Who will pay Medicare penalties and miss out on Meaningful Use incentives? How can providers successfully attest to Meaningful Use? This slideshow covers the facts you need to know about Meaningful Use Medicare penalties. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TRANSCRIPT 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 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 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%) 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 REVIEW: 4 MARKS OF MU STAGE 1: • ADOPT & USE EHR • CAPTURE DATA STAGE 2 • ADOPT & USE EHR • CAPTURE DATA • MOVE DATA • REPORT DATA PENALTIES :THE FACTS YOU NEED TO KNOW HITECH REQUIRES PAYMENT ADJUSTMENT IF A PROVIDER SHOWS NO MU BY 2015 APPLIES TO ALL PROVIDERS TREATING MEDICARE PART B PFS PATIENTS 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 IF PROVIDER ATTESTED TO MU IN 2011/2012, THEY WILL NEED A FULL YEAR OF MU REPORTING IN 2013 TO AVOID PENALTY. REMEMBER: ADOPTING, IMPLEMENTING OR UPGRADING YOUR EHR IS NOT MU! COMPLETE MEDICARE MU REGISTRATION & ATTESTATION BY 10/1/2014 = NO ADJUSTMENT IN 2015 WHICH MEANS: 90-DAY REPORTING PERIOD NO LATER THAN 7/1/2014 PROVIDERS MUST CONTINUE TO MEET MU ANNUALLY TO AVOID ADJUSTMENTS IN SUBSEQUENT YEARS HOSPITAL-BASED EPS (90% OF SERVICES) NOT ELIGIBLE SO NOT SUBJECT TO PENALTIES LEARN MORE ABOUT MU STAGE 2: http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm

1. Meaningful USE Stage 2 & 3
MEDICARE PENALTIES

2. OVERVIEW
§
MEANINGFUL USE : A LOOK BACK
§ REVIEW: 4 MARKS OF MEANINGFUL USE
§ MEDICARE PENALTIES: THE FACTS

3. Meaningful USE:
A LOOK BACK

4. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date

5. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid –
Hospitals/Providers

6. 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

7. 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

8. Meaningful Use: A Look Back
o 372,000 Hospitals / Professionals
registered

9. 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

10. Meaningful Use: A Look Back
Active Registrations:

11. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)

12. 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%)

13. 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%)

14. Meaningful Use: A Look Back
Total Attestation:

15. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090

16. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
o Medicare EP Stage 1 Attestation →
$2,134,906,925

17. 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

18. Review:
4 MARKS OF MU

19. stage 1
q Adopt & Use EHR

20. stage 1
q Adopt & Use EHR
q Capture Data

21. stage 2
ü Adopt & Use EHR
ü Capture Data
q Move Data

22. stage 2
ü Adopt & Use EHR
ü Capture Data
q Move Data
q Report Data

23. PENALTIES:
THE FACTS YOU
NEED TO KNOW

24. Medicare PENALTIES
Applies to all providers treating
Medicare Part B PFS Patients

25. Medicare Penalties
HITECH requires Payment
Adjustment if a provider shows
no MU by 2015

26. Medicare Penalties
Payment Adjustment based on
prior year’s reporting period

27. Medicare Penalties
Payment Adjustment based on
prior year’s reporting period
*

28. 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

29. Medicare Penalties
If provider attested to MU
in 2011/2012, they will need a
full year of MU reporting in 2013
to avoid penalty.

30. REMEMBER:
Adopting, Implementing or
Upgrading your EHR is not MU!

31. Medicare Penalties
Any MU in 2013
=
No Adjustment in 2015

32. Medicare Penalties
Complete Medicare MU registration
& attestation by 10/1/2014
=
No Adjustment in 2015

33. Medicare Penalties
WHICH MEANS:
90-day reporting period no later
than 7/1/2014

34. Medicare Penalties
Providers must continue
to meet MU annually to avoid
adjustments in subsequent years

35. Medicare Penalties
Hospital-based EPs
(90% of Services) not eligible
so not subject to penalties

36. Learn more about Mu stage 2:
http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm