chcanys nys hccn - community health care … hccn/ecw... · 2016-12-05 · modified stage 2 pocket...

CHCANYS NYS HCCN

Medicaid Meaningful Use Modified Stage 2 for Eligible Providers

Using eClinicalWorks

Stephanie Rose, HCNNY

December 1, 2016

Agenda

12/1/2016 Health Center Network of New York 2

1. Medicaid Meaningful Use Quick Review

2. Modified Stage 2 for 2016 ‐2017

3. Next Steps

4. Meaningful Use Q & A

Medicaid Meaningful Use Quick Review

12/1/2016 3HEALTH CENTER NETWORK OF NEW YORK

Medicaid Incentive Payment


Incentives paid over 6 participation years No Medicaid penalty for missing a yearPayments◦ $21,250 for Year 1 for Adopt, Implement Upgrade (AIU)◦ $8,500 for Years 2‐6 for Meaningful Use

Important Dates2016 – last year to start receiving incentive payments2021 – last year to receive a payment

Medicaid Meaningful UseEligible Providers


Physicians (M.D. and D.O.)

Nurse Practitioners

Certified Nurse Midwives

Dentists

Physician Assistants◦ Only if they practice in a FQHC or RHC that is led by a Physician Assistant

12/1/2016

*2014 and 2015 Special Reporting Year 90 days for all providers

Health Center Network of New York 612/1/2016

Calculating Medicaid Eligibility Patient Volume

12/1/2016 7

30% or more Medicaid patient volume during a 90 day period (20% for Pediatricians)◦ Standard Patient Volume:

◦ Alternate Patient Volume:

Medicaid Patient Panel+

Medicaid Encounters

Total Patient Panel+

Total Encounters

Total Medicaid Encounters

Total Encounters

Health Center Network of New York

Calculating Medicaid Patient Volume (cont)

12/1/2016

90 Consecutive Days Options:₋ 90 days within the calendar year prior to the payment year, OR

₋ 90 days preceding 12 months from the date of attestation₋ May use aggregate data from all providers at the practice

Use of the preceding 12 month option may delay payment due to availability of claims data

8Health Center Network of New York

Needy Patient Option

12/1/2016

FQHC’s and RHC’s may use Needy Patients volume instead of the Medicaid volume.

Type of Service Medicaid Volume

Needy Volume

Medicaid Fee‐For Service

Medicaid Managed CareFamily Health PlusChild Health PlusUncompensated CareSliding Scale

9Health Center Network of New York

MEIPASS Update


The NY Meaningful Use Registration/Attestation system, MEIPASS, has been offline while they make changes for Modified Stage 2 for 2015 and beyond.

Due to technical issues identified during testing the new attestation site will be delayed to Q1 2017 (Jan/Feb) instead of Fall 2016 as previously indicated.

You will be able to enter your 2015 and 2016 attestations at the same time.

Modified Stage 22016‐201710 OBJECTIVES

12/1/2016 11Health Center Network of New York

Approved Changes for Eligible Professionals

12/1/2016 12

•90 Day Reporting Period in 2016 and 2017•Measure actions must occur in the reporting period or the calendar year

•No measure changes for Eligible Providers

Health Center Network of New York


Modified Stage 2 Pocket GuideProtect ePHI Clinical Decision

SupportComputerized Provider Order

Entry

Electronic Prescribing

HealthInformation Exchange

Conduct or review a security risk analysis and address security including encryption

Implement 5 CDS Rules associated with 4 or more Clinical Quality Measures

and

Enable drug/drug and drug/allergy checking

>60% of medication Orders entered using CPOE*

>30% of lab orders entered using CPOE*

>30% of radiology orders entered using CPOE*

*Exclusion : <100 orders during the reporting period

>50% of permissible prescriptions are queried for a drug formulary and transmitted electronically*

*Exclusion: <100 permissibleprescriptions during the reporting period

>10% of transitions of care/referrals include a summary of care document created by the CEHRT and is exchanged electronically*

*Exclusion: <100 transitions of care/referrals during the reporting period

Patient Education Medication Reconciliation

Electronic Access Secure Messaging

Public Health /Clinical Data

Registry Reporting

>10% of patients receive patient specific education resources identified by the EHR

>50% of transitions of care have the medications reconciled

>50% of unique patients seen by the EP are provided online access to view, download and transmit (VDT) within 4 business days;

2016: 1 patient VDT

2017: >5% VDT

2016: At least one patient was sent a secure message

2017: >5% ofpatients was sent a secure message.

