Why Medicaid Providers Should ADOPT

8/18/2019 Why Medicaid Providers Should ADOPT

1/18

Why Medicaid providers shouldADOPTUncovering the truth behind MU2015 T!OU" P!O"!AM #$D 12%&1%201'

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2/18

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3/18

WAT ,/ ADOPT

or Medicaid providers participating in the Medicaid #! ,ncentivesprogra3 adopt eans to purchase3 ac4uire or secure access to a 201 O$--erti6ed so7t8are piece* /o you prove to the governent you havepurchased certi6ed so7t8are*

Adopt is part o7 A%,%U 8hich stands 7or adopt%ipleent%upgrade certi6ed

technology* ,7 an eligible pro7essional adopts 9buys: certi6ed technology3they are allo8ed to attest 7or )ear One Adopt in the Medicaid #! ,ncentivesprogra 8hich pays $21,250.00 per provider*

This is the 6rst step in the progra and can not be s;ipped* Unli;e Medicareeligible providers 8ho are re4uired to report MU easures 7or )ear Oneincentives3 Medicaid providers are not re4uired to report MU easures 7oryear one*


4/18

What is O$-

The Oorts and is aresource to the entire health syste to support the adoption o7 healthin7oration technology and the prootion o7 nation8ide health in7oratione?change to iprove health care* O$- is organi@ationally located 8ithin theO


5/18

WAT ,/ 201 O$- -#!T,,#D/OTWA!#

The rules 7or 201 O$- -erti6ed so7t8are 8ere published in October o7 2012 in the inal !ule released by-M/* ,n order 7or a so7t8are piece to be tested and receive an O$- -erti6cation product ,D3 the so7t8areust eet the 7ollo8ing criteria as published in

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Question [9-10-012-2]: How many clinical quality measures (CQMs) must EHR technology be capableof calculating in order to get certied

Answer:

201 #dition #! -erti6cation -riteria

#! technology ay be separately tested and certi6ed3 according to applicable standards3 to 91:capture and e?port -EMs 95 -! 10*&19c:91::F 92: iport and calculate -EMs 95 -!10*&19c:92::and 9&: electronically subit -EMs to -M/ 95 -! 10*&19c:9&::* #! technology ay be tested andcerti6ed to eet 5 -! 10*&19c:91: and%or 92: 7or only one -EM*

However, to meet the Base H! "e#nition: BA% H! &'()(*(+) '+! 201 !(*!(A

#! technology designed 7or an abulatory setting ust be tested and certi6ed to 5 -! 10*&19c:91: and 92: 7or no 7e8er than 9 Q/s covering at least "omains 7ro the set selected by -M/ 7or#Ps3 including at least Q/s 7ro the recoended core set identi6ed by -M/ . *H(% (% (33 B(/4+!*A)* 3A*!.

A% A) A/43 &)*!( 6.0 HA% 9 A/B73A*+!8 Q/% '!+/ *H !+//)&&Q/% A!+%% Q/ &+/A()% A% !'!)& AB+


6/18


7/18

ADOPT (#O!# MU A/ PU(H,/#D() -M/ ,$ T# W,T# PAP#!/J2

%etion ((.&.C.orts to KKadopt3 ipleent3 or

upgrade== certi6ed #! technology* ,n proposed LI5*&023 8e de6ne adopting3ipleenting or upgrading certi6ed #! technology as the process by 8hichproviders have installed and coenced utili@ation o7 certi6ed #! technologycapable o7 eeting eaning7ul use re4uireentsF or e?panded the available7unctionality and coenced utili@ation o7 certi6ed #! technology capable o7eeting eaning7ul use re4uireents at the practice site3 including sta


