2015 15 Modified ed Stage 2 Attestations ons What Ha Has Changed - - PowerPoint PPT Presentation

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2015 15 modified ed stage 2 attestations ons what ha has
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2015 15 Modified ed Stage 2 Attestations ons What Ha Has Changed - - PowerPoint PPT Presentation

Jan 21, 2024 594 likes •1.31k views

Presented by: Sarah Leake, MBA, CPEHR QR/PR Specialist, MU, PQRS, PM and Deb Anderson, CPHIMS HIT Consultant and Business Relationship Manager 2015 15 Modified ed Stage 2 Attestations ons What Ha Has Changed ged? Wedne nesday ay, ,

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Presented by: Sarah Leake, MBA, CPEHR QR/PR Specialist, MU, PQRS, PM and Deb Anderson, CPHIMS HIT Consultant and Business Relationship Manager

2015 15 Modified ed Stage 2 Attestations

  • ns

What Ha Has Changed ged?

Wedne nesday ay, , Januar ary y 13, 2016 6 – 1-2 pm MST 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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 Sarah Leake, MBA, CPEHR

QR/PR Specialist, MU, PQRS, PM

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 Deb Anderson, CPHIMS, Health Technology

Services Business Relationship Manager

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 Understanding the changes with Modified

Stage 2 and how they affect attestation

 How to gather and retain necessary

documentation for attestations

 Finding the latest information on Hardship

Applications

 Understanding 2015 Attestation Deadlines

and Alternate Attestations

 How to locate the SLR Attestation System for

your state

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Criteria ria Provider der Hospital al/C /CAH Objectives 10 9 # Public Health Measures 2 3 CQMs (measures/domains) 9/3 16/3

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(from EHR Incentive program 2015-2017 Tip Sheet)

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Goal to report to the MODIFIED STAGE 2

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 Based on Calendar Year

  • 2015 – continuous 90-day period or more
  • 2016 – Full

ll Year r (if not first year of attestation)

  • 2017 – full year (if Modified Stage 2) or

90 day period (if you choose Stage 3)

 EHR Technology Used

  • 2015 use 2014 Certified Edition
  • 2016 & 2017 – Choose 2014 or 2015 Certified

Edition

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 EHR Certification Number from CHPL

  • http://oncchpl.force.com/ehrcert

 EHR Meaningful Use Reports with numerators

and denominators for a minimum of a Continuous 90 Day Period

  • Hospitals: Oct 1, 2014 thru Dec 31, 2015
  • Providers: Calendar Year 2015

 Confirmation of completion and audit

documentation for all Yes/No Measures

 CQMs generated from the EHR

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Hardship and Reconsideration Applications

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 Reconsideration Application for Providers

  • If you feel you are subject to payment adjustments

in 2016 in error

  • Various options for reconsideration

 Pecos, New Provider, etc.

  • Deadline Feb 29, 2016, 11:59pm

https://www.cms.gov/regulations-and- guidance/legislation/ehrincentiveprograms/paymentadj_hardship. html

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 Hardship Exception Application 2015

  • Avoid Medicare Part B Penalties in 2017
  • Reasons listed for “Extreme and Uncontrollable

Circumstances”

  • Deadlines:

 CAHs – Feb 29, 2016

 Instructions and Application Available on the Web

 Providers and Hospitals – July 1, 2016

 Tip sheet available but not Instructions and Application

 New Bill Signed by President Obama

  • Easier to Apply for Hardship
  • Waiting for official Announcement from CMS!
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https://www.cms.gov/regulations-and- guidance/legislation/ehrincentiveprograms/registrationandattestation.html

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Very Helpful Guides

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Worksheets illustrate how Measures are input into the site. No CQMs or other information is covered.

Found on the 2015 Program Requirements Webpage

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

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Visit the Registration Tab to ensure your information is accurate, such as the Payee selection and email address.

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 Must Select the Provider that you are

attesting “on behalf of.”

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The EHR incentive program communicates to you using the email address on file on the Personal Information page of the Registration & Attestation website.

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Key Informa formati tion

  • n to Prepare

re for r Attest testat ation

  • n

1) CMS EHR Certification Number 2) 90 Continuous day Period for Reporting 3) MU Report generated from EHR with measures Numerator/Denominator and CQMs 4) Hospital: Method for Reporting - ED Visits or Observation Method

Note: If you are deemed a hospital-based provider you will not be eligible to participate in the Medicare EHR Incentive Program for this reporting period.

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 Use Caution on Applicable

Exclusions:

Alternate Exclusion: If you were scheduled to report Stage 1 in 2015. EXCLUSI USION: Less than 100 patients referred during the reporting period.

