Get started with Stage 1 of Meaningful Use with our easy-to-use resources and detailed steps to fulfill the criteria.

1. Meaningful Use Stage 1
Kick-Off Webinar
Learn how to qualify for the EHR Incentive Program

2. Defining Key Terms
Term Definition
The Health Information
Technology for Economic and
Clinical Health Act (HITECH)
The piece of legislation that created the EHR Incentive Program
Center for Medicare and
Medicaid Services (CMS)
The governing body responsible for administering the
Meaningful Use program and dispersing payments
Attestation The process of reporting information to CMS in order to qualify
for an incentive payment
Adopt / Implement / Upgrade
(A/I/U)
Option for a first year Medicaid incentive payment
Meaningful Use (MU)
Dashboard
Practice Fusion’s tool to help you stay on track with meeting
Meaningful Use criteria

3. Utilizing an EHR to improve health outcomes
What is Meaningful Use?
Objectives
+ Improve quality, safety, and efficiency of patient care
+ Engage patients and family
+ Improve care coordination
+ Improve public health
+ Maintain privacy and security of patient health information

4. Stages of Meaningful Use
1
STAGE
Data capture
and
sharing
2
STAGE
3
STAGE
Advanced
clinical
processes
Improve
outcomes

5. Stages of Meaningful Use (based on year of adoption)
Year of
adoption
Year
2011 2012 2013 2014 2015 2016 2017
2011 1 1 1 2 2 2 3
2012 1 1 2 2 2 3
2013 1 1 2 2 3
2014 1 1 2 2
2015 1 1 2
2016 1 1

6. + Eligibility Guidelines
 You qualify individually
 You practice in the outpatient setting
 You may only participate in one program
+ Medicare
 Receive Medicare Part B reimbursements
+ Medicaid
 Meet 30% patient volume threshold (20% for
pediatricians)
 *Meet 30% “needy individual” patient volume
Eligible Professional in the EHR Incentive Program
Medicare Medicaid
Doctors of medicine or
osteopathy
Doctors of medicine or
osteopathy
Doctors of dental surgery
or dental medicine
Nurse practitioner
Doctor of podiatry Certified nurse-midwife
Doctor of optometry Dentist
Chiropractor *Physician assistant
Furnishes services in a Federally
Qualified Health Center or Rural
Health Clinic lead by a physician
assistant

7. + You must record all patients you see, regardless of their insurance, in
the outpatient setting for Meaningful Use.
+ If you see patients in the hospital, you do not need to include them in
Practice Fusion for Meaningful Use.
+ At minimum, you must maintain more than 80% of your patients in the
certified EHR for Meaningful Use.
Is Meaningful Use based on all patients?

8. + Medicare
 Maximum incentive by starting in 2014: $23,520
 Penalties are applicable if you do not participate
 Year 1: Meet Meaningful Use requirements for 90 days
+ Medicaid
 Maximum incentive by starting in 2014: $63,750
 Penalties do not apply
 Year 1: A/I/U or meet Meaningful Use requirements for 90 days
Medicare v Medicaid

9. + Incentives decrease over time
+ Sliding scale payment
+ You will earn 75% of your allowed
charges up to the annual cap
Medicare Incentive Payment Timeline
Max payout
in year…
First year of participation
2013 2014 No adoption
2011
2012
2013 $14,700
2014 $11,760 $11,760
2015 $7,840 $7,840 -1%
2016 $3,920 $3,920 -2%
Total $38,220 $23,520 $0

10. + Lump-sum payment
+ Max incentive does not change based on
year of adoption
+ You will need to report your Medicaid
patient volume each year
Medicaid Incentive Payment Timeline
Max payout
in year…
Year of adoption
2013 2014 2015
2011
2012
2013 $21,250
2014 $8,500 $21,250
2015 $8,500 $8,500 $21,250
2016 $8,500 $8,500 $8,500
2017 $8,500 $8,500 $8,500
2018 $8,500 $8,500 $8,500
2019 $8,500 $8,500
2020 $8,500
Total $63,750 $63,750 $63,750

