Medical Transcription Services - MxSecure

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Introduction to the HITECH ActMedical
Transcription Services EHR

• Sponsored by

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Medical Transcription Services EHR

• HITECH Act
• What is it?
• Who qualifies?
• What are the incentives?
• What do Professionals need to do to qualify?

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HITECH Act

• Part of the American Recovery and Reinvestment
  Act
• Incentives to encourage Professionals and
  hospitals to utilize EHR technology
• Incentives in the form of payments to Eligible
  Professionals and hospitals that see
  Medicare/Medicaid patients
• Focus on Eligible Professionals

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Eligible Professionals

• Medicare
• MD, DO, DDS, DPM, OD, DC
• Does not include hospital-based Professionals
• Incentives are up to 44,000 per provider
• Medicaid
• Adds Certified Nurse Midwives, NP, PA working in
  FQHC or RHC
• Incentives up to 63,750
• Must see 30 Medicaid patients
• Pediatricians qualify at 20
• Pick one program onlyyou may switch one time

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Medicare Incentive Matrix
Adoption Year
Incentive Year
Source Title IV Subtitle A of the American
Recovery and Reinvestment Act of 2009
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Medicare Incentives

• Based on Part B FFS claims
• Applies only to services furnished by EP
• Professional components only
• 75 of submitted allowable charges
• EPs in Health Provider Shortage Area earn an
  additional 10

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Medicaid Incentive Matrix
Adoption Year
Incentive Year
Source Title IV Subtitle A of the American
Recovery and Reinvestment Act of 2009
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Medicaid Incentives

• Incentive amount based on what CMS has identified
  as the net allowable cost of purchasing,
  implementing and maintaining an EHR system
• Per CMS, the cost alone is 54,000
• Maximum payment is 63,750
• At least 30 of your patient encounters for the
  reporting period must be Medicaid
• Pediatricians qualify at 20

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Qualifications

• Certified EHR
• HHS will determine the certifying body or bodies
• Responsibility of EHR vendor
• Meaningful Use
• 25 criteria have been proposed
• Responsibility of the EP

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Payment Year

• For Medicare Eligible Professionals, the first
  payment year begins 1/1/2011 and is based on a
  calendar year (hospitals are being paid using the
  federal fiscal year)
• For Medicaid Eligible Professionals, the first
  payment year can begin as early as 2010 if you
  are in the process of implementing an EHR already

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Reporting Period

• First year any continuous 90-day period within
  the payment year
• Example January 1-March 31, 2011
• Second year onward entire payment year
• Example January 1 December 31, 2012

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Tracking and Payment

• National Provider Identifier
• Single data repository to track identification
• Medicare CMS
• Medicaid - States

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Timelines from CMS

• 12/30/09 Notice of Proposed Rule Making
• 556 pages www.hhs.org
• 3/15/10 60 day comment period expired
• Final ruling approximately 6/1/10
• Gives us more details defining
• meaningful use

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Meaningful Use Stages

• STAGE 1 2011 and 2012
• STAGE 2 2013 and 2014
• STAGE 3 2015
• You only need to meet the Stage 1 requirements in
  your first year, regardless of when that is.
  However, in your second year, you must meet the
  requirements for the Stage assigned to that
  payment year.

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Meaningful Use Requirements

• 25 meaningful use requirements in Stage 1
• 5 pillars of meaningful use
• Patient/family engagement
• Coordinated care
• Quality, safety and efficiency
• Privacy and security
• Improve public and population health

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Caveats

• Getting an EHR that is CCHIT certified now does
  not qualify you for stimulus payments
• Meaningful use is up to you
• Keep the well-being of your patients and your
  practice in mind

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Summary

• Providers can earn up to 44,000 in Medicare
  incentives or 63,750 in Medicaid incentives
• Requires use of a certified EHR (HHS)
• Requires meaningful use and ability to report on
  meaningful use
• Incentives start in 2011
• Earlier adopters can earn more incentives

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Questions?

• For more information contact
• Barbara Brownlee
• barbara.brownlee_at_mxsecure.com
• 888.580.1010-Toll Free
• 480.776.8933-Direct
• Source Title XIII of the American Recovery and
  Investment Act of 2009
• www.hhs.org