Meaningful Use: Registration & Attestation Eligible Professionals

Meaningful Use Webinar OverviewRegistration & Attestation:

Review Registration Requirements

Step by Step Instructional: EHR Incentive Program Registration

(Medicare/Medicaid)

Review of Third party proxy registration

Review Requirements for Attestation

Step by Step Instructional: EHR Incentive Program Attestation

(Medicare)

Provider/Admin Q&A or email questions nyumu@nyumc.org

Meaningful Use Registration Overview:Medicare Program

Gather InformationVerify Eligibility /

Select ProgramRegister

National Provider

Identifier (NPI)

National Plan and

Provider Enumeration

System (NPPES) User ID

and Password

Payee Tax Identification

Number (if you are

reassigning your

benefits)

Payee National Provider

Identifier (NPI)(if you

are reassigning your

benefits)

Physicians can only

register for Medicare or

Medicaid incentives

Before 2015, an eligible

professional may switch

programs only once

after the first incentive

payment is initiated

Physicians may not be

hospital based - seeing

90% or more of their

Medicare covered

services in: Hospital

Inpatient setting (POS

21) or Emergency

Department (POS 23)

Register for the Medicare

and/or Medicaid EHR Incentive

Programs

NOTE – New York Medicaid

Registration will not be open

until 4th Quarter 2011

NOTE – Each physician will have

to register separately and is

legally responsible for

information provided.

NOTE – Third party registration

will become available

NOTE – You are only required to

register once.

NOTE- You do not need certified

EHR technology requested.

EHR Incentive Program CMS Registration & Attestation Portal

To Register for the EHR Incentive Program•Access CMS Registration/Attestation web portal https://ehrincentives.cms.gov

•Click “Continue”•On Next Screen Click “Continue” again for login page to appear

Click On Registration Link

Click “Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

•Enter the NPPES User ID & Password•User ID & Password are Case Sensitive•Or Proxy User ID & Password

EHR Incentive Program CMS Registration & Attestation Portal

Click Log In

Tips:1) Contact the PECOS or NPPES Help desk if you cannot remember you password or login1866-484-8049 (PECOS)Or 1800-465-3203 (NPPES)

2) Eligible Professionals (EPs) can authorize personnel as proxy’s to register & attest on their behalf an I&A web account must be created for the user

Proxy Reg

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Select to begin registration process

Tips:Welcome Screen Consist of five tabs to navigate theportal.• Home• Registration• Attestation• Status • Account Management

Jane Doe

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Tips:Once you enter theregistration you can selectfrom five options

• Register • Modify• Cancel• Reactivate• Resubmit

Select “Register” to begin process

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Tips:Data required for thisregistration is grouped intothree topics. All three mustbe completed.

• EHR Incentive Program • Personal Information• Business Address &

Phone

Click on “Start Registration” to continue

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal (Medicare)

Select Incentive Program & Click “Apply”

Select EP Type

Click “Yes/No” for EHR

Tips:A certified EHR system is notrequired to register but will be required for attestation.

Click “Save & Continue”Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal (Medicaid)

Tips: IMPORTANT: You cannot register for the Medicaid EHR Incentive ProgramUntil Your State has Launched it’s site. If your State does not appearin the “Medicaid State/Territory” drop down menu your state site has not launched.

Click “Save & Continue”Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Tips:SSN Payee TIN indicates that the provider receives the payment.

EIN Payee TIN indicates the group receives the payment.•Choose “Group Name” if selecting EIN (click apply)•Enter Group NPI

•IMPORTANTMedicaid EPs can elect to have payment sent to another qualified entity by selecting Payee TIN Type of EIN. This information will be sent to the State. There are rules around reassignments governing this program. Please see the CMS website for more information –http://www.cms.gov/EHRIncentivePrograms/

Select where payment will go in the Payee TIN Type & Click “Apply”

Click “Save& Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Tips:Review Business Address & Phone:•Data is pulled from NPPES•Address can be revised but is not sent to NPPES•Business address cannot be a P.O. Box

Information will be posted on the EHR website once you receive payment

Click “Save & Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Tips:Check marks indicate registration topics have been completed

Click “Begin Submission”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Click “Submit”

Tips:1) Review and verify registration for accuracy

2) To make changes click on “Previous Page” to revise information.•Topics for registration appear •Click “Modify” to change your registration

Click to Make Changes

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:If “Disagree” is selected the user is directed to the Registration Instructions Page. •Select Modify to restart process

Review Disclaimer select “Agree” Or “Disagree”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Click “Print”

Tips:Important: Select “Print”. Print page for your records.

