1 EHR Incentive Program Registration & Attestation Tips for the Eligible Professionals Marlene Hodges & Denise Warren June 8, 2011

Objectives Medicare and Medicaid Review Program eligibility Steps to Registration Steps to Attestation

Medicare-only Eligible Professionals Could be eligible for either Medicare & Medicaid incentives Medicaid-only Eligible Professionals Eligible Professionals

EP Eligibility: Medicare Basics Must be a physician (defined as MD, DO, DDM/DDS, optometrist, podiatrist, chiropractor) Must have Part B Medicare allowed charges Must not be hospital-based Must be enrolled in PECOS, living

In order to register NPPES (i.e., NPI) web user account Medicare EPs must be enrolled in PECOS Determine who will receive the payment

In order to get a payment Medicare EPs –Meaningfully use certified EHR technology –Attest to all program requirements,  MU requirements  get EHR certification number from CHPL

Register-Attest-Get Paid! Medicare Now –Go to the CMS EHR Incentive Program website –Click on the tab for Registration –Complete your registration Attest –Return to your registration and click on the Attestation tab and complete your program attestations

Now we’re ready to register! What’s next? Download Registration User’s Guide

9 Registration Home Page Enter the EHR Incentive Program URL into your web browser gov Click CONTINUE to start the registration process. TIPS To determine your eligibility, click on the CMS website. For a list of Eligible Professionals (EPs), click on the + sign next to Eligible Professionals.

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12 Click on REGISTER in the Action column to continue the registration process. TIPS “Resubmit”, “Modify”, “Cancel” and “Reactivate” are the available Action hyperlinks for returning users Only one action can be performed at a time on this page. If the user selects the Action hyperlink of “Register” or “Resubmit” they will be directed to the Topics for Registration screen.

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Attestation User Guide: Download! 23

Ready to ATTEST! 24

Attestation Attestation Worksheet is available at: EP_Attestation_Worksheet.pdf 25

Attestation EPs will: Fill in numerators and denominators for the meaningful use objectives and clinical quality measures (Hint: A complete EHR system will provide a report of the numerators, denominators and other info.) Indicate if you qualify for exclusions to specific objectives Legally attest that you have successfully demonstrated meaningful use. 26

Attestation To attest for the Medicare EHR Incentive Program in your 1 st year of participation, you will need to have met MU for a consecutive 90-day reporting period. If your initial attestation fails, you can select a different 90-day reporting period that may partially overlap with a previously reported 90-day period. 27

Third Party CMS now allows an EP to designate a third party to register and attest on his or her behalf for the Medicare Incentive Program. To do so, users working 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. 28

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Attestation Providers will qualify for a Medicare EHR incentive payment upon completing a successful online submission through the Attestation System Immediately after you submit your results you will see a summary of your attestation, and whether or not it was successful. 32

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Receiving the money! Payments will be made approximately 4 to 8 weeks after an EP meets the program requirements Payments will be made to the TIN you selected at the time you registered Have questions about your EHR incentive payment? DON'T: Call your MAC/carrier/fiscal intermediary with questions DO: Call the EHR Information Center

Audits Will CMS conduct audits? Any provider attesting to receive an incentive payment for either the Medicare or Medicaid EHR Incentive Program potentially may be subject to an audit. 36

Attestation Guides & Resources 37 Click on “Attestation” from left column Attestation User Guide for Medicare EPs Meaningful Use Attestation Calculator Attestation Worksheet for EPs Electronic Specifications for Clinical Quality Measures (CQM)

IFMC 38

Iowa Medicaid EHR Incentive Payment Program For Eligible Professionals (EPs) 39

Medicaid Eligibility 40 HITECH Act provides Medicaid incentive payments for EPs who: Adopt Implement Upgrade Or Meaningfully use certified EHR technology Attest to meeting all program requirements

Patient Threshold Eligibility 41 Entity Minimum Medicaid Patient Volume Threshold OR The Medicaid EP practices predominately in a FQHC or RHC with a 30% needy individual patient volume threshold. Non-hospital based physicians 30% Pediatricians20% Dentists30% Certified nurse-Midwife30% NPs30% Must be: Licensed Credentialed Living PA when practicing in an FQHC/RHC led by a PA 30%

Medicaid Payment by Calendar Year 42

Patient Volume Threshold 43 Calculated based on number of Medicaid encounters (primary & secondary) Total Medicaid patient encounters in any 90-day period in the previous calendar year divided by Total patient encounters in that same 90-day period

Medicaid - Register, Attest, Get Paid! Complete CMS EHR Incentive Program registration on website Go to IMPA and complete the eligibility verification and attestation Payments are made by the state no later than 5 months after you attest; most sooner IME has already distributed $4.5 million in incentive payments $

Iowa Medicaid Portal Access (IMPA) Each EP needs his/her own account Create an account if one does not already exist Info needed to create an application: –Individual NPI –Individual TIN (SSN) –CMS EHR Registration Certification ID # Wait a day – application info is processed overnight 45

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Create Application 53

Create Application 54

Begin Attestation – Next Day 55

Application Status 56

Registration Details 57

IMPA Attestation 58

IMPA Attestation 59

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IMPA Attestation You can change your answers to the point you “sign” You can view and print your answers You may upload your supporting documentation You may be asked to supply the supporting documentation pre or post-payment Keep records for six years. 62

Need More Information? CMS EHR Program –Final Rule –Eligibility wizard –Information Support Center –Much more! In Partnership with: The Office of the National Coordinator for Health Information Technology (ONC) U.S. Department of Health and Human Services grant 90RC0004/01. IA-HITREC-01/11-186

Contact Information - IME Iowa Medicaid Enterprise – –Melissa Brown Medicaid HIT Provider Incentive Coordinator –Kelly Peiper Medicaid HIT Provider Incentive Coordinator In Partnership with: The Office of the National Coordinator for Health Information Technology (ONC) U.S. Department of Health and Human Services grant 90RC0004/01. IA-HITREC-01/11-186

Contact IFMC for Assistance Iowa Health Information Technology Regional Extension Center

Goals of Meaningful Use (HITECH) Improving the quality, safety and efficiency of health care Reducing health disparities Engaging patients and families Improving care coordination Improving population and public health Ensuring adequate privacy and security protections for personal health information. 66

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