1 ehr incentive program registration & attestation tips for the eligible professionals marlene...
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EHR Incentive Program Registration & Attestation Tips for the Eligible Professionals
Marlene Hodges & Denise WarrenJune 8, 2011
Objectives
Medicare and Medicaid Review
• Program eligibility• Steps to Registration• Steps to Attestation
Medicare-only Eligible Professionals
Could be eligible for either Medicare &
Medicaid incentives
Medicaid-only Eligible Professionals
Eligible Professionals
EP Eligibility: Medicare Basics
• Must be a physician (defined as MD, DO, DDM/DDS, optometrist, podiatrist, chiropractor)
• Must have Part B Medicare allowed charges
• Must not be hospital-based• Must be enrolled in PECOS, living
In order to register
• NPPES (i.e., NPI) web user account• Medicare EPs must be enrolled in
PECOS• Determine who will receive the
payment
In order to get a payment
• Medicare EPs– Meaningfully use certified EHR technology– Attest to all program requirements,
MU requirements get EHR certification number from CHPL
Register-Attest-Get Paid! Medicare
• Now– Go to the CMS EHR Incentive Program
website– Click on the tab for Registration– Complete your registration
• Attest – Return to your registration and click on the
Attestation tab and complete your program attestations
Now we’re ready to register!
What’s next?
Download Registration User’s Guidewww.cms.gov/EHRIncentivePrograms
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Registration Home PageEnter the EHR Incentive Program URL into your
web browserhttps://ehrincentives.cms.gov
Click CONTINUE to start the
registration process.
TIPS
To determine your eligibility, click on the
CMS website.
For a list of Eligible Professionals (EPs), click
on the + sign next to Eligible Professionals.
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Click on REGISTER in the Action column to
continue the registration process.
TIPS
“Resubmit”, “Modify”, “Cancel” and
“Reactivate” are the available Action
hyperlinks for returning users
Only one action can be performed at a time on
this page.
If the user selects the Action hyperlink of
“Register” or “Resubmit” they will be directed to
the Topics for Registration screen.
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http://onc-chpl.force.com/ehrcert15
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Attestation User Guide: Download!
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Ready to ATTEST!
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Attestation
• Attestation Worksheet is available at:
https://www.cms.gov/EHRIncentivePrograms/Downloads/
EP_Attestation_Worksheet.pdf
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Attestation
• EPs will: Fill in numerators and denominators for
the meaningful use objectives and clinical quality measures
(Hint: A complete EHR system will provide a report of the numerators, denominators and other info.)
Indicate if you qualify for exclusions to specific objectives
Legally attest that you have successfully demonstrated meaningful use.
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Attestation
• To attest for the Medicare EHR Incentive Program in your 1st year of participation, you will need to have met MU for a consecutive 90-day reporting period.
• If your initial attestation fails, you can select a different 90-day reporting period that may partially overlap with a previously reported 90-day period.
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Third Party
• CMS now allows an EP to designate a third party to register and attest on his or her behalf for the Medicare Incentive Program.
• To do so, users working on behalf of an EP must have an Identity and Access Management System (I&A) web user account (User ID/Password), and be associated to the EP's NPI.
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Attestation
• Providers will qualify for a Medicare EHR incentive payment upon completing a successful online submission through the Attestation System
• Immediately after you submit your results you will see a summary of your attestation, and whether or not it was successful.
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Receiving the money!
• Payments will be made approximately 4 to 8 weeks after an EP meets the program requirements
• Payments will be made to the TIN you selected at the time you registered
• Have questions about your EHR incentive payment?
DON'T: Call your MAC/carrier/fiscal intermediary with questions
DO: Call the EHR Information Center
1-888-734-643335
Audits
• Will CMS conduct audits?
Any provider attesting to receive an incentive payment for either the Medicare or Medicaid EHR Incentive Program potentially may be subject to an audit.
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Attestation Guides & Resources
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www.cms.gov/EHRIncentivePrograms
Click on “Attestation” from left column
• Attestation User Guide for Medicare EPs
• Meaningful Use Attestation Calculator
• Attestation Worksheet for EPs
• Electronic Specifications for Clinical Quality Measures (CQM)
Iowa Medicaid EHR Incentive Payment ProgramFor Eligible Professionals (EPs)
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Medicaid Eligibility
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HITECH Act provides Medicaid incentive payments for EPs who:
• Adopt• Implement• Upgrade
Or• Meaningfully use certified EHR technology
Attest to meeting all program requirements
Patient Threshold Eligibility
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EntityMinimum Medicaid
Patient Volume Threshold
OR
The Medicaid EP practices predominately in a FQHC or RHC with a 30% needy individual patient volume threshold.
Non-hospital based physicians
30%
Pediatricians 20%
Dentists 30%
Certified nurse-Midwife 30%
NPs 30%
Must be:•Licensed•Credentialed•Living
PA when practicing in an FQHC/RHC led by a PA
30%
Medicaid Payment by Calendar Year
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Patient Volume Threshold
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Calculated based on number of Medicaid encounters (primary & secondary)
Total Medicaid patient encounters in any 90-day period in the previous calendar year
divided by
Total patient encounters in that same 90-day period
Medicaid - Register, Attest, Get Paid!
• Complete CMS EHR Incentive Program registration on website
• Go to IMPA and complete the eligibility verification and attestation
• Payments are made by the state no later than 5 months after you attest;
most sooner
IME has already distributed $4.5 million in incentive payments
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Iowa Medicaid Portal Access (IMPA)
• Each EP needs his/her own account• Create an account if one does not
already exist• Info needed to create an application:
– Individual NPI– Individual TIN (SSN)– CMS EHR Registration Certification ID #
• Wait a day – application info is processed overnight
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x
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IMPA
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https://secureapp.dhs.state.ia.us/impa
IMPA
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IMPA
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Create Application
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Create Application
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Begin Attestation – Next Day
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Application Status
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Registration Details
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IMPA Attestation
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IMPA Attestation
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IMPA Attestation
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IMPA Attestation
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IMPA Attestation
• You can change your answers to the point you “sign”
• You can view and print your answers• You may upload your supporting
documentation• You may be asked to supply the
supporting documentation pre or post-payment
• Keep records for six years.
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Need More Information?
• CMS EHR Programhttp://www.cms.gov/EHRIncentivePrograms/FAQs
– Final Rule– Eligibility wizard– Information Support Center– Much more!
In Partnership with: The Office of the National Coordinator for Health Information Technology (ONC) U.S. Department of Health and Human Services grant 90RC0004/01. IA-HITREC-01/11-186
Contact Information - IME
• Iowa Medicaid Enterprisehttp://www.ime.state.ia.us/Providers/EHRIncentives.html
– Email: [email protected]
– Melissa Brown Medicaid HIT Provider Incentive Coordinator
515-974-3123
– Kelly Peiper Medicaid HIT Provider Incentive Coordinator515-974-3071
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In Partnership with: The Office of the National Coordinator for Health Information Technology (ONC) U.S. Department of Health and Human Services grant 90RC0004/01. IA-HITREC-01/11-186
Contact IFMC for Assistance
Iowa Health Information TechnologyRegional Extension Center
www.IowaHITREC.org
800-373-2964
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Goals of Meaningful Use (HITECH)
• Improving the quality, safety and efficiency of health care
• Reducing health disparities • Engaging patients and families• Improving care coordination • Improving population and public health• Ensuring adequate privacy and security
protections for personal health information.
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IFMC
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Thank you!