and how these workflows relate to Meaningful Use, review the slideshow. This detailed guide will walk you through understanding Direct and how to enable it, the variety of ways to send a referral in Practice Fusion, and how to achieve the related Meaningful Use measures.
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Basic explanation of the physician quality reporting system. Some of the due dates and actions that could be taken before Dec 31st to prevent losing money in the future.
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
SourceMed Therapy Q1 2016 Regulatory Update, hosted by Chief Therapy Officer David McMullan, PT. Covering news and regulatory updates for the outpatient physical therapy industry.
Our Insights webinar this week tackles a little-known program that will have a big impact on fee-for-service Medicare providers. The Value-Based Payment Modifier (or Value Modifier for short) is something every Medicare provider should know about as soon as possible. One way or another, providers will wind up on either the incentive or penalty side of this legislation. Take advantage of our webinar for in-depth information on this complex and far-reaching topic.
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
In the age of core system replacements, there are a lot of tough decisions that have to be made. Quirk Healthcare lends its expertise of this difficult topic in this weeks Insight.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Basic explanation of the physician quality reporting system. Some of the due dates and actions that could be taken before Dec 31st to prevent losing money in the future.
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
SourceMed Therapy Q1 2016 Regulatory Update, hosted by Chief Therapy Officer David McMullan, PT. Covering news and regulatory updates for the outpatient physical therapy industry.
Our Insights webinar this week tackles a little-known program that will have a big impact on fee-for-service Medicare providers. The Value-Based Payment Modifier (or Value Modifier for short) is something every Medicare provider should know about as soon as possible. One way or another, providers will wind up on either the incentive or penalty side of this legislation. Take advantage of our webinar for in-depth information on this complex and far-reaching topic.
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
In the age of core system replacements, there are a lot of tough decisions that have to be made. Quirk Healthcare lends its expertise of this difficult topic in this weeks Insight.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
The recent extension of the ICD-10 deadline was greeted with mixed reactions throughout the healthcare industry. Some favored an extension, while others preferred to move ahead with the change. In this webinar, we look at the pros and cons of the delay and how it will affect providers and patients. Reactions from other vendors are also presented.
Overcoming the Struggles of Small PracticesBen Quirk
Small practices face many struggles on the road to success. This webinar overviews the top obstacles they face, addresses the reasons behind the decline in numbers of independent practices, and provides solutions for them to remain successful despite the challenges.
By 2015, group physician practices of 10 or more eligible Medicare providers will be required by the Centers for Medicare and Medicaid Services to participate in the value-based modifier program. Is your practice prepared to participate? This Quirk Healthcare Solutions Insights webinar provides a solid overview of the impending rollout.
End of Life Planning - Directives by DesignBen Quirk
Learn about Directives by Design, a culturally sensitive tool to guide patients through end of life choices and create a living will as required for hospitals in MU2.
This webinar covers Health Information Technology (HIT) topics that are very much on everyone's mind today. From ICD-10 and SNOMED coding to MU and PQRS regs, this webinar will fill you in on the background and details you need to know. And if you're currently using an older version of NextGen/KBM, you'll find the upgrade info on those systems especially useful. Take advantage of this free information from Quirk Healthcare Solutions.
In some ways, 2014 turned out to be not quite as cataclysmic as expected. However, maintaining a strong road map for the future remains critical especially with the ever shifting regulatory landscape. Learn four simple things to focus on for the remainder of 2014.
Ben Quirk spoke to the South Florida medical group community about the impact of ICD-10 on the healthcare industry. It was a very informative talk that covered a lot of need-to-know details, including how ICD-10 relates to Meaningful Use and SNOMED.
In this webinar, we explore the topic of Meaningful Use (MU) hardship exceptions. This should be of great interest to practices who are unable to attest for MU Stage 2 through no fault of their own. Here you'll find background on the exceptions, the categories CMS uses to determine valid hardships, and basic instructions on how to apply.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
For a change of pace, this latest Insights webinar covers the HIMSS (Healthcare Information and Management Systems Society) convention recently held in Orlando, Florida. Our CEO Ben Quirk attended the event and reports his observations, focusing on how convention activities reflect the state of the healthcare industry in 2014.
