Electronic Medical Records - MxSecure

1
Meaningful Use Further DefinedElectronic
Medical Records

• Sponsored by

2
Todays Presenter

• Barbara Brownlee, Electronic Medical Records
  Specialist, MxSecure
• With MxSecure since 2006
• 30 years in healthcare
• 17 years Sales and Marketing experience
• BS in Medical Technology, Medical College of
  Georgia

3
Todays Agenda

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

4
HITECH Act Review

• 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

5
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

6
Medicare Incentive Matrix
Adoption Year
Incentive Year
Source Title IV Subtitle A of the American
Recovery and Reinvestment Act of 2009
7
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

8
Medicaid Incentive Matrix
Adoption Year
Incentive Year
Source Title IV Subtitle A of the American
Recovery and Reinvestment Act of 2009
9
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

10
Qualifications

• Certified EHR
• Meaningful Use
• Electronic prescribing
• Share date electronically
• Submit clinical reports

11
Timelines from CMS

• 12/30/09 Notice of Proposed Rule Making
• 556 pages
• 3/15/10 60 day comment period expires
• 5/10/10 Final Ruling expected
• Gives us more details defining
• meaningful use

12
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.

13
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

14
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

15
Tracking and Payment

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

16
Meaningful Use Requirements for Eligible
Professionals
17
Meaningful Use Requirements for Eligible
Professionals
18
Meaningful Use Requirements for Eligible
Professionals
19
Meaningful Use Requirements for Eligible
Professionals
20
Meaningful Use Requirements for Eligible
Professionals
21
Conclusion

• Overview of HITECH Act
• Update on Meaningful Use Criteria Stage 1

22
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