PrognoCIS EMR Meaningful Use The Attestation Process with CMS

Transcription

1 PrognoCIS EMR Meaningful Use The Attestation Process with CMS For Meaningful Use configuration and setup, please contact your Implementation Manager or Technical Support. You may also visit our Client Resource Center from your Home Page ( ).

2 Identity & Access Management Account Upon registering for participation in the EHR Incentive Program with CMS, an Identity and Access Management Account will be established by CMS for the provider. Each Eligible Provider (EP) must register for and receive a unique IAM User ID & Password with CMS based upon individual credentials as a medical professional. This IAM login will be your access to the attestation and incentive status tracking once you begin. CMS Home Page Tutorials for EHR Incentive Programs: EHR Certification Number: # SWUGEAS to generate a unique number

3 EHR Incentive Benefit Schedules Medicare EHR Incentive Program The Medicare EHR Incentive Program for Eligible Providers runs from The maximum benefit a provider can receive over the duration of participation is $44, to be distributed as per the pre-determined payment schedule published by CMS. Medicaid EHR Incentive Program The Medicaid EHR Incentive Program is offered and administered voluntarily by states and territories from The maximum benefit a provider can receive over the duration of participation is $63, to be distributed as per the pre-determined payment schedule published by CMS. Other CMS Incentive Programs To verify eligibility for other CMS-sponsored incentive programs (such as e-prescribing, PQRS, etc.), please consult a program comparison on the CMS web site:

4 The Reporting Period Medicare EHR Incentive Program 90-days, consecutive within same calendar year for 1 st year of participation 365-days of each subsequent year of participation through 2016 Medicaid EHR Incentive Program N/A for 1 st year of participation Adopting and implementing certified EHR is the only requirement 90-days, consecutive within same calendar year for 2 nd year of participation 365-days of each subsequent year of participation through 2021 The actual 90-days chosen will be declared during the on-line attestation with CMS. If the initial 90-day attestation is rejected, a new attestation for a different 90-day period within the same year must be submitted (you cannot re-file for the same 90-days). IMPORTANT REMINDERS Meaningful Use is applicable to all patients seen within the reporting period regardless of payer. Each provider must report his/her own 90-day period under his/her individual NPI regardless of how medical claims are billed.

5 Attestation Values There are two types of values that may be reported to CMS during attestation: Numerical representation of patient population Affirmative or Negative confirmation of EHR functionality Measure %-Y/N Numerator / Denominator These measures are defined as requiring a minimum % of patients seen to comply with the specific criteria out of all patients who qualify for the criteria. The denominator is the total number of potentially-compliant patients; whereas the numerator represents the actual number of compliant patients based on the criteria defined. Performed At Least Once Other measures require a confirmation that the functionality exists and that you have performed or tested the feature at least once. These are identified by attesting Yes or No and do not have a minimum % requirement of patients seen. Note: This may require the assistance of your project manager or technical support to complete the required testing. Providers are receiving their ARRA reimbursements regularly!

6 Meaningful Use Dashboard* Dashboard icon by Provider x 90-day Period *prognocis.show.dashboard

7 Core Set Measures Dashboard All 15 Core Measures are mandatory for each provider for the reporting period. Order by Provider & Reporting Period Hover the mouse over the gauge to view Numerator/Denominator These measures (if applicable) may require you to execute a test or perform the feature at least once in order to receive the green thumbs-up indicator. In cases where there is no user-action required, it is automatically flagged as compliant.

8 Menu Set Measures Dashboard Each provider must choose only 5 of the 10 measures for the reporting period. Order by Provider & Reporting Period Hover the mouse over the gauge to view Numerator/Denominator Either #9 or #10 must be selected, but not both These measures (if applicable) may require you to execute a test or perform the feature at least once in order to receive the green thumbs-up indicator. In cases where there is no user-action required, it is automatically flagged as compliant.

9 The Attestation in CMS Any time after you have completed the reporting period, you can submit your attestation on-line with CMS. During this process, you must key the actual numerical values (i.e.: numerator & denominator ) or attest positively (i.e.: answer Yes) as applicable for each measure. You must also indicate whether or not you are excluding yourself as applicable. Note: Each Eligible Provider is assigned a unique IAM login User ID and Password by CMS based upon individual, clinical credentials.

10 Beginning your Attestation The Topics list will display upon successfully logging into IAM account. Each topic will show its current status while attestation is in progress. You must register before you can attest.

