History Reasons Certified EMRs Penalties Attestation Incentives
Measures & Stages
Slide 2
American Recovery and Reinvestment Act of 2009 (ARRA the
Stimulus) Signed Feb. 17, 2009 Infrastructure Education Healthcare
Health Information Technology $25.8 billion $787 billion
Slide 3
Improve Quality, Safety, Efficiency Engage Patients &
Families Improve Care Coordination Improve Public and Population
Health Ensure Privacy and Security for Personal Health Information
Each Meaningful Use objective/measure is designed to meet one of
these criteria Meaningful Use Criteria
Slide 4
Eligible Professionals (EP) EPs under the Medicare EHR
Incentive Program include: Doctor of Medicine or Osteopathy Doctor
of Dental Surgery or Dental Medicine Doctor of Podiatry Doctor of
Optometry Chiropractor Hospital-based eligible professionals are
not eligible for incentive payments. An eligible professional is
considered hospital-based if 90% or more of his or her services are
performed in a hospital inpatient (Place Of Service code 21) or
emergency room (Place Of Service code 23) setting. If you are
eligible for incentive payments, YOU ARE ALSO ELIGIBLE FOR THE
PENALTY PHASE! EPs must select whether to qualify for Medicare or
Medicaid incentive. Medicare incentive payments are larger and
there are no penalties. Most EPs cannot qualify for Medicaid
incentive program. More EPs eligible for Medicaid incentive (NPs,
some PAs, etc.)
Slide 5
Slide 6
Meaningful Use is forever Stage 1 Starting 2011 15/15 Core Set
Objectives/Measures 5/10 Menu Set Objectives/Measures Stage 2
Starting 2014 17/17Core Set Objectives/Measures 3/6 Menu Set
Objectives/Measures Stage 3 Starting 2016? ?/?Core Set
Objectives/Measures ?/?Menu Set Objectives/Measures
Slide 7
CY 2011CY 2012CY 2013CY 2014 CY 2015 and later CY 2011$18,000
CY 2012$12,000$18,000 CY 2013$8,000$12,000$15,000 CY
2014$4,000$8,000$12,000 CY 2015$2,000$4,000$8,000 $0 CY
2016$2,000$4,000 $0 TOTAL$44,000 $39, 000$24,000$0 These amounts
are per physician. The last year to start receiving incentives is
2014. Starting MU in 2015 will result in NO incentive
payments.
Slide 8
What if you fail to meet MU? 2015:1% 2016:2% 2017:3% 2018: 4%*
2019:5%* * At the discretion of the Secretary of HHS Penalties
(adjustments) will be applied as a percent of Medicare Part B
Professional Fee Schedule Charges. They are scheduled to begin in
2015, and continue as follows: You are at risk for adjustments
WHETHER OR NOT you received incentive payments
Slide 9
To attest for Meaningful Use, you MUST use a certified EMR/EHR!
In the Radiation Oncology sphere, you have 3 choices: ONCOCHART
Aria Mosai q Aria Mosaiq You do not have to use a RadOnc-oriented
EMR. Make sure the non-RadOnc-oriented EMR does not introduce
compliance issues.
Slide 10
Things to watch for when selecting an EMR: Does the EMR make it
easier or harder to achieve MU? Does the EMR cause a negative
impact on your workflow? Is Support really responsive? Are CQMs
easily captured? PQRS? Does the EMR/MU tool really work and is it
helpful?
Slide 11
Does the EMR cause a negative impact on your workflow? Vitals
collection is part of normal workflow not added on as an extra task
Are extra steps needed for MU?
Slide 12
Does the EMR make it easier or harder to achieve MU? All
elements of MU should be part of normal workflow MU should not add
to your workflow EVER!
Slide 13
Are CQM & PQRS easily captured and reported? Describe each
measure Calculate Results Show Deficiencies
Slide 14
Does the EMR/MU tool really work and is it helpful? Describe
each measure Calculate Results Show Deficiencies Break down By
Patient
Slide 15
Is Support really responsive? MU experts always available not
well get back to you later Live answers, not recordings MU support
included at no extra cost Help with attestation at no extra
cost
Slide 16
You MUST prepare for Meaningful Usenow Is the EMR you are
considering over-priced? How many extras do you have to buy? Take
advantage of incentive payments by complying early Use an EMR that
compliments workflow not impedes it Your EMR must provide
supportive support