Meaningful Use Attestation
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This document provides guidance on attesting for Meaningful Use incentives. It outlines the attestation process, including reporting core and menu measures, clinical quality measures, and documentation requirements. Key deadlines are attending by March 20, 2015 for Medicare and before February 28, 2015 for Medicaid. The document reviews completing attestation on the CMS or state Medicaid website and the steps involved in confirming Meaningful Use achievement.
Meaningful Use Attestation
- 1. Meaningful Use Attestation Webinar Learn how to earn your EHR Incentive Payment
- 2. + The process of legally declaring you have achieved Meaningful Use by reporting information to CMS + You will report values for the following: Core measures Menu 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?
- 3. + Medicare Deadline to attest for 2014 reporting year: March 20, 2015 + Medicaid State Medicaid program deadlines may differ You should attest before February 28, 2015 When is the deadline to attest?
- 5. + 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 Stage 1 Stage 2 13 Core Measures 17 Core Measures 5/9 Menu Measures 3/6 Menu Measures At least 9 CQMs related to 3 NQS Domains At least 9 CQMs related to 3 NQS Domains
- 6. + Proof of information exchanges (e.g. email confirmation) for the following measures: Immunization registry data submission (Stage 1 & 2) Syndromic surveillance data submission (Stage 1 & 2) Summary of care electronic exchange using Direct messaging (Stage 2) + Security Risk Analysis (Stage 1 & 2) + Preventive care patient reminders (Stage 1 & 2) + Documentation of any measure(s) for which you are not using the Meaningful Use Dashboard Documentation of Actions Completed Outside EHR
- 7. + Keep screenshots of functionality or reports from Practice Fusion that are dated during your reporting period for the following measures: Drug Formulary Checks (Stage 1) Drug-drug and drug-allergy interaction checks (Stage 1) Clinical Decision Support (Stage 1 & 2) Patient List Report that has PHI blurred (Stage 1 & 2) + These screenshots serve as additional supporting documentation in case of an audit Screenshots for YES/NO measures
- 8. + 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
- 9. + The Stage 1 public health measures are: Menu 8: Immunization registry data submission Menu 9: Syndromic surveillance data submission + You must report on at least one public health measure during attestation even if you are excluded from both If you are claiming an exclusion to either public health measure, make sure you have documentation that you are excluded from both + Note: A failed attempt to exchange information counts as completing the measure successfully for Stage 1, and you should attest to achieving whichever public health measure you attempted. Stage 1 Public Health Measure Documentation
- 10. Print out your Meaningful Use Dashboard Print out MU Dashboard
- 11. + Reporting period start & end dates + Practice Fusion’s 2014 CMS certification ID + Your NPPES credentials + Individual NPI number + Tax Identification Number (TIN) Other Items to Keep Handy
- 12. Attesting to CMS
- 13. + Medicare: https://ehrincentives.cms.gov + Medicaid: Contact your individual state Medicaid program Go to the CMS or Medicaid Attestation Portal
- 14. + Answer if exclusion applies to you + Choosing “No” will reveal numerator / denominator Core / Menu Measures: Exclusions
- 15. + Choose 2nd option if reporting values from the MU Dashboard This will be an option for some of the patient-based measures Core and Menu Measures: Patient Records
- 16. Enter Numerator and Denominator Values
- 17. + Choose “Yes” if you have achieved the measure Yes/No Measures
- 18. + For Stage 1 only: You must report on at least 1 measure from the public health list, even if you are excluded from both + Remember to keep documentation for your records Stage 1: Public Health Measures
- 19. + Option 1: Electronic submission: January 1, 2015 – March 20th, 2015 Medicare EPs have the option to submit a full of data electronically to receive credit for the Incentive Program and the Physician Quality Reporting System (PQRS) if using the PQRS reporting mechanism. + Option 2: Manual submission Submitting CQMs manually allows you to your attestation Manual submission via attestation only allows 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
- 20. + Requirement: Report at least 9 CQMs that relate to at least 3 National Quality Strategy (NQS) domains: + Practice Fusion’s CQMs cover all 6 NQS domains CQM Requirements in 2014 Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness
- 21. Confirm you have completed all categories
- 22. + 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
- 23. + 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