EHR DEADLINE APPROACHING

  • 0
  • November 5, 2013

11/5/2013
Medicare EHR Updates
The 2013 meaningful use program year ends on December 31, 2013, and eligible providers (EPs) participating in the Medicare EHR Incentive Program, have until 12:00 am (midnight) Eastern Standard Time on February 28, 2014, to attest to demonstrating meaningful use of the data collected during the reporting period for the 2013 calendar year.

CMS reminds EPs that they must attest to demonstrating meaningful use every year in order to receive an incentive and avoid a payment adjustment. Payment adjustments in the EHR program begin on January 1, 2015 for EPs who have not successfully demonstrated meaningful use. More information on the payment adjustment is available in the CMS Payment Adjustment Tip sheet.

The payment adjustment is applied to the Medicare Physician Fee Schedule (PFS) amount for covered professional services provided by the EP during the year. The payment adjustment is 1% per year and is cumulative for every year that the EP is not a meaningful user. CMS estimates a maximum cumulative payment adjustment of 5% for years after 2018.

Avoiding the EHR Payment Adjustment

  • EPs who first demonstrated meaningful use (MU) in 2011 or 2012 must demonstrate MU for a full year in 2013 to avoid payment adjustments in 2015. In addition, they must demonstrate MU each year to avoid payment adjustments in subsequent years.
  • EPs who first demonstrate MU in 2013 must demonstrate MU for a 90-day reporting period in 2013 to avoid payment adjustments in 2015. In addition, they must demonstrate MU each year to avoid payment adjustments in subsequent years.
  • EPs who first demonstrate MU in 2014 must demonstrate MU for a 90-day reporting period in the first 9 months of 2014, and attest to MU no later than October 1, 2014, in order to avoid payment adjustments in 2015. In addition, they must demonstrate MU each year to avoid payment adjustments in subsequent years.

However, due to the requirement that providers upgrade or adopt newly certified EHRs in 2014, all providers regardless of their stage of MU are only required to demonstrate MU for a 90-day EHR reporting period in 2014.

  • Medicare EPs beyond their first year of meaningful use must select a three-month reporting period fixed to the quarter of the calendar year.
  • Medicare EPs in their first year of meaningful use may select any 90-day reporting period that falls within the 2014 calendar year.
  • Medicaid EPs can select any 90-day reporting period that falls within the 2014 calendar year.

CMS provides the following resources on the EHR program and Meaningful Use: