Dentists &MeaningfulUse: Stage 1Adele Allison,National Director of Government Affairs,SuccessEHS
TheOpportunity
•Dentists are eligibleunder both Medicareand Medicaid IncentiveProgramsHowever…
•Medicare does notcover General Dentistry;No Medicare, NoIncentiveAnd…
• No oral health measures inMeaningful Use Stage 1 –No Standards for EDR  Certification –All applicable measures must  be ...
•253 dentists were paidduring Year One of theIncentive ProgramYTD earnings =$5,376,250
•Same Stage 1 Criteriaapplies•Consider 13 exclusionclauses
Medicaid EHRIncentives:Highlights
• Types of (Medicaid)Providers – §495.100–Physicians, Dentists, Certified Nurse Midwives, Nurse Practitioners, Physician A...
• Year 1: Adopt, Implement,Upgrade – §495.100 –Acquire, purchase or secure  access to certified EHR  technology –Install/u...
−Expand functionality of certified EHR solution at the practice with: −Staffing −Maintenance −Training −Upgrading from exi...
• Year 2: Meaningful Use for90 continuous days.• Years 3 – 6: MeaningfulUse for a full year.
• Must meet the individualstate requirements forvolume threshold–20% for Pediatricians–30% for FQHCs and RHCs–30% for all ...
• Defined in the State’sSMHP – Method’s available–By Encounter–By Panel–By Group–Other
• “Needy Individual” is a  patient who… §495.302  (FQHC/RHC) −Receives Medicaid or CHIP  assistance −Receives uncompensate...
• “Needy Individual” is a  patient who… §495.302  (FQHC/RHC) −Services provided at no cost  or reduced cost based on  slid...
Dentists &MU: Metrics
• 67% of U.S. dentists are in a  solo practice• 65% of U.S. dentists are  “General”• 70% of Americans see the  dentist one...
• 2% of dentists work full-time  in safety net• 4.6 million children receive  no dental care due to cost• 33.3 million liv...
• 6.7% of general dentists’  patients are publicly insured• 18.9% of pediatric dentists’  patients are publicly insured
Dentists &MU: Barriers
• Few dentists meet the 30%  volume threshold  requirement for MU• 20% volume threshold does  not apply to pediatric  dent...
• Dentists are not on REC “hit  list,” including safety net  dentists• Dentistry uses “procedure  codes.” This does not in...
• Dentists must continue CMS  communication• Most patients see the  dentist when “Well.” This is  a missed opportunity for...
• The IT infrastructure that is  common to physicians and  hospitals is virtually non-  existent in dentistry• U.S. dentis...
• There is a lack of EHR and  EDR standards-based  interoperability in  marketplace
For more information aboutindustry trends, visitwww.successehs.com forwhite papers, articles, blogposts and more!  Click h...
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Dentists and Meaningful Use: Stage 1

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Is there an opportunity for dentists to receive Meaningful Use Incentive funds? What measures must be performed to qualify, and are those measures the same as other physicians? Find out in this informative presentation on Dentists and Meaningful Use.

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Dentists and Meaningful Use: Stage 1

  1. 1. Dentists &MeaningfulUse: Stage 1Adele Allison,National Director of Government Affairs,SuccessEHS
  2. 2. TheOpportunity
  3. 3. •Dentists are eligibleunder both Medicareand Medicaid IncentiveProgramsHowever…
  4. 4. •Medicare does notcover General Dentistry;No Medicare, NoIncentiveAnd…
  5. 5. • No oral health measures inMeaningful Use Stage 1 –No Standards for EDR Certification –All applicable measures must be performed using EHR Functionality
  6. 6. •253 dentists were paidduring Year One of theIncentive ProgramYTD earnings =$5,376,250
  7. 7. •Same Stage 1 Criteriaapplies•Consider 13 exclusionclauses
  8. 8. Medicaid EHRIncentives:Highlights
  9. 9. • Types of (Medicaid)Providers – §495.100–Physicians, Dentists, Certified Nurse Midwives, Nurse Practitioners, Physician Assistants (In FQHC/RHC led by PA)
  10. 10. • Year 1: Adopt, Implement,Upgrade – §495.100 –Acquire, purchase or secure access to certified EHR technology –Install/use certified EHR technology capable of MU Or…
  11. 11. −Expand functionality of certified EHR solution at the practice with: −Staffing −Maintenance −Training −Upgrading from existing EHR to certified EHR technology.
  12. 12. • Year 2: Meaningful Use for90 continuous days.• Years 3 – 6: MeaningfulUse for a full year.
  13. 13. • Must meet the individualstate requirements forvolume threshold–20% for Pediatricians–30% for FQHCs and RHCs–30% for all others
  14. 14. • Defined in the State’sSMHP – Method’s available–By Encounter–By Panel–By Group–Other
  15. 15. • “Needy Individual” is a patient who… §495.302 (FQHC/RHC) −Receives Medicaid or CHIP assistance −Receives uncompensated care by the provider
  16. 16. • “Needy Individual” is a patient who… §495.302 (FQHC/RHC) −Services provided at no cost or reduced cost based on sliding scale and ability to pay
  17. 17. Dentists &MU: Metrics
  18. 18. • 67% of U.S. dentists are in a solo practice• 65% of U.S. dentists are “General”• 70% of Americans see the dentist one time a year
  19. 19. • 2% of dentists work full-time in safety net• 4.6 million children receive no dental care due to cost• 33.3 million live in Dental Health Professional Shortage Areas
  20. 20. • 6.7% of general dentists’ patients are publicly insured• 18.9% of pediatric dentists’ patients are publicly insured
  21. 21. Dentists &MU: Barriers
  22. 22. • Few dentists meet the 30% volume threshold requirement for MU• 20% volume threshold does not apply to pediatric dentists
  23. 23. • Dentists are not on REC “hit list,” including safety net dentists• Dentistry uses “procedure codes.” This does not include Diagnostic Codes (ICD-9)
  24. 24. • Dentists must continue CMS communication• Most patients see the dentist when “Well.” This is a missed opportunity for point-of-care alerting
  25. 25. • The IT infrastructure that is common to physicians and hospitals is virtually non- existent in dentistry• U.S. dentists use the current dental terminology
  26. 26. • There is a lack of EHR and EDR standards-based interoperability in marketplace
  27. 27. For more information aboutindustry trends, visitwww.successehs.com forwhite papers, articles, blogposts and more! Click here for our industry blog

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