Hayes Meaningful Use Q&A Webinar 111914

1. CMS Meaningful Use
Question and Answer
PRESENTED BY
Justine Smith, Senior Healthcare Consultant
Hayes Management Consulting
November 19, 2014
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2. Meet Your Hayes Consultants
» Justine Smith
• Senior Healthcare Consultant
YEARS OF EXPERIENCE: Ten
SYSTEMS KNOWLEDGE: GE Centricity Practice Solutions, GE Centricity EMR, CQR, CPOE, Visual
Form Editor, LinkLogic and Docutrak
KEY RESPONSIBILITIES: Implementation, System Build, Project Management, Training, Meaningful
Use, Testing
CERTIFICATIONS: GE Centricity Clinical Implementation
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3. Agenda
» Introductions
» MU overview
» Important dates that you won't want to miss
» Flexibility and hardship exemptions
» What's ahead in 2015 and beyond
» Meaningful Use readiness, including audit preparation
» Valuable resources that you should be using
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4. 2014 Medicare Meaningful Use
» MU 2014
• 2014 - Stage 1, Year 1 – 90 day rolling attestation period
• 2014 - Stage 1, Year 2 – Calendar Quarter Attestation Period
» Core Measures
• 2014 – 13 required core measures
» Menu Measures
• 2014 – 5 of 9 menu measures, must choose one registry
» Clinical Quality Measures
• 9 from at least 3 NQS strategy domains
• (22 CQMs supported by GE at this time)
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5. Poll Question
» How many providers in your organization will attest for
Stage 2 Meaningful Use in 2015?
• None
• 1-5
• 6-25
• 25-99
• 100+
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6. Clinical Quality Measures
» GE currently supports 22
clinical quality measures
within CQR
» GE expects to support
more in the coming
months
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7. New Clinical Quality Measures in SP7
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8. MU Penalties
» EPs who achieved Meaningful Use in 2013 are already
exempt from the 2015 penalty of 1%
» EPs who did not achieve Meaningful Use in 2013 may
file for the hardship exemption by November 30th to
avoid 2015 penalties
AND
» EPs must successfully achieve Meaningful Use in 2014
to avoid 2016 incentive penalties
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9. Flexibility Rule
» EPs who were unable to fully implement 2014 CEHRT
may file for hardship exemption on the basis of vendor
readiness
» EPs may choose to attest under 2014 requirements,
2011 requirements, or a hybrid of both.
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10. Hardship Exemption
» The deadline to file a hardship was extended to
November 30th, 2014
» Those eligible for the hardship exemption:
• Have been unable to fully implement 2014 Edition CEHRT due
to delays in 2014 Edition CEHRT availability; AND
• Were unable to attest by October 1, 2014 using the flexibility
options provided in the CMS 2014 CEHRT Flexibility Rule
Note - GE will not provide letters to support the lack of
vendor readiness as each scenario is unique. Plan to
collect email or other documentation to support this
claim.
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11. Poll Question
» Are you planning to attest for Meaningful Use 2014 and
file for hardship against 2015 penalties?
»Yes
»No
»I don’t know
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12. 2014 and Beyond
» Penalties are assessed based on a two year look-back
period:
• 2016 penalties are based on 2014
• 2017 penalties are based on 2015
» Penalties may be removed if an EP becomes a
meaningful user in second year
» 2015 – Full calendar year attestation period
• Many providers were exempt in 2014 for measures that will
need to be met in 2015
i.e. ePrescribing – less than 100 prescriptions
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13. Important Dates
» October 1st, 2014
• Last day to begin 90 day attestation period in 2014
» November 30th, 2014
• Last day to file for a hardship exclusion on the basis of vendor
readiness
» February 28th, 2015
• Last day to submit data to CMS for 2014 to avoid 2016
penalties
» July 1st, 2015
• Hardship filings due
• Newly practicing EPs are not required to file for hardship. They
will be automatically granted a two year grace period.
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14. Red Flags in 2015
» Full year attestation period
» Zero denominator in Clinical Quality Measures
» Things to watch out for:
• Many providers were exempt from ePrescribing due to writing
fewer than 100 prescriptions in the 90 day reporting period
• Registry Connectivity – “ongoing successful reporting”
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15. Poll Question
» Do you feel confident capturing data for CQMs using
CCC or custom forms?
• Yes
• No
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16. Audit Preparation
» CMS plans to audit 20% of all providers pre-incentive
payment and 20% of all providers post-incentive
payment
» Document all yes/no measures
» Save all reports to backup provider attestations
» If you get audited and fail, there is a 99.9% chance you
will be audited the following year.
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17. Resources you should be using
» Meaningful Use User Guide
» CMS Website
» SRA Guides
• http://www.healthit.gov/providers-professionals/security-risk-assessment-
tool
» Flexibility rule guidelines
• Acceptable reasons to file for a hardship exclusion.
» Helpful CCC and VFE Forms
• MU Core Checklist
• Family History - CCC
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18. » Questions?
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Call to action

19. Hayes’ Contact Information
» Lorie Richardson, LPN, Director – Account Management
lrichardson@hayesmanagement.com
» Angela Hunsberger, Senior Healthcare Consultant
ahunsberger@hayesmanagement.com
» Visit our website – sign up for our blog!
www.HayesManagement.com
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