1.800.360.0603

GE Healthcare Camden Group Insights Blog

New EHR Attestation Deadline for Eligible Hospitals: 12/31/14

Posted by Matthew Smith on Nov 24, 2014 3:01:00 PM
Courtesy of Centers for Medicare & Medicaid Services 

CMS, EHR, Meaningful UseCMS is extending the deadline for eligible hospitals and Critical Access Hospitals (CAHs) to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year from 11:59 pm EST on November 30, 2014 to 11:59 pm EST on December 31, 2014.

This extension will allow more time for hospitals to submit their meaningful use data and receive an incentive payment for the 2014 program year, as well as avoid the 2016 Medicare payment adjustment.

CMS is also extending the deadline for eligible hospitals and CAHs that are electronically submitting clinical quality measures (CQMs) to meet that requirement of meaningful use and the Hospital Inpatient Quality Reporting (IQR) program. Hospitals now have until December 31, 2014 to submit their eCQM data via Quality Net.

Note: This extension does not impact the deadlines for the Medicaid EHR Incentive Program.

How to attest?
Medicare eligible hospitals and CAHs will use the Registration and Attestation System to submit their attestation for meaningful use for the 2014 reporting year. The system is open and fully operational, and includes the 2014 Certified EHR Technology (CEHRT) Flexibility Rule options. Medicare eligible hospitals and CAHs can attest any time to 2014 data until 11:59 pm EST on December 31, 2014 to meet the new 2014 program deadline.

Attestation Tips
Here are some steps to help make the attestation process easier:

  • Consider logging on to use the attestation system during non-peak hours, such as evenings and weekends
  • Log on to the registration and attestation system now and ensure that your information is up to date and begin entering your 2014 data  
  • If you experience attestation problems, call the EHR Incentive Program Help Desk and report the problem

Reminder: Medicare eligible hospitals must attest to demonstrating meaningful use every year to receive an incentive and avoid a payment adjustment.

2016 Payment Adjustments
Payment adjustments will be applied at the beginning of FY 2016 (October 1, 2015) for Medicare eligible hospitals that have not successfully demonstrated meaningful use in 2014. Read the eligible hospital payment adjustment tipsheet to learn more.

Note:  CAHs have a different payment adjustment schedule than Medicare eligible hospitals. Review the CAH Payment Adjustment and Hardship Exception Tipsheet.

Resources
The EHR Information Center is open to assist you with all of your registration and attestation system inquiries. Please call, 1-888-734-6433 (primary number) or 888-734-6563 (TTY number). The EHR Information Center is open Monday through Friday from 7:30 a.m. – 6:30 p.m. (Central Time), except federal holidays.

Attestation resources are available on the Educational Resources webpage of the EHR Incentives Programs website.

Topics: EHR, EMR, Meaningful Use, Medicare, CMS, Medicaid, Attestation

The Clock's Ticking: Last Reminder to Attest for Medicare EHR Incentive Program to Receive 2013 Incentive Payment

Posted by Matthew Smith on Mar 28, 2014 1:37:00 PM

EHR, EMR, CMS, AttestationMedicare EPs Must Attest by Next Monday, March 31 at 11:59 pm ET to Receive 2013 Incentive.

Due to the large volume of providers attesting, CMS encourages you to please submit your data as soon as possible and during non-peak hours to avoid system delays.

If you are an eligible professional, the last day you can register and attest to demonstrating meaningful use for the 2013 Medicare EHR Incentive Program is March 31, 2014. You must successfully attest by 11:59 p.m. Eastern Daylight Time on March 31, to receive an incentive payment for your 2013 participation.

CMS extended the deadline for eligible professionals to attest to meaningful use for the Medicare EHR Incentive Program to allow more time for providers to submit their meaningful use data and receive an incentive payment for the 2013 program year.

Medicaid Eligible Professionals
Eligible professionals participating in the Medicaid EHR Incentive Program need to refer to their state deadlines for attestation information.

Payment Adjustments
Payment adjustments for eligible professionals will be applied beginning January 1, 2015, to Medicare participants that have not successfully demonstrated meaningful use. For more information, visit the payment adjustment tipsheet for eligible professionals.

You must attest to demonstrating meaningful use every year to receive an incentive and avoid a payment adjustment.

If you are only eligible to participate in the Medicaid EHR Incentive Program, you are not subject to payment adjustments.

Resources

Plan Ahead
Review important dates for the EHR Incentive Programs and all CMS eHealth programs using this Interactive Timeline.

