The document discusses key aspects of Meaningful Use Stage 1, including: 1) Eligible providers can qualify for EHR incentive payments through Medicare or Medicaid by meeting Meaningful Use objectives such as recording patient demographics and smoking status for a specified number of patients. 2) There are three stages of Meaningful Use with increasing requirements to improve outcomes, such as engaging patients and improving care coordination. 3) Providers have until February 28th of the following year to attest they met Meaningful Use requirements for an incentive payment for the prior year. Failure to meet requirements could result in penalties under Medicare.

1. Meaningful Use Stage 1
Webinar
Learn how to qualify for the EHR Incentive
Program

2. 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
Defining Key Terms
2

3. Utilizing an EHR to improve health outcomes
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
What is Meaningful Use?
3

4. Stages of Meaningful Use
4
Stages of Meaningful Use
1
STAGE
Data capture
and
sharing
2
STAGE
3
STAGE
Advanced
clinical
processes
Improve
outcomes

5. Stages of Meaningful Use
(based on year of adoption)
5

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 Professionals in the EHR Incentive Program
6
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. + Medicare
 No incentives available if starting in 2015
 Penalties go into effect in 2015
 Year 1: Meet Meaningful Use requirements for 90
days
+ Medicaid
 Maximum incentive by starting in 2015: $63,750
 Penalties do not apply
 Year 1: A/I/U or meet Meaningful Use requirements
for 90 days
Medicare v. Medicaid
7

8. + Incentives
 You will earn 75% of your allowed
charges up to the annual cap
 If 2014 was first year of participation,
maximum payment is:
Medicare Incentive and Penalty Timeline
8
Year Max Payment
2014 $11,760
2015 $7,840
2016 $3,920
Reporting Year Penalty Year Penalty Amount
2013 2015 -1%
2014 2016 -2%
2015 2017 -3%
2016 2018 -4%
2017 2019 -5%
+ Penalties
 Apply to providers who are eligible for the Medicare program
 You must continue to meet program requirements each year to avoid
penalty

9. + Lump sum payment
+ Max incentive doesn’t change based
on year of adoption
+ You will need to report your Medicaid
patient volume each year
Medicaid Incentive Timeline
9
May payout in year Adoption in 2014 Adoption in 2015
2014 $21,250
2015 $8,500 $21,250
2016 $8,500 $8,500
2017 $8,500 $8,500
2018 $8,500 $8,500
2019 $8,500 $8,500
2020 $8,500

10. + First Year
 Custom 90 day reporting period
 Any 90 days within 2015
+ Second Year
 Full year reporting period
 January 1, 2015 – December 31, 2015
+ Medicaid
 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
10

11. Reporting Period
11
Stage 1 Requirements
9 Clinical Quality Measures (CQMs)
+ You must report at least 9 CQMs covering 3 NQS domains directly
Fusion’s CQM report
13
CORE
5
MENU
18MEASURES

12. Exclusions exempt you from completing certain measures
What is a measure if outside the scope of my
practice?
12
▪ 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.

13. + 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?
13

14. Stage 1 Workflow Phases
14
• Record Demographics (C-7)
• Collect email / invite to Patient Portal (C-11, C-12)Check-In
• RecordVitals (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)
• ProvideTransition of Care Summary (M-7)
• Order Labs (M-2)
Post-Exam
Phase Action

15. + In order to receive credit for Meaningful Use measures
based on unique patients seen during the reporting period,
you must sign a note with an encounter type of “Office
visit,” “Home visit,” “Nursing Home visit,” or “Telemedicine
visit.”
+ Providers must navigate to the new chart note to select an
encounter type by clicking “Finalize” or “View in new
EHR.”
+ Only the provider who signs the note receives
denominator credit.
Choosing an encounter type for Meaningful Use
15

16. + 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
+ Deadline to attest for 2015 reporting year:
February 28, 2016
+ All providers are potentially subject to an audit
Attestation
16

17. Next Steps for Success
17
Sign up for eRx
and labs
Start using
Practice Fusion
to see all
patients
Use the
Dashboard,
Knowledge Base
& MU Center