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Financial Incentives for Eligible Professionals and Hospitals Meaningful use Meaningful use

Meaningful use

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Meaningful use. Financial Incentives for Eligible Professionals and Hospitals. Sunset for Medicare program 2016 Sunset for Medicaid program 2021. EHR Incentive payments by program. Totals for Medicare professionals: $44,000 Totals for Medicaid professionals: $63,750 - PowerPoint PPT Presentation

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Page 1: Meaningful use

Financial Incentives for Eligible Professionals and HospitalsMeaningful useMeaningful use

Page 2: Meaningful use

• Totals for Medicare professionals: $44,000• Totals for Medicaid professionals: $63,750

• Medicare & Medicaid hospital beginning payments: $2 million

EHR Incentive payments by programEHR Incentive payments by program

• Sunset for Medicare program 2016

• Sunset for Medicaid program 2021

Page 3: Meaningful use
Page 4: Meaningful use

Main Components of Meaningful Use

Meaningful Use Criteria Staging

Page 5: Meaningful use

First Stage 2011 and 2012

25 meaningful use objectives

Eligible professionals

To qualify for an incentive payment, 20 of these 25 must be met.

15 are required core objectives.

The remaining 5 objectives may be chosen from the list of 10 menu set objectives.

First Stage 2011 and 2012

24 meaningful use objectives

Eligible hospitals

To qualify for an incentive payment, 19 of these 24 must be met.

14 are required core objectives.

The remaining 5 objectives may be chosen from the list of 10 menu set objectives.

Page 6: Meaningful use

First Stage 2011 and 2012

44 clinical quality measures

Eligible professionals

To qualify for an incentive payment EPs must report on 6 total CQM

3 required core measures (substituting alternate core measures where necessary) and 3 additional measures (selected from a set of 38 clinical quality measures).

First Stage 2011 and 2012

15 clinical quality measures

Eligible hospitals

Must report on all 15 of their clinical quality measures.

Page 7: Meaningful use

• Some of the requirements also have exclusions that can be applied to certain eligible professionals and hospitals depending on their patient base. For instance some specialists would not report on immunization status.

• This is considered a legal contract stating that the individual or hospital has fulfilled all requirements to meet meaningful use. This process differs for Medicaid and Medicare incentive programs.

Page 8: Meaningful use

Questions?