MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES

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Who will pay Medicare penalties and miss out on Meaningful Use incentives? How can providers successfully attest to Meaningful Use? This slideshow covers the facts you need to know about Meaningful Use Medicare penalties. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/
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MEANINGFUL USE: A LOOK BACK
$11.8 BILLION IN TOTAL INCENTIVES PROGRAM TO DATE
o $2.4 BILLION IN MEDICARE INCENTIVES PAID – HOSPITALS/PROVIDERS
o $1.8 BILLION IN MEDICAID INCENTIVES PAID – HOSPITALS/PROVIDERS
o $7.3 BILLION IN MEDICARE/MEDICAID TO HOSPITALS
o 372,000 HOSPITALS / PROFESSIONALS REGISTERED
o 49 STATES, D.C. AND PR HAVE LAUNCHED MEDICAID PROGRAMS
* HAWAII, GUAM, AM. SAMOA – UNKNOWN
* VIRGIN ISLANDS – UNKNOWN

ACTIVE REGISTRATIONS:
o HOSPITALS → 4,257 (5,724 IN U.S. – 74%)
o MEDICARE ELIGIBLE PROVIDERS → 253,477 (834,769 U.S. PHYSICIANS – 30%)
o MEDICAID ELIGIBLE PROVIDERS → 114,866 (U.S. PHYSICIANS – 14%)

TOTAL ATTESTATION:
o HOSPITAL ATTESTATION → $7,861,299,090
o MEDICARE EP STAGE 1 ATTESTATION → $2,134,906,925
o MEDICAID EP YEAR 1 & 2 ATTESTATION → $1,595,896,115

REVIEW: 4 MARKS OF MU

STAGE 1:
• ADOPT & USE EHR
• CAPTURE DATA

STAGE 2
• ADOPT & USE EHR
• CAPTURE DATA
• MOVE DATA
• REPORT DATA

PENALTIES :THE FACTS YOU NEED TO KNOW

HITECH REQUIRES PAYMENT ADJUSTMENT IF A PROVIDER SHOWS NO MU BY 2015
APPLIES TO ALL PROVIDERS TREATING MEDICARE PART B PFS PATIENTS

PAYMENT ADJUSTMENT BASED ON PRIOR YEAR’S REPORTING PERIOD

THERE WILL BE A 2 YEAR LAG BETWEEN WHEN THE DATA IS REPORTED AND WHEN THEY APPLY THE PAYMENT ADJUSTMENT

IF PROVIDER ATTESTED TO MU IN 2011/2012, THEY WILL NEED A FULL YEAR OF MU REPORTING IN 2013 TO AVOID PENALTY.

REMEMBER: ADOPTING, IMPLEMENTING OR UPGRADING YOUR EHR IS NOT MU!

COMPLETE MEDICARE MU REGISTRATION & ATTESTATION BY 10/1/2014 = NO ADJUSTMENT IN 2015

WHICH MEANS: 90-DAY REPORTING PERIOD NO LATER THAN 7/1/2014

PROVIDERS MUST CONTINUE TO MEET MU ANNUALLY TO AVOID ADJUSTMENTS IN SUBSEQUENT YEARS

HOSPITAL-BASED EPS (90% OF SERVICES) NOT ELIGIBLE SO NOT SUBJECT TO PENALTIES

LEARN MORE ABOUT MU STAGE 2:
http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm

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MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES

  1. 1. Meaningful USE Stage 2 & 3  MEDICARE PENALTIES
  2. 2. OVERVIEW§     MEANINGFUL USE : A LOOK BACK§  REVIEW: 4 MARKS OF MEANINGFUL USE§  MEDICARE PENALTIES: THE FACTS
  3. 3. Meaningful USE:A LOOK BACK
  4. 4. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Date    
  5. 5. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Date o  $2.4 Billion in Medicare Incentives Paid – Hospitals/Providers    
  6. 6. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Date o  $2.4 Billion in Medicare Incentives Paid – Hospitals/Providers o  $1.8 Billion in Medicaid Incentives Paid – Hospitals/Providers    
  7. 7. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Date o  $2.4 Billion in Medicare Incentives Paid – Hospitals/Providers o  $1.8 Billion in Medicaid Incentives Paid – Hospitals/Providers o  $7.3 Billion in Medicare/Medicaid to Hospitals  
  8. 8. Meaningful Use: A Look Back o  372,000 Hospitals / Professionals registered    
  9. 9. Meaningful Use: A Look Back o  372,000 Hospitals / Professionals registered o  49 States, D.C. and PR have launched Medicaid Programs * Hawaii, Guam, Am. Samoa – Unknown * Virgin Islands – Unknown    
  10. 10. Meaningful Use: A Look BackActive Registrations:    
  11. 11. Meaningful Use: A Look BackActive Registrations: o  Hospitals → 4,257 (5,724 in U.S. – 74%)    
  12. 12. Meaningful Use: A Look BackActive Registrations: o  Hospitals → 4,257 (5,724 in U.S. – 74%) o  Medicare Eligible Providers → 253,477 (834,769 U.S. Physicians – 30%)    
  13. 13. Meaningful Use: A Look BackActive Registrations: o  Hospitals → 4,257 (5,724 in U.S. – 74%) o  Medicare Eligible Providers → 253,477 (834,769 U.S. Physicians – 30%) o  Medicaid Eligible Providers → 114,866 (U.S. Physicians – 14%)
  14. 14. Meaningful Use: A Look BackTotal Attestation:      
  15. 15. Meaningful Use: A Look BackTotal Attestation: o  Hospital Attestation → $7,861,299,090      
  16. 16. Meaningful Use: A Look BackTotal Attestation: o  Hospital Attestation → $7,861,299,090 o  Medicare EP Stage 1 Attestation → $2,134,906,925  
  17. 17. Meaningful Use: A Look BackTotal Attestation: o  Hospital Attestation → $7,861,299,090 o  Medicare EP Stage 1 Attestation → $2,134,906,925 o  Medicaid EP Year 1 & 2 Attestation → $1,595,896,115
  18. 18. Review:4 MARKS OF MU
  19. 19. stage 1q  Adopt & Use EHR  
  20. 20. stage 1q  Adopt & Use EHRq  Capture Data  
  21. 21. stage 2ü  Adopt & Use EHRü  Capture Dataq  Move Data  
  22. 22. stage 2ü  Adopt & Use EHRü  Capture Dataq  Move Dataq  Report Data  
  23. 23. PENALTIES:THE FACTS YOUNEED TO KNOW
  24. 24. Medicare PENALTIESApplies to all providers treating Medicare Part B PFS Patients  
  25. 25. Medicare Penalties HITECH requires PaymentAdjustment if a provider shows no MU by 2015  
  26. 26. Medicare PenaltiesPayment Adjustment based on prior year’s reporting period    
  27. 27. Medicare PenaltiesPayment Adjustment based on prior year’s reporting period   *  
  28. 28. Medicare PenaltiesPayment Adjustment based on prior year’s reporting period   There will be a 2 year lag between when the *   data is reported and when they apply the payment adjustment    
  29. 29. Medicare Penalties If provider attested to MU in 2011/2012, they will need afull year of MU reporting in 2013 to avoid penalty.    
  30. 30. REMEMBER:   Adopting, Implementing orUpgrading your EHR is not MU!  
  31. 31. Medicare Penalties Any MU in 2013 = No Adjustment in 2015    
  32. 32. Medicare PenaltiesComplete Medicare MU registration & attestation by 10/1/2014 = No Adjustment in 2015    
  33. 33. Medicare Penalties WHICH MEANS:  90-day reporting period no later than 7/1/2014    
  34. 34. Medicare Penalties Providers must continue to meet MU annually to avoidadjustments in subsequent years    
  35. 35. Medicare Penalties Hospital-based EPs (90% of Services) not eligible so not subject to penalties    
  36. 36. Learn more about Mu stage 2:  http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm

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