Meaningful Use: Programs, Penalities, and PaymentsBen Quirk
Meaningful Use is not dead!
MIPS may be just around the corner, but MU is still very much in the picture. There is enough time, however, for your practice to optimize 2016 reporting and increase 2018 payments and avoid penalties.
This presentation takes you through the steps needed to successfully attest for 2016 and be prepared for upcoming changes.
Did you know that ALL of your Medicare reimbursements will be docked if you don't participate in the PQRS reporting program? This applies to mental / behavioral heath and substance abuse providers - get the full scoop in our guide.
Important Events & Dates for Medical Practices in 2014Manage My Practice
This year will have many challenges and one of them is keeping up with important dates to be met. Here is an overview of the most pertinent dates and a way to download a handy calendar of these dates to keep nearby.
The Medicare and Medicaid EHR Incentive Programs offer financial incentives for the
“meaningful use” of certified EHR technology to improve patient care. Read More.. www.curemd.com
Meaningful Use encompasses multiple stages, each with specific timeline and measure requirements that continue to be a moving target. This can be a confusing process, sending providers in a tailspin in their attempts to stay current. This webinar focuses on the overall details of Meaningful Use and provides a nice outline of all of its details.
Clinical Quality Measures (CQMs) for Meaningful Use & PQRSEmily Richmond
This presentation provides information on reporting clinical quality measures (CQMs) for Meaningful Use and PQRS, while also providing detailed information on the quality measure specifications that Practice Fusion currently supports.
Practice Fusion is a free, web-based, 2014 certified complete ambulatory EHR.
www.practicefusion.com/signup/
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
By now you are very aware that Behavioral Health Providers (psychiatrists, D.O.'s, APRNS, etc) are participating in and successfully collecting the Meaningful Use incentive dollars. Year 1 of the Medicaid EHR Incentive payments alone are $21,250 per eligible provider! But how do you get started? It’s all so overwhelming!
*Exactly what is “patient volume"?
*Do I have to be using the certified EHR in order to participate?
*Is there anything I can do to prepare NOW while I am still looking for the right EHR?
If you have these questions or any others about how to take advantage of the Medicaid EHR Incentive program, be sure and watch this one-hour webinar. Mary Givens, Meaningful Use Program Manager, and her team will also be available to follow up with you about the rules in your state if you want to take advantage of some additional 1-on-1 help with the process of participating in the Medicaid EHR Incentive program.
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
This episode continues our COVID-19 COVID-19 Insights Webinar discussing CMS changes, available grants and loans, existing opportunities in telehealth, and more state openings for elective surgeries.
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Does it feel like you’re falling behind on the latest CMS regulatory updates? You’re not alone. The CareOptimize COVID-19 Insights webinar is designed to keep you informed of everything going on with CMS as healthcare practices continue to adjust. Along with CMS updates, this webinar goes over SBA loans and Fee-for-service Advance/Accelerated Medicare payments.
CareOptimize COVID-19 Webinar series episode 2 continues with the most up-to-date news from CMS along with other regulatory changes affecting the healthcare industry. The primary focus is on a trio of distinct provider models and how each of them is managing their practices while adapting to the challenges of the pandemic. We also go over the technology CareOptimize has developed aimed at streamlining COVID-19 monitoring and reporting.
MIPS continues to be a major risk, with practices who do not participate subject to a 5% penalty. This webinar covers:
Rule clarification and changes that have occured since January 1st.
Measure clarification and changes that have occured since January 1st. Your measure calculations may be changing as a result.
Where your practice should be at this point in the year.
How we can help support unique workflows and provider documentation.
In the day and age of value based medicine, it is critical to optimize your reimbursements with more accurate coding.This webinar uses specific examples to demonstrate the intricacies of accurate coding and how you can actually benefit. Questions answered include:
• How is global service reporting changing?
• What procedures require reporting?
• Who is required to report?
• When do new requirements take effect?
MACRA is quickly approaching year 2. CMS recently released their 2018 Proposed Rule, and there are some significant changes everyone should be aware of.
Rather than wading through the 1,058 pages of the Proposed Rule, join CareOptimize for a look at the most important takeaways.
In less than 30 minutes, you'll learn:
Are any of your clinicians now exempt?
