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. . Meaningful Use A Little Bit of Everything. WV HFMA January 23, 2014. . Objectives. Understand Stage 1 changes starting in 2014 Understand Stage 2 Objectives & Quality Measures – changes from Stage 1 and what you need to know about what’s new
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Meaningful UseA Little Bit of Everything WV HFMA January 23, 2014
Objectives • Understand Stage 1 changes starting in 2014 • Understand Stage 2 Objectives & Quality Measures – changes from Stage 1 and what you need to know about what’s new • Understand options for reporting Quality Measures and PQRS measures together starting in 2014 • Learn what you need to do to pass a CMS Meaningful Use Audit
Stage 1 Changes in 2014-Attestation • If 2014 is your first year to attest to Stage 1must attest within first 9 months of the attestation period to avoid penalties • EHs – must meet MU for 90 days, but last 90 days will be Apr-June • EPs – must meet MU for 90 days, but last 90 days will be Jul-Sept • CAHs - this does not apply • Batch submission for EPs • Separate batches for Medicare and Medicaid • States not required to provide
Stage 2
Stage 2 - Objectives EP • 17 Core Objectives • 3 of 6 Menu Objectives • 28+ Core measures & sub measures • 3 of 6 menu EH • 16 Core Objectives • 3 of 6 Menu Objectives • 26+ Core measures & sub measures • 3 of 6 menu
Stage 2 - CQMs • CQMs selected must align with at least 3 of 6 National Quality Strategy Domains • Any EP or EH in 2nd year of MU must submit CQMs electronically EP • Must choose 9 out of 64 available CQMs • CMS priority CQMs (but not required to choose) • Medicare EPs option to align MU CQMs with PQRS, Medicare Shared Savings Program or Pioneer ACO
Stage 2 - CQMs EH • Must choose 16 out of 29 available CQMs
Stage 2 - Attestation 2014 “Special Dispensation” Regardless of what Stage you are, you only need to meet MU for 90 days. If 2014 is your second year, the 90 days is based on a quarter, not a rolling 90 days
CMS MU Audits • Desk audits • Post payment audits for EPs and EHs • Pre payment audits for EPs • Candidate for audit after meeting MU for full year • In general, turnaround time is about 1 month.
CMS MU Audits – Document Request Part 1 General Information • Proof of licensing of a certified EHR “…provide a copy of your licensing agreement with the vendor or invoices. Please ensure that the licensing agreements or invoices identify the vendor, product name and product version number” • Proof of method for calculating ED admissions (i.e. an explanation of how the ED admissions were calculated and a summary of ED admissions)
CMS MU Audits – Document Request …………nnn
CMS MU Audits – Document Request Part II Core Set Objectives/Measures • Proof of Core Measures #1, 3, 4, 5, 6, 7, 8, 11, & 12 • Report from the certified EHR used to complete the attestation • Proof that the report used for attestation is from the certified EHR • Vendor Logo Or • Step by step screen shots of how report is generated from EHR
CMS MU Audits – Document Request Part II Core Set Objectives/Measures • Proof that a security risk analysis was performed • Must show that it was during the MU reporting period • Must include implementation plan to address any deficiencies found, with completion dates
CMS MU Audits – Document Request Part III Menu Set Objectives/Measures • Proof of Menu Measures #2, 3, 5, 6, or 7 • Report from the certified EHR used to complete the attestation • Proof that the report used for attestation is from the certified EHR • Vendor Logo Or • Step by step screen shots of how report is generated from HER • Proof of Yes/No Menu Set Measures #4,8, 9, or 10 • Screen Shots
CMS MU Audits – How to Pass! • SaveEVERYTHING! • Reports from your EHR that you use to attest • The detail behind the numerator/denominator • Screen shots from EHR for YES/NO measures from reporting period • Medicare and Medicaid attestation confirmation • Medicaid screen shots from every step of the attestation • Medicare summary of all of your input from the attestation • Security Risk Analysis (and every re-evaluation done) • Recommendation: create a share drive with tightly controlled access to save off MU documents Remember:You need to do this for every individual EP…much easier for EH!
CMS MU Audits – How to Pass! • Contact your EHR Vendor • What can/will they do to assist you with an audit? • What limitations do you have in terms of what you can submit without breaching proprietary property? • If Reporting MU from multiple EHRs… • Be sure that the reports used from each of the EHRs have the same items for attestation • All reports have to be submitted for the audit
CMS MU Audits – How to Pass! • Documentation Submission • Be sure to follow the same order as requested in the letter from Figliozzi (or CMS) • Cover letter – outline exactly what you are submitting in response to each document request • Create a single PDF of all of the documents in the correct order along with a cover letter and submit • Most importantly… Don’t miss your submission deadline!
