1 ehr incentive program registration & attestation tips for the eligible professionals marlene...

1

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

9

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.

10

11

12

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.

13

14

http://onc-chpl.force.com/ehrcert15

16

17

18

19

20

21

22

Attestation User Guide: Download!

23

Ready to ATTEST!

24

Attestation

• Attestation Worksheet is available at:

https://www.cms.gov/EHRIncentivePrograms/Downloads/

EP_Attestation_Worksheet.pdf

25

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.

26

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.

27

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.

28

29

30

31

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.

32

33

34

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.

36

Attestation Guides & Resources

37

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)

IFMC

38

Q & AIowaHITREC@IFMC.org

Iowa Medicaid EHR Incentive Payment ProgramFor Eligible Professionals (EPs)

39

Medicaid Eligibility

40

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

41

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

42

Patient Volume Threshold

43

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

$

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

45

46

47

x

48

49

IMPA

50

https://secureapp.dhs.state.ia.us/impa

IMPA

51

IMPA

52

Create Application

53

Create Application

54

Begin Attestation – Next Day

55

Application Status

56

Registration Details

57

IMPA Attestation

58

IMPA Attestation

59

IMPA Attestation

60

IMPA Attestation

61

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.

62

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: imeincentives@dhs.state.ia.us

– Melissa Brown Medicaid HIT Provider Incentive Coordinator

515-974-3123

– Kelly Peiper Medicaid HIT Provider Incentive Coordinator515-974-3071

64

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

65

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.

66

IFMC

67

Q & AIowaHITREC@IFMC.org

IFMC

68

Thank you!