KENTUCKY REGIONAL EXTENSION CENTER

WEBINAR Oct 16: THE MEDICARE PROMOTING INTEROPERABILITY PROGRAM FOR HOSPITALS

WEBINAR Oct 16: THE MEDICARE PROMOTING INTEROPERABILITY PROGRAM FOR HOSPITALS

It is essential for representatives of Eligible Hospitals and Critical Access Hospitals to know the steps to take for the Medicare Promoting Interoperability Program (formerly Meaningful Use) for Program Year 2018 and beyond. You will want to stay on top of monitoring your reports and progress to ensure that your hospital avoids a negative Medicare payment adjustment.

The Centers for Medicare and Medicaid Services (CMS) recently published the Fiscal Year 2019 Medicare Hospital Inpatient Prospective Payment System (IPPS) Final Rule. In this ruling, CMS adopted policies to continue the advancement of CEHRT utilization, focusing on burden reduction, interoperability, and patient access to their health information. We’ll outline the Stage 3 changes contained within the final rule and provide a review of the Modified Stage 2 requirements during our informative webinar on Tuesday, October 16th.

Register now and let us help you succeed in meeting your Promoting Interoperability goals.

The Medicare Promoting Interoperability Program for Hospitals

Tuesday, October 16, 12 -1 PM ET

Contact us at Kentucky REC with any questions. Our team of experts is always here to help: 859-323-3090.

Learn More About the FY 2019 Medicare IPPS and LTCH Final Rule

The Centers for Medicare & Medicaid Services (CMS) issued updates to Fiscal Year (FY) 2019 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule (CMS-1694-F) on August 2nd.

The final rule changes the following aspects of the Promoting Interoperability (PI) Programs (formerly known as the EHR Incentive Programs):

  • Sets a new performance-based scoring methodology for the Medicare Promoting Interoperability Program
  • Requires the use of 2015 Edition CEHRT for eligible hospitals (EHs) and critical access hospitals (CAHs) beginning in Calendar Year (CY) 2019
  • Finalizes an EHR reporting period of any consecutive 90-day period for new and returning CMS or State Medicaid agency participants in CYs 2019 and 2020
  • Finalizes changes to measures, adds new measures and removes certain measures that do not emphasize interoperability and the electronic exchange of health information beginning in CY 2020
  • Requires EHs and CAHs to select one quarter of CY 2019 data and choose at least four self-selected electronic clinical quality measures (eCQMs) from a set of 16 for eCQM reporting

To learn more about these and other finalized changes, you may review the final rule, press release, and the fact sheet. For more information on the PI Programs, visit the CMS PI Programs landing page or contact our team of expert advisors at Kentucky REC with any Promoting Interoperability questions via email or by phone at 859-323-3090.

Successfully navigating the complex and evolving Promoting Interoperability landscape can be a challenging task. We work closely with our clients, providing efficient and effective advisory services to guide them through the multifaceted environment unique to health information technology.

We are here to help! Contact Kentucky REC today to learn more about the support we provide.

2018 Practice Transformation Survival Seminar – Louisville September 14

Join us in Louisville as we take an in depth look at the Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program!

This event will explore MACRA Year 2, the CMS Notice of Proposed Rule Making (NPRM) Year 3, Care Transitions Quality Measure, the Cost Category of MIPS, Considerations for Moving to Advanced Payment Models, Practice Transformation and Quality Improvement, 2018 Meaningful Use (Promoting Interoperability) Changes and Hard to Hit Measures, and what we can learn from 2017 Security Breaches in order to protect data.

The 2018 Agenda is ALL NEW to reflect the constant changes faced by healthcare practices.

 Continuing Medical Education (CME) Credit will be offered for MDs.

Date/Location

September 14, 2018 – Louisville, KY 
Kentucky Science Center
9:00AM – 3:10 PM EST

Partners

KHIE Kentucky Health Information Exchange Qsource Him Kentucky Bluegrass Chapter

 

Medicaid Promoting Interoperability (Meaningful Use) Information and Updates for Eligible Providers

2018 Promoting Interoperability (Meaningful Use) Information

The EHR Meaningful Use Objective reporting period for all participants is a minimum of any continuous 90 days from January 1 through December 31, 2018.

The Clinical Quality Measures are expected to be reported electronically under the following reporting periods:
—First-time Meaningful Users – Any continuous 90 days in 2018
—Returning Meaningful Users – 2018 Full Calendar Year

Starting in January 2018, health care providers are required to electronically report clinical quality measures (eCQMs), which use data from EHRs and/or health information technology systems to measure health care quality. To report eCQMs successfully, health care providers must adhere to the requirements identified by the CMS quality program in which they intend to participate. Contact your vendor for instructions on how to save your Clinical Quality Measures in a QRDAIII file.