Active Engagement for 2 out of 3 registries*

• Immunization Registry (1x)

• Syndromic Registry (1x)• Specialized Registry (2x

Exclusion: Registry not available or not applicable

Modified Stage 2Protect ePHI


Objective: Protect e‐health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities

Measure:◦ Conduct or review a security risk analysis, including addressing the security (to include encryption) of ePHI created or maintained in CEHRT.

◦ Implement security updates as necessary and correct identified security deficiencies

You must conduct or update your security risk assessment during the payment year. This needs to be documented annually for audits and will be reviewed in the event of a breach. Risk Assessment tool(s) available:https://www.healthit.gov/providers-professionals/security-risk-assessment-tool

eCW Features


Security attributes by role or user

RX Security

P.S.A.C

Confidential Progress Notes

Confidential Patient Accounts

Authentication Settings

Admin Logs

User Security Points to Consider


Do you have a policy and a process to review all of the eCW users’ security?

• Is access to eCW appropriate for their job • Do they have only the access they need for their job

Do end users share user names and passwords?

Do you have a process to verify that only active employees have access? Frequency Responsibility

Patient Security Access Control (P.S.A.C)


Restrict access to patient’s records with sensitive information

Restricted Not Restricted

Progress Note Demographics

Can hide patients in lookup window

Appointments

Telephone Encounter Message

Print Label

Referrals

Processing Letters

Billing

P.S.A.C. Notes


Create Groups or categories of security

Give Security to users for each PSAC Group Can predetermine secure visits based on Provider, Facility, and Visit TypeCan have confidential note by ICD CodeClick the Confidential Note button on the progress note billing window and select the group.

P.S.A.C. Patients


Restrict access to specific patientsCan hide information from unauthorized users Can allow PSAC Break Glass (can view after confirming the need and typing why you are accessing)

File, PSAC Settings, Check Hide PSAC Patients

Authentication Settings


File/Settings/Authentication Settings

• Session Time out• Login attempts before locking

out• Password length and complexity• Restrict recycling the same

password• Frequency to change the

password

Admin Logs


Admin band/Admin Logs Icon

Modified Stage 2 Measure Computerized Order Entry (CPOE)


Objective:

Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional that can enter orders into the medical record per state, local, and professional guidelines.

Modified Stage 2 MeasureCPOE Measures


1. >60% of Medication orders entered using CPOE by licensed healthcare professional • Exclusion: provider writes less than 100 medication orders in the

reporting period

2. >30% of Lab orders entered using CPOE by licensed healthcare professional • Exclusion: provider writes less than 100 lab orders in the

reporting period

3. >30% of Radiology orders entered using CPOE by a licensed healthcare professional• Exclusion: Provider writes less than 100 radiology orders in the

reporting period

Modified Stage 2 Measure Computerized Order Entry (CPOE)


eCW Numerator: Order created by an Eligible Provider or a member of their staff during the reporting period.

eCW Denominator: Order created with a Start Status by the Eligible Provider or a staff member.

Update Staff in eCW


Admin>Staff

Modified Stage 2 MeasureClinical Decision Support (CDS)


Objective: Use clinical decision support to improve performance on high‐priority health conditions

Measure:1. Implement 5 CDS rules associated to 4 or more CQMs

for the entire EHR reporting period◦ If there are no relevant clinical quality measures they must be related to

high‐priority health conditions

2. Enable drug/drug, drug/allergy checking for the entire EHR reporting period

◦ Exclusion ‐ Provider who writes fewer than 100 medication orders during the EHR reporting period

Clinical Decision Support‐Part 1


Feature Audit Documentation

CDSS Alerts EMR/CDSS/Measure Configuration

Registry Alerts Registry band/Registry icon/Run a query

Classic Alerts EMR/Alerts

Clinical Decision Support‐Part 2


Drug Interaction Checking available in Current Meds and Treatment

Modified Stage 2 Measure Electronic Prescribing


Objective: Generate and transmit permissible prescriptions electronically (eRx)

◦ Exclusions: ◦ Any EP that writes less than 100 permissible prescriptions during the reporting period

◦ Does not have a pharmacy within their organization and no pharmacy that accepts electronic prescriptions within 10 miles of the practice location.

ePrescribing

Measure:

More than 50% of all permissible prescriptions, or all prescriptions, written by the EP are queried for a drug formulary and transmitted electronically using CEHRT.