11. + Apply to providers who receive Medicare Part
B reimbursements
+ 2 year look back
+ 2014 exception:
 1st year participants can avoid a penalty in 2015 and 2016
 Must attest by October 1, 2014
+ You must continue to meet the program
requirements each year to avoid penalty
Penalties
Reporting
Year
Penalty
Year
Penalty
Amount
2013 2015 -1%
2014 2016 -2%
2015 2017 -3%
2016 2018 -4%
2017 2019 -5%

12. + 2014 - 3 month quarter reporting period options:
 Q1 (Jan 1 – March 31)
 Q2 (Apr 1 – Jun 30)
 Q3 (Jul 1 – Sept 31)
 Q4 (Oct 1 – Dec 1)
+ 1st year Medicare providers may choose a custom 90 day reporting period
+ State Medicaid programs may allow different reporting periods
 Check with your state agency for more details
 Completing the requirements for A/I/U does not involve a reporting period
Reporting Period

13. + Avoid penalties on future Medicare reimbursements.
+ Attestation deadline is October 1st, which means you must begin your
reporting period by July 1, 2014.
+ Waiting until the last minute could cost you up to $23,520 and saddle
you with a penalty on all of your Medicare Part B reimbursements
starting in 2015.
Why Start Now

14. Stage 1 Requirements
9 Clinical Quality Measures (CQMs)
+ You must report at least 9 CQMs directly from Practice Fusion’s 2014 CQM report
13
CORE
5
MENU
18MEASURES

15. Exclusions exempt you from completing certain measures
What if a measure is outside the scope of my practice?
Key Facts
+ Eligible exclusions can be claimed during attestation
+ If you claim an exclusion, you should have relevant documentation for support
+ Exclusions will not count towards meeting a menu measure, so you must first select menu measures that are relevant to
your scope of practice
+ If you can’t achieve 5 of the 9 menu measures, you must attest to an exclusion for the remaining menu measures
Example
+ Core 9 – Record Smoking Status: Any eligible provider who sees no patients 13 years or older.

16. + Measure: Provide more than 50% of all unique
patients seen during the reporting period online
access to their health information within 4
business days.
+ PF Workflow: Give patients access to the Patient
Portal (Patient Fusion)
+ If your patients do not have email:
 Ask if they have a spouse, patient, child, guardian, caregiver,
or other authorized representative
 Educate patients about the benefits of having online access
to their information
New Core Measure: Patient Electronic Access

17. Stage 1 Workflow Phases
• Record Demographics (C-7)
• Collect email / invite to Patient Portal (C-11, C-12)
Check-In
• Record Vitals (C-8)
• Record Smoking Status (C-9)
• Record Drug Allergies (C-6)
• Record Diagnoses (C-3)
• E-Prescribe / CPOE / Maintain Rx List (C-1, 4, 5)
• Provide Patient Education (M-6)
Intake
Exam
• Print Clinical Summary if necessary (C-13)
• Provide Transition of Care Summary (M-7)
• Order Labs (M-2)
Post-Exam
Phase Action

18. + You must select encounter type “Office visit” or “Home visit” and sign
the SOAP note to receive credit for Meaningful Use measures based
on unique patients seen during the reporting period.
+ Providers must navigate to the new HTML chart note to select an
encounter type by clicking “Finalize.”
+ Only the provider who signs the note receives denominator credit.
Choosing An Encounter Type for Meaningful Use

19. + Attestation is the process of legally declaring you met the Meaningful
Use requirements
+ You must submit values for core, menu, and CQM values online after
your reporting period
+ Deadline to attest for 2014 reporting year: February 28, 2015
 First year Medicare participants must attest by October 1, 2014 to avoid a 1% penalty
in 2015
+ All providers are potentially subject to an audit
Attestation

20. Sign up for eRx
and labs
Start using
Practice Fusion
to see all
patients
Use the
Dashboard,
Help Forum &
MU Center
Next Steps for Success