You have the choice in attesting to:

  • Modified Stage 2: Providers may attest to objectives and measures using EHR technology certified to the 2014 Edition, 2015 Edition, or a combination of the two.
    OR
  • Stage 3: Providers may attest to objectives and measures using EHR technology using a combination of 2014 and 2015 Edition or 2015 Edition.
Preparing for 2019 Stage 3
  • Stage 3 measures require a 2015 CEHRT system. Begin looking at migrating to a 2015 CEHRT now.
  • Work with your vendor to ensure all components of the EHR that are required for successful submission are 2015 certified
  • Receive vendor training for staff/providers on changes to workflow and additional system capabilities
  • Develop a timeline for conversion to the new CEHRT edition
  • Complete Security Risk Assessment after installation
  • Educate patients on new portal changes if applicable
2019 Proposed Rule Changes

On July 12, 2018 the Centers for Medicare & Medicaid Services (CMS) released the proposed rule that suggests changes to the 2019 Promoting Interoperability (Meaningful Use) EP Objectives listed below:

  • Objective 6 – Coordination of Care through Patient Engagement
    Proposed to amend §495.24(d)(6)(i) such that the thresholds for Measure 1 (View, Download, or Transmit) and Measure 2 (Secure Electronic Messaging) of Meaningful Use Stage 3 EP Objective 6 (Coordination of care through patient engagement) would remain 5 percent for 2019 and subsequent years.
  • Objective 8 – Public Health and Clinical Data Registry Reporting
    Proposed to amend §495.24(d)(8)(i)(B)(2), EP Objective 8 (Public health and clinical data registry reporting), Measure 2 (Syndromic surveillance reporting measure), to amend the language restricting the use of syndromic surveillance reporting for meaningful use only to EPs practicing in an urgent care setting. CMS proposes to include any EP defined by the state or local public health agency as a provider who can submit syndromic surveillance data.
  • Clinical Quality Measures (CQM)
    Proposed that for 2019 the Medicaid Promoting Interoperability Program would adopt the MIPS requirement that EPs report on at least one outcome measure (or, if an applicable outcome measure is not available or relevant, one other high priority measure).

Please see the proposed rule for how to submit comments by the close of the 60-day comment period at 5 p.m. on September 10, 2018. You can find the instructions for submitting comments on the proposed rule. FAX transmissions are not accepted. You may use one of the following ways to officially submit your comments: electronically through Regulations.gov; regular mail; express or overnight mail; hand or courier delivery.

Contact the expert advisors at Kentucky REC for all your Promoting Interoperability (Meaningful Use) questions at 859-323-3090. We’re here to help.

Webinar August 23: MIPS PI and MEDICAID PI Similarities and Differences

Do you find yourself confusing the EHR incentive program/meaningful use objectives and measures (now Promoting Interoperability) with the Quality Payment Program Promoting Interoperability (formerly ACI) category (PI) requirements? If so, you are not alone. While these are separate and distinct programs and categories, they both build off the use of Certified EHR technology. While the Medicare Meaningful Use (MU) program transitioned into the Quality Payment Program (QPP) and is now the PI performance category, the Kentucky Medicaid EHR incentive program is a standalone program that runs through Program Year 2021. Not everyone is aware that you can actually participate in both QPP and the Kentucky Medicaid EHR Incentive Program (Promoting Interoperability Program). This allows a provider to qualify for incentive monies, up to $8,500 for a successful attestation (Kentucky Medicaid EHR Program), while also qualifying for QPP performance adjustment factors on their Medicare Part B Fee Schedule.

While the QPP PI category and the EHR Incentive Program have overlapping measures and objectives, each performance category and/or program has their own distinct requirements and eligibility. Join us August 23rd from 12-1 when we examine how the Medicaid EHR Incentive Program and the Promoting Interoperability Performance Category are similar and different in both measures and eligibility. We will also discuss how you can participate in both these programs, and how doing so can help improve your practices performance in the PI category in the Quality Payment Program.

Webinar August 23 – MIPS PI and MEDICAID PI: How are they alike and how are they different?

Thursday August 23rd 12-1 p.m. ET

 

 

2018 Practice Transformation Survival Seminar Series: Two Dates Remain – Pikeville & Louisville

Join us in Pikeville or Louisville as we take an in depth look at the Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program!

This event will explore MACRA Year 2, Care Transitions Quality Measure, the Cost Category of MIPS, Considerations for Moving to Advanced Payment Models, Practice Transformation and Quality Improvement, 2018 Meaningful Use (Promoting Interoperability) Changes and Hard to Hit Measures, and what we can learn from 2017 Security Breaches in order to protect data.

The 2018 Agenda is ALL NEW to reflect the constant changes faced by healthcare practices.

 Continuing Medical Education (CME) Credit will be offered for MDs

Dates/Locations

August 3, 2018 – Pikeville, KY
Eastern Kentucky Expo Center
9:00AM – 3:10 PM EST

September 14, 2018 – Louisville, KY 
Kentucky Science Center
9:00AM – 3:10 PM EST

Partners

KHIE Kentucky Health Information Exchange Qsource Him Kentucky Bluegrass Chapter