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Meaningful Use Interactive Charts MEANINGFUL USE INTERACTIVE CHARTS Reference Guide for Healthcare Providers to Secure Stimulus 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com MEANINGFUL USE INTERACTIVE CHARTS MEANINGFUL USE INTERACTIVE CHARTS The need for certified EMR/EHR adoption for healthcare providers has never been so important, thanks to ARRA incentives. However, the process required to get there has never been so complicated. The aggressive timelines, intense competition, complex certification process and non-adoption penalties makes the task even harder and frustrating for physicians, taking away quality time from patient care. This step-by-step reference guide aims to save time, improve informed decision making, speed up preparation and ultimately help healthcare providers understand the process to demonstrate meaningful use and secure stimulus funds as well as enhance the efficiency of their business operations. Are you eligible for ARRA incentives? Yes Eligible Professionals/Hospitals decided to obtain incentives Implementation of Yes No EHRs Comparison MU Compliance In-house EHR? Using Certified No If FY >= Obtain Certification EHRs? 2015 Yes Yes Retrieve Certification Numbers Demonstrate Meaningful Penalties EHR by submitting Quality measures Apply for EHR Medicare/Medicaid incentives Enjoy the benefit once the grant is approved!!! 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-408602-689842-26342738 Email: [email protected] www.visolve.com APPLYING GENERAL ARRA GRANTS Ready to apply for incentives Eligible Hospitals? Professionals? Identifying the Obtain DUNS (Data Universal funding opportunity Number) by registering here number (FON) Register at Central Contractor Registration (CCR) at Register at grants.gov http://www.ccr.gov Download a grant application package 1. Establish E-Biz POC 2. Creating MPIN (Marketing Partner Identification Number 3. Create AORs (Authorized Complete the grant Organization Representatives application package 4. AOR Authorization by E-Biz POC step Submit the completed Register at grants.gov grant application package Get CFDA or FON or Federal Opportunity Tracking the status Competition ID Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com ARRA GRANTS - APPLY APPLYING GENERAL ARRA GRANTS No Medicare? Medicaid? Yes Yes Deciding Authority – CMS Deciding Authority - State Register at CMS/Stage through the proposed method CMS/State processes the application CMS/State checks whether the EHR is certified by the ONC Yes CMS/State checks whether the quality measures are submitted by the applicant Yes Sanctions the incentive amount depending upon the reporting period CMS/State circulates the details of the providers who got EHR Medicare/Medicaid payments under the Recovery Act. Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-408602-689842-26342738 Email: [email protected] www.visolve.com ELIGIBLE PROFESSIONALS/HOSPITALS QUALITY MEASURES Eligible Hospitals? Professionals? Yes Yes Ready to submit Ready to submit quality measures? quality measures? Yes Yes Health IT Clinical Quality Clinical Quality Health IT Functionality Measures Measures Functionality Measures Measures Analyze the Core Specialty Analyze the Medicare Requirements Measures - Measures - Requirements Requirements Requirements Yes No Analyze the Medicaid Requirements Yes Analyze the Requirements Quality Measures Submission Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com QUALITY MEASURES SUBMISSION PROCESS No Submit the If Payment measures Year=2011? electronically to CMS/State Yes EHR Reporting period EHR Reporting - Any continuous 90- period – Entire day period Calendar year Using any one of the Capture Data Elements methods (numerator and denominator) CMS Designated Calculate Results For all the Quality Portal measures Through HIE/HIO Verify the accuracy Through Registries Get Attested Submit the measures Yes No Medicare? CMS State Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com CERTIFICATION PROCESS Certify No Complete EHR? Yes Certify Modular Technical EHR? Requirement from ONC – Authorized NIST [Testing: Testing & Certification Bodies Tools/Data/Scripts] & National Coordinator Yes Report certified product info National Coordinator Implementing Acquired Certified Acquired Certified other modules Module 1 Module n Publishes Certified HIT Product List Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com