Meaningful Use Stage 1 Slide Deck 2015
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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.
Meaningful Use Stage 1 Slide Deck 2015
- 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