Topics: EHR, EMR, Meaningful Use, CMS, Attestation, Electronic Health Record, Electronic Medical Record

REMINDER: Medicare EPs Must Attest by March 31 at 11:59 pm ET to Receive 2013 Incentive

Posted by Matthew Smith on Mar 7, 2014 8:30:00 AM

EHR, Meaningful Use, AttestationDue to the large volume of providers attesting, please submit your data as soon as possible and during non-peak hours to avoid system delays.

If you are an eligible professional, the last day you can register and attest to demonstrating meaningful use for the 2013 Medicare EHR Incentive Program is March 31, 2014. You must successfully attest by 11:59 p.m. Eastern Daylight Time on March 31, to receive an incentive payment for your 2013 participation.

CMS extended the deadline for eligible professionals to attest to meaningful use for the Medicare EHR Incentive Program to allow more time for providers to submit their meaningful use data and receive an incentive payment for the 2013 program year.

Medicaid Eligible Professionals

Eligible professionals participating in the Medicaid EHR Incentive Program need to refer to their state deadlines for attestation information.

Eligible Hospitals

If you are an eligible hospital, you may contact CMS for assistance submitting your attestation retroactively.  You must contact CMS by 11:59 pm on March 15, 2014 in order to participate for the 2013 program year.

Payment Adjustments

Payment adjustments for eligible professionals will be applied beginning January 1, 2015, to Medicare participants that have not successfully demonstrated meaningful use. For more information, visit the payment adjustment tipsheet for eligible professionals.

You must attest to demonstrating meaningful use every year to receive an incentive and avoid a payment adjustment.

If you are only eligible to participate in the Medicaid EHR Incentive Program, you are not subject to payment adjustments.

Resources

Plan Ahead

Review important dates for the EHR Incentive Programs and all CMS eHealth program using this Interactive Timeline.

Topics: Meaningful Use, EHR Incentive Program, Attestation

10 Reasons Your Organization Needs a Clinical Integration Strategy

Posted by Matthew Smith on Apr 29, 2013 1:08:00 PM

Clinical IntegrationIn today's healthcare landscape, there are a wide-range of approaches and strategies employed to achieve successful clinical integration (“CI”). Regardless of the strategy, when designed and implemented correctly, CI offers tremendous potentials for efficiencies and improvements in healthcare quality and patient satisfaction.

Here are 10 identified benefits of CI to consider when exploring your CI options and feasability:

1. Increased Collaboration: The use of care teams to implement a CI program addresses gaps in the care continuum while reducing ineffective or unneeded process steps. This approach allows hospitals and healthcare providers to learn to operate as a team to better align, or realign, their efforts to improve quality, patient safety, and patient and family satisfaction.

2. Improved Efficiency: CI eliminates healthcare waste and redundancy, making it possible for hospital systems to provide patients focused seamless systems of care across and between healthcare providers.

3. Integrated Systems: CI programs provide hospital systems with many more monitoring and enforcement tools than through a typical medical staff organization, including the payment of financial incentives for physicians who actively participate in the program and penalties for those who do not.

4. Payer Partnerships: As CI improves the quality of patient care and clinical processes and reduces costs, hospitals are able to achieve market differentiation. This type of differentiation is attractive to health plans and can serve as the catalyst for payer partnerships.

5. Improved Care Management: Organizations that are successfully clinically integrated benefit from improved care management. Patients who see multiple doctors are well aware of the fragmented and redundant services and care they receive. Case management serves as the foundation to accomplish coordination of care across traditional health settings. Its goal is to achieve the best clinical and cost outcomes for both patient and provider and is most successful when case managers are able to work within and outside organized health systems.

6. Integrated Continuum of Care: At the center of CI is teamwork among healthcare providers working to ensure patients get the right care at the right time in the right setting. CI care management teams collaborate with adult day care, independent living, assisted living, and skilled nursing facility partners. Together, with infrastructure focused on supporting caregivers and patients to efficiently assess, document, communicate, and meet patient needs enables hospital systems and healthcare networks to achieve this core objective.

7. Clinical Data Systems: An integrated technology (“IT”) platform that supports continuity of care and enables access to medical history and critical patient data for all stakeholders is imperative in CI, easing communications across the care continuum and providing information that measures service, performance, quality, and outcomes on an individual provider and network-wide basis.

8. Patient-centered Communication: In many networks, communication skills training is provided to physicians and healthcare providers with the goal of establishing clear channels of communication as a vital part of the CI program. The Joint Commission has cited communication breakdown as the single greatest contributing factor to sentinel events and delays in care in U.S. hospitals. The CI emphasis on timely and clear communication is key to influencing patient behavior, resulting in cost/quality benefits.

