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.

1. Dentists &
Meaningful
Use: Stage 1
Adele Allison,
National Director of Government Affairs,
SuccessEHS

2. The
Opportunity

3. •Dentists are eligible
under both Medicare
and Medicaid Incentive
Programs
However…

4. •Medicare does not
cover General Dentistry;
No Medicare, No
Incentive
And…

5. • No oral health measures in
Meaningful Use Stage 1
–No Standards for EDR
Certification
–All applicable measures must
be performed using EHR
Functionality

6. •253 dentists were paid
during Year One of the
Incentive Program
YTD earnings =
$5,376,250

7. •Same Stage 1 Criteria
applies
•Consider 13 exclusion
clauses

8. Medicaid EHR
Incentives:
Highlights

9. • Types of (Medicaid)
Providers – §495.100
–Physicians, Dentists, Certified
Nurse Midwives, Nurse
Practitioners, Physician
Assistants (In FQHC/RHC led
by PA)

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. −Expand functionality of
certified EHR solution at the
practice with:
−Staffing
−Maintenance
−Training
−Upgrading from existing EHR to
certified EHR technology.

12. • Year 2: Meaningful Use for
90 continuous days.
• Years 3 – 6: Meaningful
Use for a full year.

13. • Must meet the individual
state requirements for
volume threshold
–20% for Pediatricians
–30% for FQHCs and RHCs
–30% for all others

14. • Defined in the State’s
SMHP – Method’s available
–By Encounter
–By Panel
–By Group
–Other

15. • “Needy Individual” is a
patient who… §495.302
(FQHC/RHC)
−Receives Medicaid or CHIP
assistance
−Receives uncompensated
care by the provider

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. Dentists &
MU: Metrics

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. • 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. • 6.7% of general dentists’
patients are publicly insured
• 18.9% of pediatric dentists’
patients are publicly insured

21. Dentists &
MU: Barriers

22. • Few dentists meet the 30%
volume threshold
requirement for MU
• 20% volume threshold does
not apply to pediatric
dentists

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. • Dentists must continue CMS
communication
• Most patients see the
dentist when “Well.” This is
a missed opportunity for
point-of-care alerting

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. • There is a lack of EHR and
EDR standards-based
interoperability in
marketplace

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