GE Healthcare Camden Group Insights Blog

Summary of Care Meaningful Use Requirements in Stage 2

Posted by Matthew Smith on Nov 18, 2014 10:42:00 AM

EHR, EMR, Electronic Medical Records, Meaningful UseIf you are an eligible provider participating in the EHR Incentive Programs, you will have the option of reporting the Summary of Care menu objective in Stage 1, but will be required to meet the core objective in Stage 2.

CMS wants to ensure providers are able to meet Measure #2 of the Summary of Care objective in Stage 2. Below is some additional guidance to help you meet the measure.

Guidance for Meeting Measure #2

For Measure #2 of the Stage 2 Summary of Care objective, an eligible professional, eligible hospital or critical access hospital (CAH) may count a transition of care or referral in its numerator for the measure if they electronically create and send a summary of care document when a third party organization is involved so long as:

  • The summary of care document is created using certified EHR technology (CEHRT);
  • The summary of care document electronically transmitted by the eligible professional, eligible hospital, or CAH to the third party organization is done so using EITHER:
    1. their CEHRT’s transport standard capability; or
    2. an exchange facilitated by an organization that is an eHealth Exchange participant.
  • The third party organization can confirm for the sending provider that the summary of care document was ultimately received by the next provider of care.

In instances where a “third party organization that plays a role in determining the next provider of care and ultimately delivers the summary of care document” is involved, the service the third party provides does not have to be certified for the transmission to be counted in the numerator for Measure #2. Nor are there any specific requirements around the technical standards or methods by which the third party delivers the summary of care document to the receiving provider (e.g., SOAP, secure email, fax).

For More Information

For more information, read the updated FAQ. For additional Stage 2 resources, visit the Stage 2 webpage of the EHR Incentive Programs website.

Topics: EHR, EMR, Meaningful Use, CMS, CEHRT, CAH, Critical Access Hospitals, Summary of Care

Hardship Exception Applications to Avoid the 2015 Medicare Payment Adjustment Due 11/30/14

Posted by Matthew Smith on Oct 7, 2014 3:46:00 PM

CMS, Meaningful UseCMS is announcing its intent to reopen the submission period for hardship exception applications for eligible professionals and eligible hospitals to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use of Certified Electronic Health Record Technology (CEHRT). The new deadline will be November 30, 2014. Previously, the hardship exception application deadline was April 1, 2014 for eligible hospitals and July 1, 2014 for eligible professionals.

As part of the American Recovery and Reinvestment Act of 2009 (Recovery Act), Congress mandated payment adjustments under Medicare for eligible hospitals, critical access hospitals, and eligible professionals that are not meaningful users of CEHRT. The Recovery Act allows the Secretary to consider, on a case-by-case basis, hardship exceptions for eligible hospitals, critical access hospitals, and eligible professionals to avoid the payment adjustments.

This reopened hardship exception application submission period is for eligible professionals and eligible hospitals that:

  • Have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability; AND
  • Eligible professionals who were unable to attest by October 1, 2014 and eligible hospitals that were unable to attest by July 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.  

These are the only circumstances that will be considered for this reopened hardship exception application submission period. Applications must be submitted by 11:59 PM EST November 30, 2014.

More Information
More information about the application process will be shared soon. We intend to address this issue in upcoming rulemaking. Visit the Payment Adjustments and Hardship Exceptions webpage for more information about Medicare EHR Incentive Program payment adjustments.

Topics: Meaningful Use, Medicare, CMS, CEHRT

FREE CMS Webinar on CEHRT for Small Practices

Posted by Matthew Smith on Oct 6, 2014 4:58:00 PM

CMS, EHREvent: 

CMS 2014 Certified EHR Technology (CEHRT) Flexibility Rule Overview



Wednesday, October 15, 2014
Time: 1:00 PM-2:00 PM Eastern Time



  • CMS 2014 CEHRT Flexibility Rule overview
  • Stage 2 extension
  • 2014 flexibility options
  • Attestation System updates
  • CMS responses to public comments
  • Resources
  • Q&A


This webinar provides PAHCOM members with an overview of the 2014 Certified EHR Technology (CEHRT) Flexibility Rule that went into effect on October 1, 2014. While directed at PAHCOM members, all are welcome and anyone focused on medical office management will benefit.

This presentation will cover guidance and instructions on how eligible professionals who have been unable to fully implement 2014 Edition CEHRT for an EHR reporting period in 2014 due to delays in 2014 Edition CEHRT availability can use the rule’s flexibility to report for 2014. The presentation also provides information about the extension of Stage 2 through 2016. A question and answer session will follow the presentation.


Vidya Sellappan, HIT Initiatives Group, Office of E-Health Standards and Services

Register now as space is limited -

Topics: Meaningful Use, CMS, CEHRT, PAHCOM, Stage 2

CMS Proposes Major CEHRT Revision for 2014 Meaningful Use

Posted by Matthew Smith on May 20, 2014 4:55:00 PM

HHS, Health and Human ServicesEligible professionals and hospitals will have greater flexibility in demonstrating meaningful use in the 2014 reporting year based on a rule proposed by the Department of Health & Human Services (HHS).

In a joint statement, the two federal agencies overseeing the EHR Incentive Programs — the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) — have indicated that providers would be allowed to use either 2011 Edition certified EHR technology (CEHRT) or a combination of 2011 and 2014 Editions CEHRT for their EHR reporting period in 2014 for both EHR Incentive Programs. However, in 2015 all eligible providers will be required to use technology certified under the 2014 Edition criteria.

The proposed rule should offer relief to eligible providers struggling to implement 2014 Edition CEHRT. CMS went as far as providing a meaningful use hardship exception for physicians and hospitals finding themselves in that predicament.

“Increasing the adoption of EHRs is key to improving the nation’s health care system and the steps we are taking today will give new options to those who, through no fault of their own, have been unable to get the new 2014 Edition technology, including those at high risk, such as smaller providers and rural hospitals,” National Coordinator Karen DeSalvo, MD, MPH, MSc, said in a public statement.

CEHRT, Meaningful Use, CMS

The proposed rule also includes a provision to extend Stage 2 through 2016 and begin Stage 3 in 2017.

“We have seen tremendous participation in the EHR Incentive Programs since they began,” CMS Administrator Marilyn Tavenner said in a public statement. “By extending Stage 2, we are being receptive to stakeholder feedback to ensure providers can continue to meet meaningful use and keep momentum moving forward.”

Read the proposed rule here.

Topics: EHR, Meaningful Use, HHS, Medicare, CMS, EHR Incentive Program, CEHRT, Department of Health & Human Services

Subscribe to Email Updates

Value Model, Health Analytics

Recent Posts

Posts by Topic

Follow Me