9. Improved Pharmaceutical Management: Most medication errors are not caused by individual carelessness, but rather by faulty processes that lead people to make mistakes or fail to prevent the mistakes. CI improves pharmaceutical management allowing hospitals to identify gaps in the medication management process and allow them to take actions to help make patients safer.

10. Improved Health of the Community: CI emphasizes wellness initiatives such as outreach programs and classes to empower the patient with tools, knowledge, and practical solutions to participate actively in their care, ultimately leading to a healthier population. Extensive research in the past three decades indicates that receiving wellness and prevention advice and care from trusted local hospitals and physicians resonates with individuals.

Clinical Integration, Strategy Development

Topics: Clinical Integration, Clinically Integrated Care, Attestation, CI, Coordinated Care, Physicians

A Provider's Story: Achieving EHR Meaningful Use--A Team Effort

Posted by Matthew Smith on Jul 11, 2012 9:46:00 AM

EDITOR'S NOTE: Dr. Marie T. Brown, MD, FACP, and Dr. Janet Y. Forbes MD, (whose practice is in Oak Park, IL) recently achieved Stage 1 Meaningful Use attestation. Their personal account follows.

Meaningful Use“Our team is pretty small (there are only six of us)—two doctors, two LPNs and two front desk staff (no IT department, no education department, and no HR or billing department). I had been quoted as saying, ’I’ll retire before I go electronic.’ So when it came time to choose and implement an EHR, it was up to two very busy physicians with no experience and great trepidation. Fortunately, we noticed a mailing offering support from IL-HITREC. It felt like someone threw us a life preserver.

We contacted IL-HITREC, not knowing who they were or what they would do for us. We paid a grant subsidized fee for each provider for what they promised was assistance with not only choosing an EHR and attesting for meeting Meaningful Use, but also full implementation with consultative services which would have cost us several thousand dollars.

The IL-HITREC – North East Satellite Office assigned us to a health care consulting company called Health Directions. REAL people came to our office and SPOKE with us. They interviewed all of the staff, individually, to assess all concerns before we began this transition. The range of emotions ran the gamut—from excitement to paralyzing fear.

They coached us, listened to us, developed a project plan, worked with the EHR we chose, and held our hand every step of the way. They were also fun to work with. Three months after going ‘live’, one of the IL-HITREC consultants was physically present to help me attest to Meaningful Use, and eight weeks later the $18,000 incentive payment was deposited directly into my account.

Our entire six-person team shared in the work, frustration, confusion and rewards (financial as well). We could not have done it without IL-HITREC and Health Directions. We are now almost completely paperless. Though it is still sometimes challenging, we see the advantages and our patients are proud of us! The biggest difference is that we don’t waste time looking for charts and adding mounds of paper to the chart and several people can ‘use‘ the chart at the same time. Health Directions taught us that we needed to change how the work flows—and not just replace paper with digital records. We are pleased to be a part of the digital age and couldn't have done it without IL-HITREC's support.”

-- Marie T. Brown, M.D., FACP

 

The Illinois Health Information Technology Regional Extension Center’s (IL-HITREC) Northeast Satellite Office, managed by the MCHC, congratulates Dr. Brown and Dr. Forbes for reaching Stage 1 Meaningful Use attestation.

IL-HITREC is one of 64 Regional Extension Centers in the U.S designated by the Office of the National Coordinator for Health Information Technology (ONC). IL-HITREC’s northeast satellite office has contracted with Health Directions to assist suburban Chicago-area primary care physicians in the facilitation and delivery of health information technology.

The HIT Regional Extension Centers were established as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act; Title IV in Division B of the American Recovery and Reinvestment Act (ARRA). Signed into law by President Obama Feb. 17, 2009, the HITECH Act authorizes the Centers for Medicare and Medicaid Services (CMS) to provide a reimbursement incentive for physician and hospital providers who demonstrate the meaningful use of an EHR.

The ARRA stimulus package includes financial incentives for healthcare providers who achieve meaningful use with an EHR. Medicare incentives can provide up to $44,000 per provider over five years, and Medicaid incentives up to $63,750 per provider over six years.

Want to learn more about the current state of Meaningful Use? Simply click on the button, below, to access our detailed Meaninful Use Overview. Content includes:

  • Background of “Meaningful Use”

  • Identify the incentive dollars available

  • Medicare vs. Medicaid Programs

  • Introduce the Meaningful Use measures

  • Plan to achieve MU in 2012


Topics: EHR, EMR, Meaningful Use, HIT, Attestation, Practice Management, healthcare consulting firm, Medical Practice

Subscribe to Email Updates

Value Model, Health Analytics

Recent Posts

Posts by Topic

Follow Me