Electronic Medical Records - MxSecure

1. “Meaningful Use” Further DefinedElectronic Medical Records Sponsored by:

2. Today’s Presenter Barbara Brownlee, Electronic Medical Records Specialist, MxSecure • With MxSecure since 2006 • 30 years in healthcare • 17 years Sales and Marketing experience • BS in Medical Technology, Medical College of Georgia

3. Today’s Agenda • HITECH Act • What is it? • Who qualifies? • What are the incentives? • What do Professionals need to do to qualify? • Introduction to MxSecure’s solution

4. HITECH Act Review • Part of the American Recovery and Reinvestment Act • Incentives to encourage Professionals and hospitals to utilize EHR technology • Incentives in the form of payments to “Eligible Professionals” and hospitals that see Medicare/Medicaid patients • Focus on Eligible Professionals

5. Eligible Professionals Medicare: • MD, DO, DDS, DPM, OD, DC • Does not include hospital-based Professionals • Incentives are up to $44,000 per provider Medicaid: • Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC • Incentives up to $63,750 • Must see 30% Medicaid patients • Pediatricians qualify at 20% Pick one program only—you may switch one time

6. Medicare Incentive Matrix Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009

7. Medicare Incentives • Based on Part B FFS claims • Applies only to services furnished by EP • Professional components only • 75% of submitted allowable charges • EPs in Health Provider Shortage Area earn an additional 10%

8. Medicaid Incentive Matrix Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009

9. Medicaid Incentives • Incentive amount based on what CMS has identified as the “net allowable cost” of purchasing, implementing and maintaining an EHR system • Per CMS, the cost alone is $54,000 • Maximum payment is $63,750 • At least 30% of your patient encounters for the reporting period must be Medicaid • Pediatricians qualify at 20%

10. Qualifications • Certified EHR • Meaningful Use • Electronic prescribing • Share date electronically • Submit clinical reports

11. Timelines from CMS • 12/30/09: Notice of Proposed Rule Making • 556 pages • 3/15/10: 60 day comment period expires • 5/10/10: Final Ruling expected • Gives us more details defining “meaningful use”

12. Meaningful Use Stages • STAGE 1 2011 and 2012 • STAGE 2 2013 and 2014 • STAGE 3 2015 • You only need to meet the Stage 1 requirements in your first year, regardless of when that is. However, in your second year, you must meet the requirements for the Stage assigned to that payment year.

13. Payment Year • For Medicare Eligible Professionals, the first payment year begins 1/1/2011 and is based on a calendar year (hospitals are being paid using the federal fiscal year) • For Medicaid Eligible Professionals, the first payment year can begin as early as 2010 if you are in the process of implementing an EHR already

14. Reporting Period • First year: any continuous 90-day period within the payment year • Example: January 1-March 31, 2011 • Second year onward: entire payment year • Example: January 1 – December 31, 2012

15. Tracking and Payment • National Provider Identifier • Single data repository to track identification • Medicare – CMS • Medicaid - States

16. Meaningful Use Requirements for Eligible Professionals

17. Meaningful Use Requirements for Eligible Professionals

18. Meaningful Use Requirements for Eligible Professionals

19. Meaningful Use Requirements for Eligible Professionals

20. Meaningful Use Requirements for Eligible Professionals

21. Conclusion • Overview of HITECH Act • Update on Meaningful Use Criteria Stage 1

22. Questions? • For more information contact: Barbara Brownlee barbara.brownlee@mxsecure.com 888.580.1010-Toll Free 480.776.8933-Direct • Source: Title XIII of the American Recovery and Investment Act of 2009 • www.hhs.org