What is a Virtual Group, and will it save you money?
Are your practice's priorities aligned with the newly weighted categories?
How can the Proposed Rule increase your 2018 bonus?
Accountable Care Organizations (ACOs) have been part of the healthcare landscape for a while and remain an integral part of the move toward value-based medicine. CMS recently introduced a new model in the MSSP (Medicare Shared Savings Program), ACO Track 1+.
This presentation gives a broad overview of ACOs and explains the basics of the new Track 1+ model. Topics include:
- ACOs and their role in MACRA/MIPS
- Meeting or exceeding the standards
- Why the risk might be worth it
MIPS is here. Are You Ready? CareOptimize Is.
See how the MIPS Management Solution empowers practices like yours to:
1. Know provider scores in real-time and compare those to your peers across the country
2. Provide scorecards for each MIPS category
3. Model different scenarios to determine your highest MIPS score
4. Automatically submit to CMS
5. Choose which level of assistance is best for your organization
... And More!
Let's face it, changes are coming. Healthcare is about to undergo another big shift once the new administration comes in. Between the sure things and the big questions, CareOptimize has found a bit of clarity. Join us to learn what our experts advise you to do to stay on top of it all.
Are you:
Keeping up to date with your risk scoring?
Missing out on reimbursement premiums?
Ensuring accurate health profiles for your patients?
Proper risk adjustment is important, not only to ensure your patients' quality of care, but also to improve your bottom line. This CareOptimize presentation will take you from the basic tenets of risk adjustment to specific ways you can increase your risk scores and get the highest premium payments.
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
Claim denials are costly. Learn the basics of establishing a strong denial management process and strategies to place your focus on denial prevention. Learn to reduce your costs associated with collection on your claims, reduce your days in AR and maintain a healthier Revenue Cycle.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
VERIFICATION AND VALIDATION TOOLKIT Determining Performance Characteristics o...
Expanded Meaningful Use
1. Expanded
Meaningful
Use
Mandates,
Excep4ons
&
A8esta4on
Strategies
Wednesday,
August
6,
2014
Disclaimer:
Nothing
that
we
are
sharing
is
intended
as
legally
binding
or
prescrip7ve
advice.
This
presenta7on
is
a
synthesis
of
publically
available
informa7on
and
best
prac7ces.
2. • Congress
mandated
payment
adjustments
to
Medicare
eligible
professionals
who
are
not
meaningful
users
under
the
EHR
Incen=ve
Program
• Payment
adjustments
will
be
applied
beginning
January
1,
2015
• May
be
exempt
when
able
to
show
that
demonstra=ng
MU
would
result
in
significant
hardship
Expanded
MU
Mandates
3. Expanded
MU
Payment
Adjustments
• Cumula=ve
1%
annual
and
(depending
on
total
meaningful
users
under
program
aLer
2018)
max
cumula=ve
adjustment
can
reach
5%
4. Expanded
MU
Payment
Adjustments-‐
Medicare
Advantage
Organiza=ons
• Audits
to
be
conducted
2years
aLer
payment
year
• Adjustments
“about
six
months”
aLer
MAO
no=fied
of
results
• Correc=ve
plans
must
be
complete
within
that
six
month
period
• CMS
surveyed
all
MAOs
that
received
incen=ve
payments
to
determine
if
able
to
meet
2014
EHR
soLware
requirements