 Data Extraction Method  Record:

Numerator/Denominator

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  • Patient Records: At the eligible hospital’s or provider’s

discretion, the numerators and denominators of certain measures may be calculated using only the patient records maintained in certified EHR technology. The eligible hospital

  • r provider may also elect to calculate the numerators and

denominators of these measures using ALL patient records. Eligible hospitals or providers must indicate which method they used in their calculations.

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  • Exclusion: Eligible hospitals or providers can be excluded

from meeting an objective if they meet the requirements of the exclusion. If the eligible hospital or provider cannot meet the specific exclusion requirements, then they cannot answer “Yes” to the exclusion question. (If no exclusion is indicated, the eligible hospital or provider must report on that measure.)

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t e s t a t i

  • n

U s e r G u i d e

Page 28 in EP Attestation User Guide

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Page 28 in EP Attestation User Guide

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Page 29 in EP Attestation User Guide

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Page 30 in EP Attestation User Guide

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Page 31 in EP Attestation User Guide

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Page 32 in EP Attestation User Guide

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Page 33 in EP Attestation User Guide

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Page 36 in EP Attestation User Guide

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Page 35 in EP Attestation User Guide

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Page 37 in EP Attestation User Guide

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Page 37 in EP Attestation User Guide

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Page 48 in EP Attestation User Guide

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Page 56 in EP Attestation User Guide

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Page 57 in EP Attestation User Guide

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Page 58 in EP Attestation User Guide

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Page 59 in EP Attestation User Guide

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Page 60 in EP Attestation User Guide

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Page 61 in EP Attestation User Guide

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Page 62 in EP Attestation User Guide

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Page 62 in EP Attestation User Guide

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Page 63 in EP Attestation User Guide

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Page 64 in EP Attestation User Guide

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Providers report on at least 9 CQMs covering at least 3

  • f the 6 HHS

National Quality Strategy Domains.

Page 66 in EP Attestation User Guide

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Hospitals report on a minimum 16 of the 29 CQMs covering at least 3

  • f the 6 HHS

National Quality Strategy Domains.

Page 49 in EH Attestation User Guide

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  • Review of Attestation Measures Summary
  • Option to Modify if not Correct

CONT NTIN INUE UE wi with AT ATTE TEST STATION ATION

  • Attestation Statements – Agree
  • Confirmation Page

– Provider/Hospital, TIN/EIN, CCN/NPI, Cert number and Reporting Period

  • Disclaimer

SUBM BMIT IT

  • Submission Receipt with Attestation Number
  • Attestation Tab – “Accepted”

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Print this receipt for your records. Your Medicare Attestation Status will show Accepted and you will receive an email notification

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Click on Review Results to view the status of each measure Review each measure for the Accepted/ Rejected Status.

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You may only cancel before your Attestation status is “locked for payment” Enter a reason for cancellation Click the Cancel button

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 The NLR, EHR Registration and Attestation

System was available starting on January 4, 2016.

 For an EHR reporting period in 2015,

providers, eligible hospitals or CAHs must attest st by Februar ary y 29, 20 2016 . .

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 Montana

tana Medicai caid d –

  • Montana State Level Registry anticipates to be available to

EPs in April and EHs in August of 2016. Attestation grace periods will be adjusted accordingly.

  • http://mt.arraincentive.com/

 Wyomi

  • ming

ng Medicai caid d –

  • Wyoming SLR is currently down for maintenance.
  • The updates for the modified rule changes will be available

for eligible hospitals first with a last day to attest being March 31, 2016

  • Notifications will be sent as soon as the SLR is available for

both hospitals and providers. The last day for Eligible Providers to attest will be June 30, 2016

  • http://wyomingincentive.wyo.gov/registration

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 Alaska Medicaid Site  http://ak.arraincentive.com/  Hawaii Medicaid Site  http://hi.arraincentive.com/  Montana Medicaid Site

http://mt.arraincentive.com/

 Wyoming Medicaid Site  https://wyslr.health.wyo.gov/

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Questi stions ns? ? Co Comments nts?

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Register for our upcoming webinars and check out the resources used today: www.he

healt lthtechn htechnolog

  • gys

yservic rvice.com

  • m

Upcoming webinars Febru ruary ry 2016 PQRS-Final inalizi zing ng 2015 5 and a Look Ahead ad to 2 2016 6 Thursday, February 4, 2-3 pm MST 2016 16 MU Modified Stage 2 Program Requir ireme ments nts Review iew Wednesday, February 24, 1-2 pm MST

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Deb Anderson Health Technology Consultant 307-772-1096 danderson@mpqhf.org Sarah Leake Health Technology Consultant 307-772-1096 sleake@mpqhf.org

www.htsrec.com

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