2 1 3 HTS, a department of Mountain Pacific Quality Health - - PowerPoint PPT Presentation

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2 1 3 HTS, a department of Mountain Pacific Quality Health - - PowerPoint PPT Presentation

Dec 23, 2023 374 likes •889 views

Presented by: Deb Anderson, CPHIMS HIT Consultant and Business Relationship Manager EHR Incen entive ive Program am Registrati ration on CONNECTING THE DOTS! 2 1 3 HTS, a department of Mountain Pacific Quality Health Foundation 1

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Presented by: Deb Anderson, CPHIMS HIT Consultant and Business Relationship Manager EHR Incen entive ive Program am Registrati ration

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CONNECTING THE DOTS!

HTS, a department of Mountain Pacific Quality Health Foundation

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 Thank you for spending your valuable time with us today.  This webinar will be recorded for your convenience.  A copy of today’s presentation and the webinar recording will

be available on our website. A link to these resources will be emailed to you following the webinar.

 All phones will be muted during the presentation and

unmuted during the Q&A session. Computer users can use the chat box to ask questions which will be answered at the end of the presentation.

 We would greatly appreciate your providing us feedback by

completing the survey at the end of the webinar today.

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 Mountain-Pacific holds the Centers for Medicare & Medicaid

Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contract for the states

  • f Montana, Wyoming, Alaska and Hawaii, providing quality

improvement assistance.

 HTS, a department of MPQH, has assisted 1480 providers and

50 Critical Access Hospitals to reach Meaningful Use. We also assist healthcare facilities with utilizing Health Information Technology (HIT) to improve health care, quality, efficiency and outcomes.

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The presenter is not an attorney and the information provided is the presenter(s)’ opinion and should not be taken as legal advice. The information is presented for informational purposes only. Compliance with regulations can involve legal subject matter with serious

  • consequences. The information contained in the webinar(s) and related

materials (including, but not limited to, recordings, handouts, and presentation documents) is not intended to constitute legal advice or the rendering of legal, consulting or other professional services of any kind. Users of the webinar(s) and webinar materials should not in any manner rely upon or construe the information as legal, or other professional advice. Users should seek the services of a competent legal or other professional before acting, or failing to act, based upon the information contained in the webinar(s) in order to ascertain what is may be best for the users individual needs.

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 Deb Anderson, CPHIMS, Health Technology

Services Business Relationship Manager

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 Identify which providers should register for

the EHR Incentive Program

 Identify how to access the CMS Identity and

Access Management System

 Understand the PECOS Checklist for

Registration

 Identify where and how to Register providers  Understand the State Level Registry for

Medicaid eligible hospitals and providers

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 Eligible Providers  2015 Meaningful Use changes  EHR Incentive Registration

  • Identity and Access (I&A) Management System
  • PECOS Checklist
  • CMS Registration
  • Wyoming State Level Registry
  • Montana State Level Registry

 Q&A  Resource links and contact information

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Some providers will automatically be granted a hardship exception. CMS will use Medicare data on these providers to determine their hardship exception. The following providers do not need to submit a hardship application:

New providers to the profession in their first year

Eligible professionals who are hospital-based: a provider is considered hospital-based if he or she provides more than 90% of their covered professional services in either an inpatient (Place of Service 21) or emergency department (Place of Service 23) of a hospital

Eligible professionals in which 90% of their claims include Place of Service 21, Place of Service 23 and certain observation services using Place of Service 22.

Eligible professionals with certain PECOS specialties (05-Anesthesiology, 22- Pathology, 30-Diagnostic Radiology, 36-Nuclear Medicine, 94-Interventional Radiology) 6 months prior to the first day of the payment adjustments. Eligible professionals should verify that their PECOS specialty is up to date.

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In the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated that payment adjustments should be applied to Medicare eligible professionals, eligible hospitals, and critical access hospitals (CAH) that are not meaningful users of Certified Electronic Health Record (EHR) Technology under the Medicare EHR Incentive Program.

If a provider is eligible to participate in the Medicare EHR Incentive Program, they must demonstrate meaningful use in either the Medicare EHR Incentive Program or in the Medicaid EHR Incentive Program, to avoid a payment

  • adjustment. Medicaid providers who are only eligible to participate in the

Medicaid EHR Incentive Program are not subject to these payment adjustments.

Medicare eligible professionals will receive payment adjustments starting on January 1, 2015.

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CMS Final Rule encompasses EHR Incentive Programs in 2015 through 2017 called “Modified Stage 2” and Stage 3 in 2018

No longer the Stage/Year Concept

  • 2015-2017 is Modif

ified ied Stage ge 2

 Further information is available on the CMS website

https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/2015 ProgramRequirements.html

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 Identity and Access Management System  PECOS Checklist  CMS EHR Registration (NLR)  Accessing Medicaid State Level Registries

(SLR)

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https://nppes.cms.hhs.gov/IAWeb/login.do

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 YES - Users registering or attesting on behalf of an EP must

have an Identity and Access Management System (I&A) web user account (User ID/Password) and be associated to the EP's

  • NPI. If you are working on behalf of an EP(s) and do not have

an I&A web user account, please visit https://nppes.cms.hhs.gov/NPPES/IASecurityCheck.do to create one.

 Keywords: FAQ10565

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 NPI Registry Search Home

  • https://npiregistry.cms.hhs.gov/

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 Make sure to have an ACTIVE enrollment record in the

Provider Enrollment, Chain and Ownership System (PECOS)

 Verify that the Medicare Administrative Contractor (MAC) has

the correct banking information and payee information including:

  • Bank account number
  • Bank routing number
  • Payee Address
  • Payee National Provider Identifier (NPI) and Payee Tax Identification

Number (TIN) combinations

https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/Downloads/Registration_Attestation_PECO Checklist_09_25_12.pdf

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https://ehrincentives.cms.gov/hitech/login.action

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 Valid I&A login  Tax ID (TIN OR SSN)  NPI  Incentive type (Medicare/Medicaid/both)  Eligible Provider Type  Payee Information (NPI)  Business Address, Zip +4, Phone number  Email address for confirmation email  Optional – EHR Certification Number

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Login in at the bottom

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the e page. e.

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Select the Registration Tab

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Click the Register button of the appropriate EP

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Step 1

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Medicare EPs are now finished with registration!

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 Wyoming and Montana

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State Level Registry CMS National Level Registry - Registration information

Registration and MU Data downloads from NLR to SLR

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NPI CMS Registration Identifier

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https://wyslr.health.wyo.gov/

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MT Medicaid Site: http://mt.arraincentive.com/

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  • Must Set up an Account in MT SLR
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  • Eligible Professional with valid PECOS

enrollment

  • Avoid Payment Adjustments by being a

Meaningful User

  • I&A Access to EHR Incentive Program
  • CMS Registration using the I&A access
  • State Level Registry access for those who are

Medicaid eligible

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 MU 2015 Steps

ps to Attestat statio ion n - in January

 Check our website for additional webinars or

join our mailing list for direct invitations.

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Deb Anderson Health Technology Consultant Business Relationship Manager 307-772-1096 danderson@mpqhf.org

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 2015 MU Changes can be found at

https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/2015 ProgramRequirements.html

 CMS Identity & Access Management System

https://nppes.cms.hhs.gov/IAWeb/login.do

 CMS EHR Registration and Attestation System

https://ehrincentives.cms.gov/hitech/login.action

 Medicare Provider Enrollment, Chain, and

Ownership System (PECOS) https://pecos.cms.hhs.gov/pecos/login.do#headin gLv1

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