RX eligibility must be verified for all patients prior to ePrescribing, including self‐pay patients, every time a prescription is sent.


Denominator

Prescriptions included in the denominator that have been printed, faxed or transmitted electronically:Progress Note ‐ Treatment Telephone/Web Encounter – RX TabTelephone/Web Encounter – Virtual Visit Treatment

Note: Only counts once if medication is re‐printed, re‐faxed or re‐transmitted or printed and also transmitted. Non‐permissible/controlled medications


Numerator

Prescriptions included in the denominator if they have been queried for a drug formulary and transmitted using ePrescription.


ePrescribe


Treatment/Send RX/ePrescribe RX

Common Send/ePrescribe RX

Formulary CheckingFrom eClinicalWorks, check prescription eligibility using any of these methods:

Running Rx Eligibility for All Scheduled Patients – Check a batch of patients at one time; for example all the patients with appointments that day.

Running Rx Eligibility as a Scheduled Batch Job – Set up the eligibility check as a scheduled job.

Running Rx Eligibility for an Individual Patient – Check eligibility on a patient‐by‐patient basis. This functionality is available from the Appointment window, the Treatment window, and a Telephone Encounter.

Check prescription eligibility within the 24 hours before a prescription is written.


Additional Automation


Submit a support ticket to eCW to request the following if you do not have it enabled already:

Automatically Check RX Eligibility for the E Jelly Bean

Telephone Encounter RX Eligibility Item Key The TE will have a checkbox to perform eligibility check automatically checked instead of the button once enabled

Manually Check Patient Formulary

Progress Note/Treatment

Appointment Window

Telephone/Web Encounter

eRefill


E Jelly Bean


Telephone Encounter or Progress Note Treatment ‐ Send RX screen


Telephone Encounter – RX Tab


Item Key turned on to automatically check RX Eligibility

Formulary Challenges

eCW has not been able to provide any mechanism to retrospectively research this measure

eCW Chat has indicated to some health centers that they are only counting formulary that has been run and set (matched to an insurance). ◦ Confirmed with eCW MU team that for MU Numerator you just have to run the Rx Eligibility Check and prescribe within 72 hours. You do not have to set the formulary.

◦ Be sure that providers manually check Rx Eligibility for Telephone Encounters if you don’t turn on the item key and Walk In Appointments


RX Challenges


RX failing due to missing NDC numbers◦ Custom RX◦ Refill prescriptions missing NDC or invalid◦ Favorites◦ Drug database issues

Group Discussion


Have you turned off the drop to fax feature so the failed RX go to the Jelly Bean?

Are you using the eCW report to clean up the RX with missing/invalid NDC information?

Success stories about reducing the

NDC mismatch issues?

Modified Stage 2 Measure HIE/Summary of Care


Objective: The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral

Measure: >10% of transitions of care/referrals include a summary of care document created by the CEHRT and transmitted electronically

◦ Exclusion: Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times during the reporting period

HIE/Summary of Care

eCW Numerator: Referral was transmitted through the P2P Portal with a medical summary (CCR/CCD) and Progress Notes attached

eCW Denominator: Referral was printed, faxed, or transmitted electronically using P2P during the reporting period.

Note: Referrals are only counted for a provider if they are listed as the Referral From provider.


Transmit Electronically Definition


CMS FAQ 9064 clarifies “transmit electronically” to include using:

1. CEHRT Direct capability2. CEHRT SOAP‐based transport3. CEHRT to create a summary of care (C‐CDA) and

electronic transmission accomplished through eHealth Exchange that enables electronic transmission of summary care record to its intended recipient

Counting Internal Referrals


CMS FAQ 9690 updated 9/30/15

If the receiving provider already has access to the CEHRT of the initiating provider of the transition or referral, simply accessing the patient's health information does not count toward meeting this objective. However, if the initiating provider also sends a summary of care document, this transition can be included in the denominator and the numerator as long as it is counted consistently across the organization and across both measures If… a summary of care document is provided using the same technical standards used if the receiving provider did not have access to the CEHRT.

eCW MAQand

workflow impact

MAQ Dashboard Setting


You can include or exclude outgoing referrals sent to providers within the same eClinicalWorks database from the denominator calculations of the Summary of Care measure.

Configuration Settings/Practice Settings Tab

Automate Attaching the Summary


Be sure the check the box on File/Practice Defaults/Front office tab to attach the Medical Summary and Progress Note for outgoing referrals.

When a referral is created from the Progress Note (not the hub) the two items will be attached by default.

If you create a P2P referral outside of a progress note you will need manually attach at least one progress note and the CCD/CCR.

Options to Send ElectronicallyP2P/JoinTheNetwork (Free)Check referring providers to see if they are part of Join The Network (JTN)Contact your top referral providers and get them to JTNConsider creating an internal referral workflow using P2POnly Providers can look for P2P providers near them, make them favorites and send JTN invitations by email or fax from the M Jelly Bean currently


Additional Options to Send ElectronicallyDirect using HISP‐HISP (Fee for Direct Trust Bundle)Contact eCW to connect eCW HISP to the RHIO (HISP) If your RHIO requires the Direct Trust Bundle eCW will pass on the fee for each provider RHIO will need to exchange provider directory (address book) periodically so eCW can upload to P2P

RHIO Only Summary of Care MUST come from CEHRT (eCW or if

RHIO is certified as CEHRT) RHIO must be part of the eHealth Exchange or exchanges

the data using the Direct protocol Organization or RHIO will need to provide a report for the

numerator since MAQ Dashboard can not capture this


Activate Practice Providers for P2P


Admin Band/eCW P2P AdminRegisterEdit Settings

Sending Electronic Referral


Search for providers that have a “p” or “d” icon next to their name from the referral screen. Recommend using the filters.

Select “Send”

Referral Jelly Bean Task


Referring Providers‐JoinTheNetwork


Free for referring providers

Referring providers that use eCWProvider signs up for P2P in their eCW system

Referring Providers that DO NOT use eCWRequest an eCW Direct Address through:http://www.jointhenetwork.comAccess their referrals through a secure portal You can also send a courtesy fax copy to them

Group Discussion


How have you been able to get referring providers to “JoinTheNetwork”?

Has the internal referral option improved this measure?

Have you looked at which providers could take the exclusion for less than 100 referrals in a 90 day period?

Modified Stage 2 Measure Patient Education


Objective: Use clinically relevant information from CEHRT to identify patient‐specific education resources and provide those resources to the patient.Measure: >10% of patients seen by the EP during the reporting period receive patient specific education resources identified by CEHRT◦ Numerator: Number of patients who were provided patient‐specific education resources identified by the CEHRT

◦ Denominator: Number of unique patients with office visits seen by the EP during the reporting period

◦ Exclusion: Any EP who has no office visits during the reporting period

Note: CMS FAQ 8231 – Education resources are supposed to be given in the same year of the reporting period

Patient EducationeCW Denominator: Patient had an outpatient appointment with a valid CPT code with an Eligible Professional during the Reporting Period.

eCW Numerator: At least one piece of education printed or published RX Education Education ‐ Print or publish to portalOrder Set – Patient Education PDF or Web Reference Order Common Send – For Patients

Note: Custom education and structured does not count for Modified Stage 2. Move these items to an Order Set.


Patient Education


Use Patient Education if you have purchased from eCW or RX Education

Order Patient Education


Add PDF or web reference to Patient Education. Clinical staff check the box and Order it. You can also print from OS as well or from Common Send.

Modified Stage 2 Measure Medication Reconciliation


Objective: The Eligible Provider who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.

Measure: >50% of transitions of care in which the patient is transitioned into the care of the Eligible Provider has medication reconciled.

Exclusion: Provider who did not have an transitions of care during the reporting period.

Modified Stage 2 Measure Medication Reconciliation


eCW Denominator: Patient had an appointment with the Transition of Care Checkbox checked on the appointment screen or Progress Note Chief Complaints.

eCW Numerator: Patient has their medication reconciled and marked as verified.

Note: Telephone Encounters are not counted as appointments.

Medication Reconciliation Denominator

Patients with an appointment with the Transition of care box checked during the reporting period.

Resource Schedule Appointment Window

Progress Note – Chief Complaints


Medication Reconciliation Numerator

Verified check box checked for Current Medications


Modified Stage 2 Measure Electronic Access


Objective: Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.