11 Completing your Attestation After logging in, you must declare the date range for your reporting period and confirm your EHR Certification Number. The questionnaire will immediately launch with Core Measure 1. As each section is completed, the next one will launch automatically. Remember to click Save & Continue to save the results for the current measure. The system will automatically scroll the next one in line.

12 Reporting Results with Exclusion % Numerator / Denominator with Exclusion Declare exclusion if applicable Declare that your data is based only upon your EHR records (Note: This question will not always display.) Enter the Numerator Enter the Denominator Click Save & Continue button 15 mandatory Core Measures

13 Reporting Results without Exclusion % Numerator / Denominator without Exclusion

14 Reporting Menu Set Measures Upon completing CM-15, you will be prompted to select your 5 measures. Select 5 out of 10-1 of which must be Immunization Data or Syndromic Surveillance Data. Only the chosen 5 will prompt you for a numerator/denominator or an affirmative to be entered after you make these selections.

15 Reporting Menu Set Results MS-9 Immunization Data MS-10 Syndromic Data The first selected Menu Set measure will reflect either #9 or #10 (whichever one you chose to report in the previous step). Answer according your state or local requirements for the specific data submission type. Note: You may or may not be able to select the exclusion for either measure based upon your state Immunization Registry status or Public Health Department requirements locally. 1 out of 10 Menu Set Measures

16 Entering Results Completed After entering results for all of the required measures, the system will automatically prompt you through verification and submission of the data. Verify then Continue

17 Attestation Statements & Submission After the data has been submitted, you must electronically sign verification of the accuracy and indicate your agreement with the data submitted. Agree then Submit

18 Disclaimer (after Submission) After completing all of the required measures, the Attestation System will automatically prompt you to verify and submit the data. Agree to continue

19 Submitting the Attestation - Receipt After verifying and submitting your attestation, the system will allow you to print a receipt and to review your results. In addition to printing your receipt, you may review your data by clicking the Review Results button. If any measure is Rejected, your attestation may fail.

20 Review Results After verifying and submitting your attestation, the system will allow you to print a receipt and to review your results. Click the arrow to review the results for each category, i.e.: Core Measures 1 15 Menu Set Measures 1 5 CQM 1-3 core, additional Status should = Accepted for all

21 Review Results (cont d) Menu Set Measures and Clinical Quality Measures can also be reviewed. 3 Core Clinical Quality Measures + 3 Additional Clinical Quality Measures

22 Ok, let s summarize! Complete the reporting period in PrognoCIS 90 days (1 st year for Medicare only; 2 nd year for Medicaid) Subsequent years = 365 days for both Login to CMS Identify & Access Management account with individual login Select the Attestation tab & click the Attest link If resuming a previously started attestation, the link will be called Modify Follow the screen prompts through each section, clicking Save & Continue Submit the attestation, print your receipt, and review results Collect your reimbursement from the US Government! Important Reminders: Run Clinical Quality Measures Report in advance Run Dashboard for correct provider & date range Registration with CMS must have occurred first Attestation is between the provider & CMS Time-sensitive measures cannot be retroacted Ensure At least once tests have been executed during the applicable reporting period

23 Contact Us Technical Support (408) , 7am-8pm EST Product / Implementation Management Trapti Khatwani EMR Product Manager tkhatwani@bizmaticsinc.com Malvika Tarnekar Billing Product Manager mdeshmukh@bizmaticsinc.com Minal Dukle Implementation Mgr, EST mdukle@bizmaticsinc.com Manisha Vadhia Implementation Mgr, PST mvadhia@bizmaticsinc.com Sheila Baldwin Billing Services Manager sbaldwin@bizmaticsinc.com Joseph Shanabarger Training Manager, EST jshanabarger@bizmaticsinc.com Implementation / Training Team Jesse Brown (904) , EST jbrown@bizmaticsinc.com Lynn Kripp (302) , EST lkripp@bizmaticsinc.com Mandy Chilson (916) , PST mchilson@bizmaticsinc.com Misha Chauhan (408) , EST mchauhan@bizmaticsinc.com Nandita Pai (408) , PST npai@bizmaticsinc.com Om Thakur (408) , PST othakur@bizmaticsinc.com Santosh Ogale (408) , PST sogale@bizmaticsinc.com Shannon Bounds (303) , MST sbounds@bizmaticsinc.com Sridhar Babu (408) , PST sbabu@bizmaticsinc.com Siddhi Une (408) , PST sune@bizmaticsinc.com Home Page ( Client Resource Center)