How Can Anesthesia Business Consultants Meet Meaningful Use When Others Could Not?
The ASA has recently updated their FAQs for the EHR Incentive Program. To view this updated document, please click here.
What are the Goals of the Meaningful Use Program?
The purpose of the Meaningful Use Program is to achieve the following goals as specified by CMS:
- Improve quality, safety, efficiency and reduce health disparities
- Engage patients and families in the health care
- Improve care coordination
- Improve population and public health
- Maintain privacy and security
Where does the Meaningful Use Program come from?
“Meaningful Use” is a product of the Health Information Technology for Economic and Clinical Health (HITECH) Act which is part of the American Recover and Reinvestment Act (ARRA) of 2009.
What is the high-level process for Meaningful Use operations for Stage 1?
The process for the first stage of the Meaningful Use program is designed as a step by step program as follows:
- Determine physician eligibility according to the requirements.
- Determine the status of the Certified Electronic Health Record Technology (CEHRT) by looking up the Certification Number.
- The certification number for F1RSTUse is CHPL Product Number: IG-2630-12-0006
- You can look this certification number up at: http://oncchpl.force.com/ehrcert/CHPLHome
- Implement and make available the EHR system (F1RSTUse) for all physicians that are to participate.
- Use the EHR system for 90 consecutive days for the first “reporting period.” NOTE: The EHR system must be in use for the full year following the initial reporting period.
- Track performance of the EHR system against 15 mandatory “core set” measures and 5 of 10 “menu set” measures. This includes the Clinical Quality Measures to include items for BMI tracking, Smoking Cessation and others.
- Register on the CMS site and identify that the physician is participating in the Meaningful Use program. NOTE: This must be completed by February 28, 2013.
- Attest on the CMS site that the physician has met the thresholds and requirements of the core and menu set measures. NOTE: This must be completed by February 28, 2013.
- Receive a check for the first reporting period 4 – 8 weeks after attesting.
Is this program for all outpatients or just Medicare/Medicaid patients?
It is very important that you collect information on all your outpatients regardless of the payer. You must track at least 50 percent of all outpatient encounters during the reporting period across all sites and across types of care given. For instance, of a physician practices anesthesia and pain management, the outpatient encounters are calculated across all sites and types of care. There is no distinction in specialty. Outpatient encounters are calculated based on Place of Service (POS) code. The POS codes that are identified as outpatient are:
- 20–Urgent Care Facility
- 22–Outpatient Hospital
- 24–Ambulatory Surgical Center
- 49 – Independent Clinic
If I'm already enrolled, how to I log into F1RSTUse to view my patients and track my compliance?
Physicians can log into their EHR system by accessing the URL provided to the system administrator. If you don’t have that web address handy, feel free to email the Meaningful.Use@AnesthesiaLLC.comaddress and someone will send you your organizations URL.
To track your compliance, once successfully logged into the system, you can navigate to the Meaningful Use Administration tab on the top of the screen and select the Measurement Dashboard. Here you would select Eligible Provider from the first drop down field and select the physician name that you want to review. You may also set date requirements if desired. From there, you can click on the “Show Report” button to view the physician’s current compliance level. The dashboard should look like the following:
Who is eligible for the Meaningful Use program?
This program is for MDs or DOs only. CRNAs are not eligible. Physicians are eligible if 10 percent of your CMS encounters are ambulatory patients (Place of Service code 11–Office, 20–Urgent Care Facility, 22–Outpatient Hospital, 24–Ambulatory Surgical Center, 49 – Independent Clinic).
Are physicians who work in hospitals eligible to receive Medicare or Medicaid electronic health record (EHR) incentive payments?
Physicians who furnish substantially all, defined as 90 percent or more, of their covered professional services in either an inpatient (POS 21) or emergency department (POS 23) of a hospital are not eligible for incentive payments under the Medicare and Medicaid EHR Incentive Programs.
What is the payment schedule and what is it based on?
You may receive the maximum incentive payment if you receive $24,000/year in CMS allowed charges. If the allowed charges from CMS are less than $24,000, the incentive payment for the first reporting period is calculated as 75 percent of the total allowed charges. For example, if the total allowed charges from CMS equal $20,000, the incentive payment from the first reporting period will be $15,000 instead of the $18,000.
Assuming the physician has a minimum of $24,000 in allowed charges from Medicare, the payment schedule is as follows for those that are participating in 2012:
For those physicians that start in 2013, and the allowed charges from Medicare were at least $24,000, the payment schedule would be as follows:
What are the requirements if I practice at multiple locations?
A physician who works at multiple locations, but does not have a certified EHR available at all of the locations would have to have 50 percent of their total patient encounters at locations where certified EHR technology is available.
What if I qualify for the Medicare and Medicaid Incentive Programs?
If an Eligible Professional (EP) meets the requirements of both programs, they must choose to receive an EHR incentive payment under either the Medicare program or the Medicaid program. After a payment has been made, the EP may only switch programs once before 2015.
When is the last day for eligible providers (EPs) to register and attest to receive an incentive payment for calendar year (CY) 2012?
February 28, 2013 is the last day for eligible providers to register and attest to receive an incentive payment for calendar year 2012.
Do providers have to contribute a minimum dollar amount toward their certified EHR technology for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs?
There is no general requirement under the Medicare and Medicaid EHR Incentive Programs for providers to contribute a minimum dollar amount toward the certified EHR technology that they use.
Can eligible professionals (EPs) allow another person to register or attest for them?
Yes. Users registering or attesting 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.