In the free webinar, Listen. Learn Implement. The Ins and Outs of Meaningful Use Stage 2, medical practice expert Elizabeth Woodcock guided us through the requirements for Meaningful Use Stage Two—and recent announcements that will affect Stage One. She reviewed what the government will require in Stage Two—and what it will take for your providers to successfully qualify. She reviewed a lot of information, and attendees had many good questions. We’ve selected a few of the best questions to share with everyone.
Q: I reported Stage 1 in 2012. Do I report for Stage 2 now for the full year or 90 days or do Stage 1 again?
A: If you attested for Stage 1 in 2012 for 90 days then you would attest for Stage 1 again in 2013 but for a full 365 days. Stage 2 attestation doesn’t begin until 2014.
Q: Will there be more eReporting procedures in the future? Will it include CQMs and Menu/Core requirements?
A: Yes, for Stage 2, EPs will be able to send the reporting data electronically. For more details on this, see the Stage 2 tip sheet.
Q: If no CQMs are required but they recommended does that mean that 2014 CCHIT certification will require all EMRs to have ALL 64 CQMs available?
A: There are still requirements for reporting CQMs; in fact, Stage Two requires nine of 64 approved clinical quality measures (CQMs) to incorporate at least three reporting domains. Vendors are not currently required to have all 64 CQMs.
Q: Related to the program ending—will the penalties continue after 2016?
A: The penalties are scheduled to begin in 2015, and will be one percent per year for three years applied to Medicare payments. After that time, the Secretary of Health and Human Services has the option to increase the penalties an additional two percent, for a total of five percent. The additional increases of two percent are only applicable if an insufficient number of eligible professionals have implemented an EHR.
Q: For the 5% of patients using a patient portal and transmitting questions to the practice—is this 5 % of the 50% OR is this 5% of the patient base?
A: There are a couple of different criteria here. To clarify, 50 percent or more of all unique patients must be provided with timely online access (within 4 business days) to their health information. Also, 5 percent or more of all unique patients must view, download, or transmit to a third party their health information. So, it is 5 percent of all unique patients, not 5 percent of the 50 percent. In addition, there is a separate criterion for electronic messaging, which requires 5 percent of the unique patients seen during that reporting period to send your practice a secure electronic message.
Q: Can you please talk a little about Transfer of Care. What constitutes a transfer of care? Specifically, as it relates to Medication Reconciliation and providing a summary of care record?
A: CMS reveals the definition of “transfer of care” to be “the movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory, specialty care practice, long-term care, home health, rehabilitation facility) to another. At a minimum this includes all transitions of care and referrals that are ordered by the EP [eligible professional].” The summary of care record, which is the focus of this measure, does require the inclusion of an active/current medication list, which is defined as “a list of medications that a given patient is currently taking.” For more information, please see the tip sheet that CMS prepared for the measure entitled “Summary of Care.” For more information, download the tip sheet.
Check out the recorded webinar to get all of the great information provided there. If you find this information useful, then you may want to register for our next event, Key Strategies for EHR Success with Ron Sterling.
About the Speaker
Elizabeth Woodcock, MBA, FACMPE, CPC is a professional speaker, trainer and author specializing in medical practice management. She has focused on medical practice operations and revenue cycle management for more than 20 years.