MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES
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Transcript of MEANINGFUL USE STAGE 2 & 3: MEDICARE PENALTIES
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Meaningful USE Stage 2 & 3 MEDICARE PENALTIES
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OVERVIEW § MEANINGFUL USE : A LOOK BACK
§ REVIEW: 4 MARKS OF MEANINGFUL USE
§ MEDICARE PENALTIES: THE FACTS
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Meaningful USE: A LOOK BACK
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Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
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Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date o $2.4 Billion in Medicare Incentives Paid –
Hospitals/Providers
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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
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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
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Meaningful Use: A Look Back o 372,000 Hospitals / Professionals
registered
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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
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Meaningful Use: A Look Back
Active Registrations:
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Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)
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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%)
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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%)
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Meaningful Use: A Look Back
Total Attestation:
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Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
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Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
o Medicare EP Stage 1 Attestation → $2,134,906,925
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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
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Review: 4 MARKS OF MU
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stage 1
q Adopt & Use EHR
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stage 1
q Adopt & Use EHR q Capture Data
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stage 2
ü Adopt & Use EHR ü Capture Data q Move Data
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stage 2
ü Adopt & Use EHR ü Capture Data q Move Data q Report Data
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PENALTIES: THE FACTS YOU NEED TO KNOW
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Medicare PENALTIES
Applies to all providers treating
Medicare Part B PFS Patients
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Medicare Penalties
HITECH requires Payment
Adjustment if a provider shows no MU by 2015
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Medicare Penalties
Payment Adjustment based on
prior year’s reporting period
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Medicare Penalties
Payment Adjustment based on
prior year’s reporting period
*
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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 *
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Medicare Penalties
If provider attested to MU
in 2011/2012, they will need a full year of MU reporting in 2013
to avoid penalty.
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Adopting, Implementing or
Upgrading your EHR is not MU!
REMEMBER:
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Medicare Penalties
Any MU in 2013
= No Adjustment in 2015
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Medicare Penalties
Complete Medicare MU registration
& attestation by 10/1/2014 = No Adjustment in 2015
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Medicare Penalties
WHICH MEANS: 90-day reporting period no later
than 7/1/2014
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Medicare Penalties
Providers must continue to meet MU annually to avoid adjustments in subsequent years
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Medicare Penalties
Hospital-based EPs (90% of Services) not eligible so not subject to penalties
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Learn more about Mu stage 2: http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm