Information You Need to Register
Eligible professionals who want to register for the Meaningful Use incentives offered through the ARRA will need the following information:
- National Provider Identifier (NPI).
- National Plan and Provider Enumeration System (NPPES) User ID and Password.
- Payee Tax Identification Number (if you are reassigning your benefits).
- Payee National Provider Identifier (NPI) (if you are reassigning your benefits).
What else do I need to know about registration?
Professionals eligible for both the Medicare and Medicaid EHR
incentive programs must choose which incentive program they wish to participate in when they register. Before 2015, an eligible professional may switch programs only once after the first incentive payment is initiated. Most eligible professionals will maximize their incentive payments by participating in the Medicaid EHR incentive program.
Meaningful Use Stage 2
Meaningful Use will change for all providers beginning on January 1st 2014. Are you ready for the changes?
The Centers for Medicare & Medicaid Services published a final rule on August 23, 2012, that specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) must meet in order to continue to participate in the Medicare & Medicaid Electronic Health Record Incentive Programs.
If you have not yet participated in Medicare or Medicaid EHR Incentive Programs previously, or if you have never achieved meaningful use under Stage 1 criteria, please visit the CMS EHR Incentive Programs website (www.cms.gov/EHRIncentivePrograms) for more information about how to take part of the program.
Now is the time to get started to claim your incentive payment. Remember Meaningful Use penalties begin in 2015.
There are notable changes in Stage 2 including meeting menu objectives and expanded definition of patient encounters. For example, clinical quality measures are proposed to no longer be a meaningful use core objective, but reporting CQMs is still a requirement for meaningful use. CMS is also extending States’ flexibility with the definition of meaningful use to Stage 2.
Register with CMS
Go to the CMS website [https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/RegistrationandAttestation.html
] and register for the CMS Meaningful Use Incentive Program
Decide your stage and measurement period
Using OmniMD system, decide your Meaningful Use stage and measurement period by choosing whether you are seeking incentive payment for stage 1 or stage 2 of Meaningful Use and entering the start date of your reporting period.
Review your Meaningful Use Report using OmniMD and enter your results on the CMS website at the time of attestation
OmniMD Meaningful Use Report is your scorecard, complete with the numerator and denominator data required during attestation. To claim your incentive payment, simply use the data from the OmniMD Meaningful Use Report to the CMS attestation form.
- National Provider Identifier (NPI)
- National Plan and Provider Enumeration System (NPPES) web user account
- NPPES user ID and password are used to log in to the registration system
- Selection of Medicare or Medicaid incentives program
- For Medicare providers, enrollment in the Provider Enrollment, Chain, and Ownership System (PECOS) is required
- For Medicaid providers, select your state and continue on its EHR Incentives site (Note: You can switch programs only once after receiving a payment.)
- Personal Information
- Social Security Number
- Taxpayer ID to which incentive payment should be made, i.e., EP’s SSN or Group’s EIN (Note: EP can receive the payment directly only if he/she has not reassigned Medicare benefits in PECOS.)
- Business information
- Populated from NPPES, but EPs can make changes if desired
- EHR Certification Number
- Optional at registration, required at attestation
For more information: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/RegistrationandAttestation.html
Meaningful Use Changes from Stage 1 to Stage 2
Examples of Some of the New Measures for EPs in Meaningful Use Stage 2
Stage 2 EP Core Objectives – 17 measures and all must be met
Eligible Professional Core Objectives
- Secure Messaging – Patients must send secure messages to EPs
- Family Health History – document in SNOMED format and report in Personal Health Records
- Imaging Results – Upload images when resulting a radiology exam
- Send Patient Health Records in a Secure email Format
- Progress Notes – now your notes must be text searchable
(1) Use computerized provider order entry (CPOE) for 60%
laboratory and 30%
radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines.
(2) Generate and transmit permissible prescriptions electronically with more than 50%
(3) Record the following demographics: preferred language, sex, race, ethnicity, date of birth. More than 50%
(4) Record and chart changes in the following vital signs: height/length and weight (no age limit); blood pressure (ages 3 and over); calculate and display body mass index (BMI); and plot and display growth charts for patients 0-20 years, including BMI. More than 80%
(5) Record smoking status for patients 13 years old or older. More than 80%
(6) Use clinical decision support to improve performance on high-priority health conditions. Implement 5 clinical decision support rules + drug/drug and drug/allergy
(7) Provide patients the ability to view online, download and transmit their health information within four business days of the information being available to the EP. More than 50%
online health information access with more than 5%
(8) Provide clinical summaries for patients for each office visit. More than 50%
of office visit.
(9) Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities. Conduct or review security analysis and incorporate in risk management process.
(10) Incorporate clinical lab-test results into Certified EHR Technology as structured data. More than 55%
(11) Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach.
(12) Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminders, per patient preference. More than 10%
of patients with two or more office visits in the last 24 months
(13) Use clinically relevant information from Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient. More than 10%
(14) Medication reconciliation. The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform. More than 50%
(15) The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary care record for each transition of care or referral. 50% transition of care and referrals
with 10% sent electronically
and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR.
(16) Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice.
(17) Use secure electronic messaging to communicate with patients on relevant health information. More than 5%
of patient send secure message to their EP.
Eligible Professional Menu Objectives
(1) Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited, and in accordance with applicable law and practice.
(2) Record electronic notes in patient records. More than 30%
of unique patients
(3) More than 10%
imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT.
(4) Record patient family health history as structured data for more than 20%
(5) Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice.
(6) Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice.
Now patients must participate in order for the EP to meet Meaningful Use Stage 2:
OmniMD Patient Portal facilitates compliance with the Patient Engagement measures
Meaningful Use Stage 2 Emphasizes Electronic Exchange of Patient Records
- More than 5% of patients must send secure messages to their EP
- More than 5% of patients must access their health information online (via a patient portal)
Stage 2 requires that a provider send a summary of care record for more than 50% of transitions of care and referrals.
The rule also requires that a provider electronically transmit a summary of care for more than 10% of transitions of care and referrals via the Direct Project Secure email protocol
Every provider on OmniMD is supplied a free secure email address. If you are a current user – contact OmniMD Support for your customizable secure email address today!
Clinical Quality, PQRS and Meaningful Use
Clinical Quality Measures Overview (2014 and 2015)
- CQM Requirements are no longer associated with a “stage” of Meaningful Use
- CQM Requirements are now associated with the year you are reporting
- Stage 1 providers that report in 2014 must report on the new set of CQMs
- Stage 1 EPs and Stage 2 EPs report CQMs the same way
- CQMs are not a formal “measure” but must be reported to receive incentive payments
Now the same set of measures and electronic reporting method will be used for multiple CMS programs
- PQRS and Meaningful Use CQM programs will align beginning in 2014
- This alignment will assist Meaningful Use 2014 EPs in avoiding PQRS penalties
- In 2014, PQRS must be reported for a full year and Meaningful Use for 3 month
** All data from the Centers for Medicare & Medicaid Services (CMS)