&
concluded
they
should
allow
same
flexibility
offered
to
Fee-‐for-‐
Service
providers
for
2014
• MAO
able
to
use
2011
edi=on
CEHRT
or
combina=on
2011
&
2014
during
2014
repor=ng
period
if
unable
to
fully
implement
2014
edi=on
due
availability
delay
issues
• Beginning
2015,
all
eligible
professionals
and
hospitals
will
be
required
to
report
using
the
2014
edi=on
CEHRT
5. PRIOR
TO
5/23/2014
PROPOSED
RULE
CHANGES
• All
providers
mandated
to
upgrade/adopt
cert
EHR
2014
• All
providers
regardless
of
MU
stage
use
only
three-‐month
(or
90-‐day)
repor=ng
period
2014
• EPs
who
first
demonstrate
MU
in
2014
must
demonstrate
90-‐day
repor=ng
period
to
avoid
2015
adjustments
• Repor=ng
period
must
occur
in
first
9mos
of
calendar
year
2014,
must
a_est
by
October
1,
2014
to
avoid
adjustments
• EPs
must
con=nue
to
demonstrate
MU
every
year
to
avoid
payment
adjustments
in
subsequent
years
Expanded
MU
Mandates
6. • If
finalized,
5/23/14
proposed
rule
change
would
allow
providers
to
meet
Stage
1
or
Stage
2
MU
with
EHRs
cer=fied
to
the
2011
or
2014
criteria
-‐
or
a
combina=on
of
both
• Not
a
blanket
policy
for
all
providers,
proposals
only
apply
to
those
who
can
demonstrate
that
they
are
unable
to
fully
implement
2014
edi=on
EHRs
• Note
that
Stage
1
objec=ves
and
measures
are
referenced
two
ways:
2013
and
2014
– 2013
designa=on
references
the
original
Stage
1
objec=ves
and
measures,
and
the
2014
reflects
those
changes
CMS
finalized
in
the
Stage
2
Final
Rule,
effec=ve
this
year
Expanded
MU
Proposed
Changes
8. Expanded
MU
Strategy
CMS
Decision
Tool
h8ps://www.cms.gov/Regula4ons-‐and-‐Guidance/Legisla4on/
EHRIncen4vePrograms/Downloads/
CEHRT_NPRM_DecisionTool-‐.pdf
Note:
Beginning
in
2015,
all
eligible
providers
would
be
required
to
report
using
2014
Edi7on
CEHRT.
If..
and..
then..
9. • Proposed
rule
would
formalize
=meline
to
extend
Stage
2
through
2016
-‐
earliest
a
provider
would
par=cipate
in
Stage
3
of
MU
would
be
2017
• CMS
proposed
to
revert
CQM
repor=ng
requirements
for
providers
a_es=ng
with
2011
edi=on
EHR
–
EPs
would
report
on
6
selected
CQMs
as
they
did
in
previous
years
regardless
of
MU
stage
• Providers
with
2014
edi=on
would
s=ll
report
on
the
requirements
finalized
in
the
Stage
2
Final
Rule
• Providers
using
a
combina=on
of
2011
and
2014
Edi=on
CEHRTs
would
need
to
meet
the
CQM
requirements
depending
upon
their
Stage
of
MU
Expanded
MU
Proposed
Changes
10. Expanded
MU
A_esta=on
• 2014
Defini=on
of
Stage
1
EPs
must
meet:
– 13
required
core
objec=ves
– 5
menu
objec=ves
from
a
list
of
9
– Total
of
18
objec=ves
• Those
using
2011
cert
EHR
or
a
combina=on
of
2011
and
2014
edi=ons
choosing
to
report
2013
Defini=on
Stage
1
core
&
menu
objec=ves
reference
CMS
2013
Defini=on
Stage
1
of
Meaningful
Use
webpage
11. Expanded
MU
A_esta=on
• What
changed
for
Stage
1
in
2014:
– Pa4ent
Electronic
Access-‐addi=on
of
new
core
objec=ve
to
provide
pa=ents
with
ability
to
view
online,
download,
and
transmit
health
informa=on
– Record
&
Chart
Changes
in
Vital
Signs-‐increase
in
age
limit
for
recording
blood
pressure
in
pa=ents
to
age
3;
removal
of
age
limit
requirement
for
height
and
weight
(exclusion
for
eligible
professionals:
if
no
pa=ents
3
years
or
older
are
seen;
if
all
three
vital
signs
are
not
relevant
to
scope;
if
height
and
weight
not
relevant
to
scope;
or
if
blood
pressure
not
relevant
to
scope)
– Electronic
Copy
of
Health
Informa4on-‐removal
of
electronic
copy
of
health