Measure 1 of 2 (Access): >50% of unique patients seen by the EP during the reporting period are provided online access to view, download and transmit within 4 business days.

Modified Stage 2 Measure Electronic Access Measures


◦ eCW Numerator: The number of patients who have been web‐enabled any time before, during or within 4 business days of the appointment OR Patient is unwilling to disclose their email address.

◦ eCW Denominator: Number of unique patients that have an outpatient appointment with a valid CPT code with an eligible professional during the reporting period.

Change to Electronic Access


Based on a CMS Clarification, eCW changed how they capture Electronic Access. Be sure your staff are using the pop up.

Demographics Additional Info Screen email field no longer provides credit.


Measure 1 Numerator OptionsWeb Enable Patient Arrive Patient, Update Pop Up window with

reason they are not Web Enabled

OR

Modified Stage 2 Measure Electronic Access: Measure 2 of 2

Numerator: The number of patients (or patient‐authorized representative) who view, download, or transmit to a third party their health information.

Denominator: Number of unique patients seen by the Eligible Provider during the EHR Reporting Period.

Exclusions:1. Any EP who doesn’t order or create any information listed for

inclusion on the portal2. Conducts > 50% of patient encounters in a county that does not

have 50% or more of its housing units with 4MBPS broadband on the first day of the EHR reporting period


Modified Stage 2 Measure Electronic Access: Measure 2 of 2


Measure 2 of 2 (View, Download, Transmit):◦ 2016 : At least one patient seen by the EP during the reporting period (or patient‐authorized representative) views, downloads or transmits to a third party his or her health information during the EHR reporting period

◦ 2017: >5% of unique patients see by the EP during the reporting period views, downloads, or transmits their health information during the reporting period.

20161 patient 2017

>5% Stage 3‐2018+>10%

View, Download, Transmit ‐ VDT

Numerator:

One of the following:Patient logs onto the patient portalPatient downloads the PHR or Visit Summary from Request PHR buttonTransmitted health information – Personal Health Share, Share button


Electronic Access: Portal Requirements


Information required to be available on the portal include:• Patient Name• Provider’s Name• Current and past problem list• Procedures• Current medication list and history• Current medication allergy list and history• Vitals (height, weight, blood pressure, BMI, growth charts)• Smoking Status• Demographics• Care plan goals and instructions• Care team members, including PCP of record

Modified Stage 2 Measure Secure Messaging


Objective: Use secure electronic messaging to communicate with patients on relevant health information

Measure:◦ 2016: At least 1 patient seen by the EP during the EHR reporting period was sent a secure message.

◦ 2017: >5% of unique patients seen by the EP during the reporting period was sent a secure message.

Modified Stage 2 Measure Secure Messaging


eCW Numerator: The number of patients that were sent a message to the patient portal, or in response to a portal message sent by the patient.

eCW Denominator: Number of unique patients that had an outpatient appointment with a valid CPT with the Eligible Provider during the EHR Reporting Period.

Options to send Secure Message


Lab results

Preventive medicine or follow up messages

Campaign messages

Healow

Exclusion


Exclusion: Conducts > 50% of patient encounters in a county that does not have 50% or more of its housing units with 4MBPS broadband on the first day of the EHR reporting period


Check the broadband download speed in your county through the National Broadband Map.

1. Select Geography◦ Rank within a State◦ Click County◦ Select State

2. Select Metric◦ Click "Speed" ◦ Click Generate the List

3. Select "Manage metrics" ◦ click "% housing units"

Public Health Reporting NYS


Urgent care only

Public Health


The EP, eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.

Completed Registration

Testing and Validation Production

Active Engagement

Modified Stage 2 MeasureImmunization Registry Reporting


The Eligible Provider is in active engagement with a public health agency to submit immunization data. ◦ Maximum of 1 immunization registry can be used

Exclusions: ◦ Does not administer any immunizations to any of the populations for which data is collected by its jurisdiction’s immunization registry or immunization information system.

◦ No immunization registry is capable of accepting the standards required at the start of the reporting period.

◦ No immunization registry has declared readiness.

Modified Stage 2 Measure Syndromic Surveillance Reporting


The Eligible Provider is in active engagement with a public health agency to submit syndromic surveillances data.

Exclusions: ◦ Is not in a category of providers from which syndromic surveillance data is collected by their jurisdiction’s syndromic surveillance system;

◦ Operates in a jurisdiction for which no public health agency is capableof receiving electronic syndromic surveillance data from EPs in the specific standards at the start of the reporting period; or

◦ Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data at the start of the reporting period.

Modified Stage 2 Measure Specialized Registry Reporting


The EP, eligible hospital, or CAH is in active engagement to submit data to a specialized registry. Includes cancer case reporting. Can count the measure up to two times.

Exclusions:◦ Does not diagnose or treat any disease or condition associated with or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR reporting period;

◦ Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or

◦ Operates in a jurisdiction where no specialized registry for which the EP, eligible hospital, or CAH is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period

How can I use a Specialized Registry?


1•Confirm data supplied to the registry is collected in the CEHRT

2

•Verify the registry publically broadcasts they are a “specialized registry” for MU and has an onboarding process that matches “Active Engagement”

•Document you are in one of the 3 Active Engagement Steps

3•Submit data electronical from CEHRT or via electronic file upload based on the requirements of the registry.

Specialized registries could include, but are not limited to: birth defects registries, chronic disease registries, traumatic injury registries, and registries focused on healthcare associated infections. (Does not have to be within state health departments)http://www.cdc.gov/ehrmeaningfuluse/specialized_registry.html

Additional Considerations

• Broadly defined• No Certification requirements• Cancer case reporting requires

CEHRT standards• Registry needs to document

provider’s “active engagement”• Actively engage within 60 days

after the start of the reporting period

• Hand-entered data into web-based portal does not qualify

Special Public Health Exclusion(CMS FAQ 14397)


FAQ #14397 (New): What should a provider do in 2016 if they did not previously intend to report to a public health reporting measure that was previously a menu measure in Stage 2 and they do not have the necessary software in CEHRT or the interface the registry requires available in their health IT systems?

In the 2015 EHR Incentive Programs Final Rule, we stated that we did not intend for providers to be inadvertently penalized for changes to their systems or reporting made necessary by the provisions of that regulation. This included alternate exclusions for providers for certain measures in 2016, which might require the acquisition of additional technologies they did not previously have for measures they did not previously intend to include in their activities for meaningful use (80 FR 62945). Therefore, in order that providers are not held accountable to obtain and implement new or additional systems, we will allow providers to claim an alternate exclusion from certain public health reporting measures in 2016 if they did not previously intend to report to the Stage 2 menu measures

We will allow Alternate Exclusions for the Public Health Reporting Objective in 2016 as follows:

EPs scheduled to be in Stage 1 and Stage 2: Must attest to at least 2 measures from the Public Health Reporting Objective Measures 1‐3

• May claim an Alternate Exclusion for Measure 2 and Measure 3 (Syndromic Surveillance and Specialized Registry Reporting).

• An Alternate Exclusion may only be claimed for up to two measures, then the provider must either attest to or meet the exclusion requirements for the remaining measure described in 495.22 (e)(10)(i)(C).

Public Health Exclusions


Is there a Public Health registry available in your jurisdiction?

• Does it exist?

Is the provider in a category of

providers which they accept data

• Do they want your data?

Does the treat or provide that type of treatment?

• Do you create that type of data?

Register your Intent w/i 60 days or active submission

Yes

Yes

Yes

If any of the answers is “No”, you can claim the exclusion.

Specialized Registry Only – See if FAQ 14397 and 14401 apply

Next Steps


1. Review your 90 Day MAQ Dashboards for each Provider2. Review/update provider tracking sheet3. Work on P2P/Electronic Referrals and other measures as

needed4. Register all providers for new MEIPASS when available5. Attend MEIPASS training when available6. Complete prerequisites for new providers

◦ NY Medicaid FFS Registration◦ CMS MU Registration

Contact us if you have questions about Meaningful Use at [email protected]


QUESTIONS?

We love your feedback!

HTTPS://WWW.SURVEYMONKEY.COM/R/R3XVVGT


Resources


NY Medicaid EHR Incentive Program

CMS.Gov EHR Incentive Program

eCW Support Portal – my.eClinicalWorks.com

EHR Incentive Program‐Stage 3 and Modifications to Meaningful Use in 2015 Through 2017 Final Rule

2015 Edition Certification Criteria Final Rule

HIMSS Article on MU Payment Adjustments

chcanys nys hccn - community health care … hccn/ecw... · 2016-12-05 · modified stage 2 pocket...

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