EHRS – COMPARISON In-house EHR? No No Proprietary? Open Source? Yes Yes No No Physician? Physician? Yes Yes EHRs for Physicians EHRs for Physicians EHRs for Hospitals OpenEMR EpicCare Ambulatory Epic World Vista All Scripts Enterprise EHR McKesson Greenway Medical Siemens Primesuite chart Cerner Sevocity Meditech NextGen Quadra IT eClinicalWorks Quadra Med EHRS for Hospitals Eclipsys Health Land OpenVista PatientOS ClearHealth FreeMed OSCAR Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com ARRA INCENTIVES ELIGIBILITY Eligible N EHR Hospital Professionals? Incentives Yes Want to No Want to apply for apply for Medicare Medicaid? ? Yes Yes 1. A doctor of medicine or Who practices in a Federally Qualified osteopathy Health Center (FQHC) or Rural Health Clinic (RHC?) 2. A doctor of surgery or of dental 1. Certified nurse mid-wife medicine 2. Nurse practitioner 3. A doctor of pediatric medicine 3. Physician assistant (under certain 4. A doctor of optometry circumstances) 5. A chiropractor 4. Physician 5. Dentist Yes Yes N N Meaningfully using Adopted/Implemented/ certified EHR? Upgraded or Meaningfully using certified EHR? Treating 30% (20% if Having Medicare Part B claims N pediatrician) patient of at least 133% of the N population whom receives maximum incentive for a program year to qualify for the medical assistance from maximum incentive payment? Medicaid? Physician Medicare Physician Medicaid Incentives Incentives Not Eligible to get incentives Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com PHYSICIAN MEDICARE INCENTIVES Note: FPY – First Payment Year Physician Medicare Incentives Working Yes Actual Incentive in HPSA? (given below) + 10% of EP incentive FPY is No FPY is No FPY is No FPY >= 2011 or 2013? 2014? 2015? 2012? Yes Yes Yes Yes Incentives Incentives Incentives Penalties 2011/12 - $18000 2013 - $15000 2014 - $18000 2015 – 1% 2012/13 - $12000 2014 - $12000 2015 - $12000 2016 – 2% 2013/14 - $8000 2015 - $8000 2016 - $8000 >=2017 – 3% 2014/15 - $4000 2016 - $4000 2015/16 - $2000 Total - $44,000 Total - $39,000 Total - $24,000 Back to ARRA Incentives Eligibility 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com PHYSICIAN MEDICAID INCENTIVES Physician Medicaid Incentives No No No No No FPY is FPY is FPY is FPY is FPY is FPY is 2011? 2012? 2013? 2014? 2015? 2016? Yes Yes Yes Yes Yes Yes Incentives Incentives Incentives Incentives Incentives Incentives 2011 - $21,250 2012 - $21,250 2013 - $21,250 2014 - $21,250 2015 - $21,250 2016 - $21,250 2012 - $8500 2013 - $8500 2014 - $8500 2015 - $8500 2016 - $8500 2017 - $8500 2013 - $8500 2014 - $8500 2015 - $8500 2016 - $8500 2017 - $8500 2018 - $8500 2014 - $8500 2015 - $8500 2016 - $8500 2017 - $8500 2018 - $8500 2019 - $8500 2015 - $8500 2016 - $8500 2017 - $8500 2018 - $8500 2019 - $8500 2020 - $8500 2016 - $8500 2017 - $8500 2018 - $8500 2019 - $8500 2020 - $8500 2021 - $8500 Total - $63,750 Total - $63,750 Total - $63,750 Total - $63,750 Total - $63,750 Total - $63,750 Back to ARRA Incentives Eligibility 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com HOSPITAL INCENTIVES Option 1 Hospital Incentives Option 2 Want to apply for Want to apply for Medicare incentive? Medicaid incentive? Yes Yes Acute care No Rural health No Hospitals in one hospitals? hospitals? of 50 states or District of Columbia Yes Yes No Treating Medicaid Treating Medicaid patients of volume 10%? patients of volume 30%? Yes Yes Implemented certified EHR and Adopted/Implemented/Upgraded or Children using meaningfully? Meaningfully using certified EHR? hospitals? Eligible to get incentives Not Eligible to get incentives Back to Initial Page 4010, Moorpark Avenue, #205, San Jose, California 95117 USA Tel: +1-602-842-2738 Email: [email protected] www.visolve.com HOSPITAL INCENTIVE CALCULATION No Medicare Incentives? D Yes Penalty No 2015 – 0.33% to .75 increases in Market Basket Implemented Adjustment before 2015? 2016 - 0.66% to .75 increase in MBA Medicaid2017 & beyond – .75 to 1% increase in MBA DYes Incentives? PPS No CAH? Hospital? Yes Yes Yes (Overall EHR Amount) times (Medicaid Share) $2M Base + Discharge Payment x MedicareWhere Share Total EHR Costs * (Medicare share + 20%) * Transition factor (TF) Total EHR Costs = $2M Base + Discharge Where Overall EHR Amount = Payment x Medicare Share TF = 1 during first year of EHR implementation {Sum over 4 yearDischarge of [(Base PaymentAmount
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