informa=on
core
objec=ve
for
Stage
1
for
all
providers
– Clinical
Quality
Measures-‐removal
of
clinical
quality
measure
(CQM)
as
a
separate
core
objec=ve
for
Stage
1
for
all
providers
12. • If
approved,
exemp=on
valid
for
1
payment
year
only
• New
applica=on
required
for
following
payment
year
• Cannot
be
exempted
in
a
any
case
more
than
5
years
• 2015
EP
hardship
app
deadline
was
July
1,
2014
• 2016
applica=on
to
be
published
“soon”
Expanded
MU
Excep=ons
13. !Infrastructure:
must
demonstrate
that
they
are
in
an
area
without
sufficient
internet
access
or
face
insurmountable
barriers
to
obtaining
infrastructure
(e.g.,
lack
of
broadband)
!New
Eligible
Professionals:
insufficient
=me
to
become
meaningful
users,
can
apply
for
a
2-‐year
limited
excep=on
to
payment
adjustments
(if
beginng
prac=ce
in
calendar
year
2015
would
receive
an
excep=on
to
the
penal=es
in
2015
and
2016,
but
would
have
to
begin
demonstra=ng
meaningful
use
in
calendar
year
2016
to
avoid
payment
adjustments
in
2017)
!Unforeseen
Circumstances:
Examples
may
include
a
natural
disaster
or
other
unforeseeable
barrier
Expanded
MU
Excep=ons
14. !Pa4ent
Interac4on:
• Lack
of
face-‐to-‐face
or
telemedicine
interac=on
with
pa=ent
• Lack
of
follow-‐up
need
with
pa=ents
!Prac4ce
at
Mul4ple
Loca4ons:
Lack
of
control
over
availability
of
cert
EHR
for
more
than
50%
of
pa=ent
encounters
"
!2014
EHR
Vendor
Issues:
The
eligible
professional’s
EHR
vendor
was
unable
to
obtain
2014
cer=fica=on
or
the
eligible
professional
was
unable
to
implement
meaningful
use
due
to
2014
EHR
cer=fica=on
delays
Expanded
MU
Excep=ons
15. • A_esta=ons
must
be
completed
by
each
EP
reques=ng
Excep=on
• If
classified
in
the
Medicare
Provider
Enrollment,
Chain
and
Ownership
System
(PECOS)
as
having
one
of
the
following
5
specialty
codes
below
as
primary
area
of
prac=ce
no
exemp=on
form
is
needed
–
automa=cally
exempt
from
the
2015
payment
adjustment
based
on
the
data
in
PECOS
Diagnos=c
Radiology
Nuclear
Medicine
Interven=onal
Radiology
Anesthesiology
Pathology
Expanded
MU
Excep=ons
16. • Regardless
of
whether
an
EP
“passes,”
“hardships,”
“skips,”
or
“fails”
their
“Stage
1,
Year
2”
performance
during
2014
they
will
be
required
to
move
up
to
the
next
stage
– e.g.
PRIOR
TO
5/23/14
RULE
CHANGE
:“Stage
2,
Year
1”
in
2015
(with
a
full
year
repor=ng
period)
&
will
not
get
to
repeat
Stage
1
for
a
third
year
• Policy
applies
even
if
the
Medicare
EP
is
granted
a
“hardship
excep=on”
for
a
given
repor=ng
year,
it
skips,
or
it
fails
Expanded
MU
A_esta=on
17. • Timeline
for
proposed
rule
change
– July
21
public
comment
closed
– Unlike
a
direct
final
rule
process,
CMS
will
have
to
promulgate
&
announce
some
=me
prior
to
10/1/14
• Will
your
EPs
be
compliant
Oct-‐Dec
2014?
• Is
your
EHR
cer=fied,
100%
ready?
• Will
state
level
registry
website
be
ready
with
rule
change
op=ons
to
facilitate
a_esta=on?
• Will
you
have
systems
&
policies
for
pa=ent
portal/
informa=on
exchange
in
place?
Expanded
MU
A_esta=on
18. Expanded
MU
A_esta=on
• Organiza=ons
that
have
already
upgraded
to
2014
CEHRT,
are
conserva=vely
encouraged
to
con=nue
progress
with
building
systems
as
originally
planned
in
2014,
un=l
addi=onal
clarifica=on
from
CMS
through
Final
Rule
• Any
progress
made
can
only
help
accomplish
the
implementa=on
of
your
2014
compliant
EHR
for
the
2014
and
2015
repor=ng
periods
19. Q&A
Thank
You!
Contact
your
Quirk
Project
Specialist
for
Meaningful
Use
strategy
guidance