You will not receive an email confirmation

SUCCESSFUL SUBMISSION

Assigned Registration ID

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Click “Print”

FAILED SUBMISSION

Tips:Important: Select “Print”. Print page for your records.

You will not receive an email confirmationFor failed submission, review “Failed Submission Reasons” and contact appropriate departments to correct.

Assigned Registration ID

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Click “Status Tab” to Review Registration Status

Tips:Click “Select” to view Details

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:Registration Status will appear as “Active” when all validations pass.

Click “Additional Information” for registration status reason.

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal (Medicaid)

Tips:Registration status will read PENDING STATE VALIDATION until the registration process is completed by the State.

Other Registration Statuses:•Pending State Approval•In Progress•RejectedStatus reason is listed on the Additional Information page

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:Help link is located on every screen and can provide additional assistance and vital contact information.

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:

IMPORTANT: Eligible Professionals can switch between the Medicare and Medicaid EHR Incentives programs only once after receiving an incentive payment. The switch has to occur before 2015.

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

Questions-Registration

Medicare eligible professionals attest using the CMS' web-based Medicare and Medicaid EHR Incentive Program Registration and Attestation System. In the system, providers will fill in numerators and denominators for the meaningful use objectives and clinical quality measures, indicate if they qualify for exclusions to specific objectives, and legally attest that they have successfully demonstrated meaningful use.

Medicaid EPs must prove only that they have adopted, implemented or upgraded certified EHR technology in the first year of participation – they do not need to prove that they are meaningfully using certified technology until the second year of Meaningful Use. Medicaid Incentive Programs participants must attest using their states EHR Incentive Program site. The New York Medicaid EHR Incentive Program website will open Dec. 2011. Medicaid Incentive Program participants cannot use the CMS web-base portal to attest.

EHR certification number is required to attest. Certifications numbers can be obtained from Certified Health IT Product List (CHPL). To obtain a CMS EHR Certification ID, follow the steps outlined below:

Select your practice type

(IP or Ambulatory)

Search for EHR product(s)

by Name

Add product(s) to cart and

determine if meet criteria

Request CMS EHR

Certification ID

1 2 3 4

EHR Incentive Program CMS Registration & Attestation Portal

EHR Incentive Program CMS Registration & Attestation PortalTo Register for the EHR Incentive Program•Access CMS Registration/Attestation web portal https://ehrincentives.cms.gov

•Click “Continue”•On Next Screen Click “Continue” again for login page to appear

Click On Registration Link

Click “Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

•Enter the NPPES User ID & Password•User ID & Password are Case Sensitive•Or Proxy User ID & Password

EHR Incentive Program CMS Registration & Attestation Portal

Click Log In

Tips:1) Contact the PECOS or NPPES Help desk if you cannot remember you password or login1866-484-8049 (PECOS)Or 1800-465-3203 (NPPES)

2) Eligible Professionals (EPs) can authorize personnel as proxy’s to register & attest on their behalf an I&A web account must be created for the user

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program

CMS Registration & Attestation Portal

Tips:Welcome Screen Consist of five tabs to navigate theportal.• Home• Registration• Attestation• Status • Account Management

Select to begin attestation process

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Select “Attest” to begin process

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Click “Start Attestation” to being process

Tips:When all topics are checked completed or N/Auser can select “PROCEED WITHATTESTATION”

All areas must be completeto complete attestation

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

EHR Certificate Number is Required for Attestation . This information must be entered .

Reporting period must be 90 consecutive days

Tips:IMPORTANT: YOU MUST ENTER YOUREHR CERTIFICATIONNUMBER TO ATTEST.The EHR CertificationNumber is 15characters long

Click “Save & Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Process:1) Select Appropriate option for “Patient Records”

2) Answer “Yes”or “No” to the Exclusion Question. If “No” is selected the screen will expand to enter the numerator & denominator for the measure (see below)

3) Click “Save & Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:

You can log out at any timeand continue your attestation later. All of theinformation entered up tothis point will be savedwithin the attestationmodule.

