Meaningful Use Attestation

WebinarHow to attest successfully to CMS with Practice

Fusion

Background

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+ The Center for Medicare and Medicaid Services (CMS)

recently finalized Stage 3 requirements

+ CMS decided to also change existing Stage 1 and Stage 2

requirements

Didn’t align with Stage 3

Provider feedback and poor Stage 2 performance

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Eligible Professionals in the EHR Incentive Program

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+ 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

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 assistantFurnishes services in a

Federally Qualified Health

Center or Rural Health Clinic

lead by a physician assistant

Reporting Periods

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+ All providers in 2015 complete a 90 day reporting period

+ Full year reporting periods resume in 2016

+ Any first year Medicaid participant completes a 90 day reporting period

+ A first year Medicare participant will complete a 90 day reporting period

in 2015 and 2016

Modified Stages

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+ Stage 2 providers remain in

Stage 2 for 2015 and 2016

+ Stage 1 providers are in

“Modified Stage 2” for 2015

and Stage 2 in 2016

+ All providers can choose to

complete Stage 3 in 2017

or remain in Stage 2

+ Stage 3 is mandatory for all

in 2018

Is Meaningful Use based on all patients?

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+ 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.

Deadlines

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+ October 3, 2015

The last possible start date for a 90 day reporting period in 2015

+ January 4, 2016

Providers can begin attesting

+ February 29, 2016

Attestation deadline

Attestation

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+ The process of legally declaring you have achieved

Meaningful Use by reporting information to CMS

+ You will report values for the following:

Objectives and measures

Clinical Quality Measures (CQMs)

+ Attestation is completed on the following websites:

Medicare participants: CMS Registration and Attestation System

Medicaid participants: State Medicaid program website

What is attestation?

+ Medicare

Deadline to attest for 2015 reporting year: February 29, 2016

+ Medicaid

State Medicaid program deadlines may differ

You should attest before February 29, 2016

When is the deadline to attest?

Preparing for attestation

+ Maintain more than 80% of your patient records in Practice Fusion

during your reporting period

+ Confirm you achieved OR qualify for an exclusion to ALL the required

measures:

+ Sign notes for all patients seen during your reporting period in order to

see those visits reflected on the Meaningful Use Dashboard

Confirm you have achieved Meaningful Use

Modified Stage 2 Stage 2

10 Objectives 10 Objectives

At least 9 CQMs related to 3 NQS

Domains

At least 9 CQMs related to 3 NQS

Domains

+ Proof of information exchanges (e.g. email confirmation) for

the following measures:

Immunization registry data submission

Syndromic surveillance data submission

Specialized registry data submission

+ Security Risk Analysis

+ Documentation of any measure(s) for which you are not

using the Meaningful Use Dashboard

Documentation of Actions Completed Outside EHR

+ Keep screenshots of functionality or reports from Practice

Fusion that are dated during your reporting period for the

following measures:

Drug Formulary Checks (part of the eRx workflow)

Drug-drug and drug-allergy interaction checks

Clinical Decision Support

+ These screenshots serve as additional supporting

documentation in case of an audit

Screenshots for YES/NO measures

+ Prepare any documentation needed to prove that you qualify

for an exclusion and save it for your records

+ The Meaningful Use Dashboard denominator values may

show that you qualify for an exclusion to a particular measure

E.g. The denominator value for eRx is less than 100

Save Documentation for Exclusions

Print out your Meaningful Use Dashboard

Print out MU

Dashboard

+ Located on your Meaningful Use Dashboard:

Reporting period start & end dates

Practice Fusion’s CMS certification ID

+ From your own records:

Your NPPES credentials

Individual NPI number

Tax Identification Number (TIN)

Other Items to Keep Handy

Attesting to CMS

+ Medicare: https://ehrincentives.cms.gov

+ Medicaid: Contact your individual state Medicaid program

Go to the CMS or Medicaid Attestation Portal

Begin your attestation

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+ After logging in, proceed

to the Attestation tab and

select the “Attest” button

Select your Public Health Reporting Measures

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+ The Meaningful Use Objectives will be listed,

and you will need to select which Public Health

Reporting measures you are attesting to

Review Objectives and Measures and Select Response

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+ Answer if exclusion

applies to you

+ Choosing “No” will

allow entry of measure

completion

Exclusions

+ Choose 2nd option if reporting values from the MU Dashboard

This will be an option for some of the patient-based measures

Patient Records

+ Option 1: Electronic submission:

January 1, 2016 – February 29th, 2016

Medicare EPs have the option to submit a full

year of data electronically to receive credit for

the EHR Incentive Program and the Physician

Quality Reporting System (PQRS) if using the

PQRS EHR reporting mechanism.

+ Option 2: Manual submission

Submitting CQMs manually allows you to

complete your attestation

Manual submission via attestation only allows

you to receive credit for the EHR Incentive

Program

Reporting Clinical Quality Measures

+ You will not receive an EHR Incentive

payment until your attestation is

complete and you have submitted your

CQM values.

+ Providers may choose to submit CQMs

manually and electronically

Confirm you have completed all categories

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+ Read the disclaimer and click on

Agree or Disagree

+ If you choose Agree and you

have met all Meaningful Use

objectives and measures, you will

receive the “Accepted Attestation”

submission receipt

Confirm Your Submission

+ Keep your documentation for 6 years after you attest in case

of an audit

+ Print your MU Dashboard on the day you attest

+ Don’t wait until the last minute

+ Contact the EHR Incentive Program hotline if you have

technical difficulty: 888.734.6433

Things to remember

Resources

Meaningful Use Center

• Practicefusion.com/meaningfuluse

• Practicefusion.com/attest

Knowledge Base

• knowledgebase.practicefusion.com

Meaningful Use Dashboard

Thanks for your attention and engagement

Questions?

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