Who will pay Medicare penalties and miss out on Meaningful Use incentives? How can providers successfully attest to Meaningful Use? This slideshow covers the facts you need to know about Meaningful Use Medicare penalties. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/
- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TRANSCRIPT
MEANINGFUL USE: A LOOK BACK
$11.8 BILLION IN TOTAL INCENTIVES PROGRAM TO DATE
o $2.4 BILLION IN MEDICARE INCENTIVES PAID – HOSPITALS/PROVIDERS
o $1.8 BILLION IN MEDICAID INCENTIVES PAID – HOSPITALS/PROVIDERS
o $7.3 BILLION IN MEDICARE/MEDICAID TO HOSPITALS
o 372,000 HOSPITALS / PROFESSIONALS REGISTERED
o 49 STATES, D.C. AND PR HAVE LAUNCHED MEDICAID PROGRAMS
* HAWAII, GUAM, AM. SAMOA – UNKNOWN
* VIRGIN ISLANDS – UNKNOWN
ACTIVE REGISTRATIONS:
o HOSPITALS → 4,257 (5,724 IN U.S. – 74%)
o MEDICARE ELIGIBLE PROVIDERS → 253,477 (834,769 U.S. PHYSICIANS – 30%)
o MEDICAID ELIGIBLE PROVIDERS → 114,866 (U.S. PHYSICIANS – 14%)
TOTAL ATTESTATION:
o HOSPITAL ATTESTATION → $7,861,299,090
o MEDICARE EP STAGE 1 ATTESTATION → $2,134,906,925
o MEDICAID EP YEAR 1 & 2 ATTESTATION → $1,595,896,115
REVIEW: 4 MARKS OF MU
STAGE 1:
• ADOPT & USE EHR
• CAPTURE DATA
STAGE 2
• ADOPT & USE EHR
• CAPTURE DATA
• MOVE DATA
• REPORT DATA
PENALTIES :THE FACTS YOU NEED TO KNOW
HITECH REQUIRES PAYMENT ADJUSTMENT IF A PROVIDER SHOWS NO MU BY 2015
APPLIES TO ALL PROVIDERS TREATING MEDICARE PART B PFS PATIENTS
PAYMENT ADJUSTMENT BASED ON PRIOR YEAR’S REPORTING PERIOD
THERE WILL BE A 2 YEAR LAG BETWEEN WHEN THE DATA IS REPORTED AND WHEN THEY APPLY THE PAYMENT ADJUSTMENT
IF PROVIDER ATTESTED TO MU IN 2011/2012, THEY WILL NEED A FULL YEAR OF MU REPORTING IN 2013 TO AVOID PENALTY.
REMEMBER: ADOPTING, IMPLEMENTING OR UPGRADING YOUR EHR IS NOT MU!
COMPLETE MEDICARE MU REGISTRATION & ATTESTATION BY 10/1/2014 = NO ADJUSTMENT IN 2015
WHICH MEANS: 90-DAY REPORTING PERIOD NO LATER THAN 7/1/2014
PROVIDERS MUST CONTINUE TO MEET MU ANNUALLY TO AVOID ADJUSTMENTS IN SUBSEQUENT YEARS
HOSPITAL-BASED EPS (90% OF SERVICES) NOT ELIGIBLE SO NOT SUBJECT TO PENALTIES
LEARN MORE ABOUT MU STAGE 2:
http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm
4. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
5. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid –
Hospitals/Providers
6. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid –
Hospitals/Providers
o $1.8 Billion in Medicaid Incentives Paid –
Hospitals/Providers
7. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid
– Hospitals/Providers
o $1.8 Billion in Medicaid Incentives Paid
– Hospitals/Providers
o $7.3 Billion in Medicare/Medicaid to
Hospitals
8. Meaningful Use: A Look Back
o 372,000 Hospitals / Professionals
registered
9. Meaningful Use: A Look Back
o 372,000 Hospitals / Professionals
registered
o 49 States, D.C. and PR have launched
Medicaid Programs
* Hawaii, Guam, Am. Samoa – Unknown
* Virgin Islands – Unknown
11. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)
12. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)
o Medicare Eligible Providers → 253,477 (834,769
U.S. Physicians – 30%)
13. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)
o Medicare Eligible Providers → 253,477 (834,769
U.S. Physicians – 30%)
o Medicaid Eligible Providers → 114,866 (U.S.
Physicians – 14%)
15. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
16. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
o Medicare EP Stage 1 Attestation →
$2,134,906,925
17. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
o Medicare EP Stage 1 Attestation →
$2,134,906,925
o Medicaid EP Year 1 & 2 Attestation →
$1,595,896,115
28. Medicare Penalties
Payment Adjustment based on
prior year’s reporting period
There will be a 2 year lag between when the
*
data is reported and when they apply the
payment adjustment
29. Medicare Penalties
If provider attested to MU
in 2011/2012, they will need a
full year of MU reporting in 2013
to avoid penalty.
30. REMEMBER:
Adopting, Implementing or
Upgrading your EHR is not MU!