Kentucky REC News

2017 Medicare EHR Incentive Program for Hospitals

On January 2, 2018, Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) began attesting to CMS by submitting their 2017 Meaningful Use attestations in the QualityNet Secure Portal (QNet) for the Medicare EHR Incentive Program.

The Medicare EHR Incentive Program attestation deadline for Eligible Hospitals and Critical Access Hospitals is Friday, March 16, 2018, at 11:59 p.m. PT. The original deadline of February 28, 2018, was extended by CMS to provide hospitals additional time to submit Meaningful Use (MU) and Clinical Quality Measures (CQMs) data.

Instead of using the Medicare EHR Incentive Program Registration and Attestation System, hospitals began attesting to Meaningful Use for 2017 through the QualityNet Secure Portal. The goal of this change is to make it easier for facilities to report data to CMS. Instead of reporting CQMs and MU attestations in two separate systems, EHs and CAHs are now able to report this information through one portal via QNet.

Objectives and Measures

All EHs and CAHs are required to report to a single set of:
7 objectives for  Medicare Modified Stage 2, or
6 objectives for Medicare Modified Stage 3

Clinical Quality Measures

EHs and CAHs must either report electronically or attest to CQMs for the Medicare EHR Incentive Program. Visit the eCQM Library page for more information.

Reporting Period

The 2017 EHR reporting period is a minimum of any continuous 90 days between January 1 and December 31, 2017.

Payment Information

The last year for Medicare EHs and CAHs to earn an incentive payment was 2016.

EHs and CAHs that do not successfully demonstrate meaningful use of CEHRT are subject to Medicare payment adjustments.There are no payment adjustments under the Medicaid EHR Incentive Program.


The QNet User Role Management Guide helps hospitals update provider and administrator’s QNet accounts to allow for attestation.

The QNET User Guide helps hospitals create and update their accounts to prepare for Medicare attestation. The User Guide includes step-by-step instructions for creating a new account.

QualityNet Hospital Registration and Attestation User Guide for Calendar Year 2017

QualityNet Hospital Objectives and Clinical Quality Measures User Guide for Calendar Year 2017

For more information on the EHR Hospital Transition, please review the Overview Fact Sheet

Please contact our team of expert advisors at the Kentucky REC with any Meaningful Use questions via email at  or by phone: 859-323-3090.


The first attestation period of the new Quality Payment Program is almost over. We want to help you prepare for a successful first submission with the steps below. They will not only help you be ready for attesting for Year 1, but we also expect that they will prove useful in future years.

The deadline for most providers participating in the Quality Payment Program is March 31st (March 16th for Web Interface). There are several steps to take before you submit. The approach to the program may look different for each practice and will be greatly impacted by whether you are participating in the Advance APM track or the MIPS track.

First, it is the time to finalize your submission method(s). Keep in mind that the level of reporting (Group versus Individual) must remain the same across all categories regardless of method of submission. If you are using a third party (think EHR, Registry, QCDR), make sure to open a line of communication and establish a timeline. This is key for a successful submission.

Next, ensure that you can submit/review your data in the WWW.QPP.CMS.GOV submission portal. In order to access the system you will need to have an EIDM account. Start early to set up this account and create a user name without the @ symbol. It takes time and you don’t want an inability to log in to the attestation system to be the hurdle that holds your practice back. Once you’ve established access you should sign in to the system and confirm that you can see your connected providers. This portal is also where you have the ability to review 3rd party submissions, utilize the attestation feature for the appropriate categories, and receive real time feedback on your practice(s)/provider(s) performance.

Finally, have a plan in place as we wrap up this last month of submissions. Don’t wait until the last minute. We expect the system to slow down, and perhaps even crash, due to heavy traffic as we get closer to the March 31st deadline.

Contact our Kentucky REC team of Quality Payment Program experts with your questions: 859-323-3090

Kentucky Medicaid Meaningful Use EHR Incentive Program Update

Program Year 2017 Submission Deadline

The end date to attest for program year 2017 for the Kentucky Medicaid EHR Incentive program is quickly approaching. The deadline to submit an attestation to Modified Stage 2 or Stage 3 for Program Year 2017 is 11:59 pm, March 31, 2018. If you intend to attest to Modified Stage 2 or Stage 3 for the 2017 program year, please ensure that your attestation is submitted before March 31, 2018 11:59 pm. Any attestation that is in process after that time will be closed out and not eligible for participation.

In the event of any questions or concerns, you may contact the EHR team by emailing or calling (502) 564-0105 extension 2463. To complete your attestation submission, log in here.

For questions, email, or check the KY Medicaid EHR website and Eligible Provider Meaningful Use Manual.

Program Year 2017 Meaningful Use Stage 3 Update

The Kentucky Medicaid EHR Incentive Program will begin accepting Stage 3 attestations for Program Year 2017 Meaningful Use on March 7th, 2018. Due to the implementation of the Stage 3 screens, the attestation application will not be available Wednesday, March 7, 2018 from 10:00 am until approximately 1:00 pm. Your patience is appreciated! The EP User manual for Stage 3 Program Year 2017 is located on the EHR website here, under the Manuals section.

Public Health Reporting for Syndromic Surveillance Reporting

Under Stage 3 Reporting Requirements, Eligible Providers (EPs) must attest to at least two measures from the Public Health and Clinical Data Registry Reporting Objective, Measures 1 through 5.

Measure 1 – Immunization Registry Reporting
Measure 2 – Syndromic Surveillance Reporting
Measure 3 – Electronic Case Reporting
Measure 4 – Public Health Registry Reporting
Measure 5 – Clinical Data Registry Reporting

The Kentucky Medicaid EHR Incentive Program has received approval from CMS to allow ALL Eligible Providers (EPs) attesting to Meaningful Use Stage 3, regardless of practice setting, to count Syndromic Surveillance Reporting towards Objective 8 Public Health and Clinical Data Registry Reporting. EPs in an urgent care setting will continue to attest to Measure 2 Syndromic Surveillance Reporting, while EPs in a non-urgent care setting will attest to Measure 4 Public Health Registry Reporting.

All providers who wish to submit public health data through KHIE must demonstrate active engagement with KHIE. The Centers for Medicare and Medicaid Services (CMS) defines active engagement as:

Option 1:  Completed registration to submit data to a public health agency or clinical data registry within 60 days of the beginning of the EHR reporting period
Option 2:  Testing and Validation
Option 3:  Production

Contact Kentucky REC with your Medicaid Meaningful Use questions. Our expert advisors are here to help. 859-323-3090


HIPAA Webinar March 28: Using Project Management Methods to Reduce HIPAA Risk

Many practices struggle to comply with HIPAA Security Rule components, rendering them vulnerable to threats or the possibility of fines if audited. This webinar will introduce project management methods to help practices break down how to both comply with federal regulations and protect their practice from security breaches. You will learn to use these tools to understand threats and vulnerabilities, how to develop and revise policies to mitigate risks and vulnerabilities, train staff, and more.

Join us for an informative hour: Using Project Management Methods to Reduce HIPAA Risk

Wednesday March 28th from 12 – 1 p.m. EST

Our HIPAA Privacy and Security team is here to help. Contact Kentucky REC with your questions by calling 859-323-3090

March 2 Free Symposium: Chronic Kidney Disease Early Detection and Prevention

CKDinform: Early Detection and Prevention

FRIDAY, March 2, 2018 7:30am–12:00pm

FREE Live CME/CE Professional Education Symposium


This 3-hour CME/CE symposium focuses on the unique role that primary care practitioners (PCPs) play in managing Chronic Kidney Disease (CKD) patients. The burden of CKD to the population, modifiable CKD risk factors, screening methods, and interpretation of test results will be discussed. Case-based questions are also included.

This activity is designed for physicians (primary care, cardiologists, endocrinologists), nurses, advanced practitioners, and other clinicians who care for people with CKD.

This event will be happening live and live webcast for CME Credit:

Live Event: Baptist Health Lexington Lower Level Education Center Auditorium 1720 Nicholasville Rd. Lexington, KY 40503

Live Webcasting (for credit) will be at:

Baptist Health Corbin Learning Center Conference Room 1 Trilium Way Corbin, KY 40701

Baptist Health Richmond 801 Eastern Bypass Richmond, KY 40475

The guest speaker is Dr. Ramsey N. Nassar Department of Nephrology, Baptist Health Professor of Medicine, Department of Nephrology, Bone, and Mineral Metabolism University of Kentucky

The National Kidney Foundation would like to thank the University of Kentucky HealthCare Transplant Center for their sponsorship.

Questions? Contact Alana Miller

More information is available here.