EHR Certification andMeaningful Use

Chris LamerCathy Whaley

Overview

• Meaningful Use incentive program• EHR Certification Process• Meaningful Use team

MEANINGFUL USE OVERVIEW

Why is there a MU incentive project?What is the MU project timeline?

Why Meaningful Use

Patient Record

Reports

InsuranceCompanies

PH AgenciesEPI Center

Other health care systems

Personal Health Record

Patient Care

Use Standards and Interoperability to achieve1. Complete and accurate information2. Better access to information3. Patient empowerment

Timeline: Stages of MU

Incentives and Eligibility

MedicareMedicaid

Incentives and Eligibility

MEDICAREEHR Incentive Program

MEDICAIDEHR Incentive Program

Implemented by the Federal Government and started January 3, 2011

Voluntary for States to implement - Most are expected to start by late summer 2011

Program ends in 2016; must initiate participation by 2014. Must participate by 2012 to receive the maximum incentive payment

Program ends in 2021; must initiate participation by 2016 and still receive maximum incentive payment

Can register now Can register once state offers the program (check with your state for expected launch date)

Medicare payment reductions begin in 2015 for EPs who cannot demonstrate MU of certified EHR technology

No Medicaid payment reductions

Must demonstrate MU in Year 1 over a consecutive 90-day report period

A/I/U option for Year 1; no report period

Incentives and Eligibility

Medicare Medicaid

Eligible Provider

Eligible Hospital

Key Points

• MU is to improve help the health care system by implementing standards and interoperability.

• There are three stages– Stage 1: 2011– Stage 2: 2012– Stage 3: 2013

• There are 4 types of incentives:– Medicare – Eligible Provider– Medicare – Eligible Hospital– Medicaid – Eligible Provider– Medicaid – Eligible Hospital

EHR CERTIFICATION

Why get certified?When did we get certified?When will you get the certified EHR?

Medicare Payment Schedule

2011 2012 2013 2014 2015 2016 2017 TOTAL

Adopt 2011

$18,000 $12,000 $8,000 $4,000 $2,000 $0 $0 $44,000

Adopt 2012

---------- $18,000 $12,000 $8,000 $4,000 $2,000 $0 $44,000

Adopt 2013

---------- ----------- $15,000 $12,000 $8,000 $4,000 $0 $39,000

Adopt 2014

---------- ----------- ----------- $12,000 $8,000 $4,000 $0 $24,000

Adopt 2015 +

---------- ----------- ----------- ---------- $0 $0 $0 $0

• Maximum payments based upon 75% of Medicare Part B fee schedule payments up to the maximum incentive amount per year.

• e.g., Minimum of $24,000 per year to be eligible for maximum $18,000 bonus

Medicaid Payment Schedule

PaymentComponent

Base YearMaximum of 85% of EHR Acquisition and

Implementation Costs

Year 2 Year 3 Year 4 Year 5 Year 6 TOTAL

Physician $21,250 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $63,750

Certified Nurse Mid-Wife $21,250 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $63,750

Dentist $21,250 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $63,750

Nurse Practitioner $21,250 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $63,750

Physician Assistant $21,250 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $ 8,500 $63,750

Medicare Penalties

• In 2015, reduction in Medicare reimbursement begins for physicians who are not meaningful EHR users (1% per year, capped at a 3% reduction).

• Statue allows for exceptions for “significant hardship” as determined by the Secretary.

First Payment YearReduction in Medicare Fee Schedule for non-adoption

of certified EHR

2011 $0

2012 $0

2013 $0

2014 $0

2015 -1%

2016 -2%

2017 and thereafter -3%

Certification Process

• CMS created MU requirements• ONC created EHR requirements• NIST created the EHR certification test• ATCBs administered the test

NIST: 50 Tests Scripts

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

CMS EHR Certification Number• Ambulatory: 30000002EJKDEAI• Inpatient: 30000002ELL6EAI

Status of Certified RPMS EHR

• Updates necessary to achieve MU are in development and many are already released.

• Upcoming releases:– EHR patch 8 May 2011– Reporting tools May and

June 2011

Key Points

• EHR Certification is required to participate in meaningful use

• EHR Certification demonstrates RPMS-EHR is standardized and interoperable

• RPMS-EHR was certified by InfoGard on April 1, 2011• The CMS certification number can be obtained at:

http://onc-chpl.force.com/ehrcert• RPMS-EHR will be updated to the certified version by

the end of May 2011 – Further enhancements ongoing.

MU TEAM

Who is working on MU?Who should you ask if you have questions?

MU Team: One big happy family

EHR Deployment

MU Core Team

MU Field Team

Certification Team

Fed LeadPM

PMO CTOAnalysts

CIO

REC• NIHB• USET

Area MU Coordinator

Key Points

• There are many people available to help you achieve MU

• Know your contacts to meet your needs:Use of RPMS EHR and training EHR deployment team

and the OITState Medicaid and preparation questions

MU Field Team

Status of MU in your area Area MU CoordinatorGeneral questions or those pertaining to MU Reports

MU Core Team