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal Process:

IMPORTANT: YOUMUST SELECT FIVE MENU MEASURES AT LEAST ONEMUST BE A PUBLIC HEALTH MEASURE1) Select five by clicking the box immediately following the measure

Menu: Public Health Measure

Menu: Non Public Health Measures

Tips:Up to two public health measures can be chosen

Click “Continue”

EHR Incentive Program CMS Registration & Attestation Portal

Process:IMPORTANT: YOUMUST ATTEST TO ONEPUBLIC HEALTH MEASURE EVEN IF AN EXCLUSION APPLIES TO BOTH

Click “Save & Continue”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Click “Save & Continue”

Process:IMPORTANT: YOUMUST REPORT ON A

MINIMUM OF 6 CQMs or a MAXIMUM OF 9 CQMs

•CHOOSE THREE FROM THE CORE OR ALTERNATE CORE. (If you report zeros on any of the core you must report on an alternate core even if that alternate core is zero. It is possible to report on all core &

alternate core if all are zeros).

&

•CHOOSE THREE FROM THE ADDITIONAL SET OF THIRTY-EIGHT

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:

When all topics are markedas completed or N/A youmay proceed withattestation.

The next screen will allowyou to review entries before final submission.

Click “Proceed with Attestation ”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:•Check the box next to each statement •Click “Agree” to complete attestation•If you click “Disagree” you will be moved back to the home page & your attestation will not be submitted

Click “Yes” if you are sure you want to attest

Click “Agree” or “Disagree”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:•If you click “Disagree” you will be moved back to the home page & your attestation will not be submitted

•If “Agree” is chosen and you have met all measures, you will receive the “Accept Attestation” submission receipt

Click “Agree” or “Disagree”

EHR Incentive Program CMS Registration & Attestation Portal

Tips:•Print receipt you will not receive an email confirmation

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

Tips:•Rejected: You did not meet one or more of the measures. Check for errors & if a error was made modify and resubmit for same 90 day reporting period or submit for different 90 reporting period. The 90 day reporting period can be a day later (For Example 3/1-5/31 vs. 3/2-6/1) Please note: If different 90day is chosen EP may have to recalculate numerator/denominator

•Print receipt you will not receive an email confirmation

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal

1) Click “Resubmit”

2) Click “Proceed with Attestation”

Process :•Click “Resubmit”

•Click “Proceed with Attestation” New submission receipt will appear & disclaimers.

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

Questions- Attestation

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

Third Party Proxy Process :•Click “Create a login”

•Click “Yes” to access the I&A system

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Third Party Proxy Process:The application and security check will prompt the requestor to answer security questions, create a profile, and user name and password.

Please note: User IDs cannot be changed. Any secret questions you create will be permanently linked to your account. User IDs are case sensitive.

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Third Party Proxy Process:•Click Access Requests

•Click Add Access

•Click Submit

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Third Party Proxy Process:•Click “You are requesting on behalf of an individual provider”.

•Click Next

•Select Application Type: EHR Incentive Program

•Click Next

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Third Party Proxy Process:•Enter NPI for provider

•Click Search

•Click Save to got to “My Access Request Page” or Click “Save & Add Another” to multiple providers

• A proxy can register and attest for a maximum of 300 providers .

Click “Save” or Save & Add Another”

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Third Party Proxy Process:•Click each box for the NPI use wish to access. To select all, click “Select All”.

•Click Submit

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***

Third Party Proxy Process:•You will receive an email

notification that the External User

Services (EUS) Help Desk has

approved your request

•Record your tracking number for

use on any correspondence

•The EP must log into the I&A

system and approve your

request

•Notify the EP that you have

requested access

•At this time there is not an

automated email notification of the I&A system

Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals

Introduction to Meaningful Use:

Webinar Recap

Review Registration Requirements

Step by Step Instructional: EHR Incentive Program

Registration (Medicare/Medicaid) Review of Third party proxy registration

Review Requirements for Attestation

Step by Step Instructional: EHR Incentive Program

Attestation (Medicare)

Provider/Admin Q&A or email questions nyumu@nyumc.org

Upcoming Webinars:

• MU Webinar : Meaningful Use Registration and

Attestation for Voluntary Physicians

November 3rd and 15th

• MU Webinar : Guide to Clinical Quality Measures

November 10th and 17th

Dec 1st

• MU Webinar : Workflow Changes for MU Measures

TBA

• MU Webinar: Epic Reporting and Attestation

TBA