8/18

-M/ ADOPT AE

7n"er the /e"iai" =etroni Hea=th !eor" H! (nentive 4ro?ram, i> a;rovi"er a"o;ts, im;=ements or u;?ra"es A(7 erti#e" H! tehno=o?@ in their#rst @ear, the ;rovi"er wi== not have to "emonstrate meanin?>u= use in or"er toreeive ;a@mentE in the seon" @ear the@ wi== have to "emonstrate /7 >or a 90"a@ ;erio" on=@. hereas a ;rovi"er that is a=rea"@ a meanin?>u= user A443(%*+ /&(A! 4!+(&!% !'! *+ 4AF 1 wou=" have to "emonstrate >or a 90"a@ ;erio" the #rst @ear an" suor the >u== @ear. (s this orretG

This is correct*

&ate 7;"ate": 6252010

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!OM https%%888*cs*gov%!egulationsBandB"uidance%Hegislation%#!,ncentiveProgras%do8nloads%7a4sreediatedandrevised*pd7


9/18

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10/18

D#$T!, *0 N *0 -O$T*

The screenshot on the prior page is ta;en directly 7ro the -erti6ed ealth ,T Product Histhttp%%oncchpl*7orce*co%ehrcert%progress

$o8 let=s loo; at the language above the t8o products on the previous page* ,t states

)our product9s: eet 100J o> the minimum reuire" Base H! riteria3 -EM doains3and either inpatient or abulatory -EMs* )ou can no8 obtain your -M/ #! -erti6cation ,D* A""itiona= erti#ation riteria ma@ nee" to ers a subscription that includes ePrescribe3 Portal and MU toaccoodate clients see;ing MU obQectives and costs around R23250 7or the licenses*


11/18

!#M#M(#! )#A! O$# ADOPT

A&+4* /e"iai" 4rovi"ers

K 201 +) *H)+3+F8

*HA* /*% A* A /()(/7/*H BA% H! !Q7(!/)*

K $21,250.00 4! 4!+(&!


12/18

WAT ,/ M#A$,$"UH U/# O! MU

Meaning7ul Use or MU is 8here a Medicaid provider that has already ADOPT#D andreceived initial 7unds elects to choose a I0 day period to begin attesting 7or theR3500 incentive*

(/4+!*A)*BDon=t use the 8ord MU around your so7t8are sales rep* This sho8s thesales rep you don=t ;no8 8hat you are re7erring to and gives the an opportunity tosell you soething you don=t need and 8on=t use* Use the 8ord adopt* We ;no8 the

8ord adopt S R213250* MU S R3500 #ADA-#/ A$D ADM,$ (U!D#$* Only a7ter you have adopted and received the )ear One ,ncentives 7or R213250 per

provider3 is 8hen you 8ould call a so7t8are sales rep and as; to turn on the MUodules* Turning on the odules 8ill be an additional cost not included in the base#! so7t8are* ,t 8ill provide the eligible pro7essional the appropriate license andreporting 7unctionality to apply 7or the )ear T8o MU obQectives paying R3500*


13/18

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14/18

MU !#EU,!#M#$T/ $OT H,/T#D ,$MU !#EU,!#M#$T/

What providers ay not reali@e is the preparation that goes into )ear T8o MU 7or R3500*

)ou=ll need to sit do8n 8ith a very ;no8ledgeable #! consultant that understands thenature o7 your business3 the e?clusions you ight 4uali7y 7or and develop a strategy 7or8hat enu obQectives3 core data sets and clinical 4uality easures best suite yourpractice 8or;o8* Hoo; ,= available3 but , don=t thin; you 8ant the headache*

)ou have to have current ,PAA /ecurity !is; Assessents on 6le*

)ou have to change the language in your inta;e 7ors to address reporting on certaindeographics criteria*

)our sta> 8ill need additional training to actually use the MU odules*

)ou=ll need soeone to onitor the data 8ee;ly and a;e necessary adQustents shouldyou 7all short o7 eeting the obQective*

On and on and onV* Too any to list


15/18

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16/18

AM , MU ,/ M) /OTWA!# 201/T,HH -O$U/#D T# T!UT

(#,$D MU

When the so7t8are rules 8ere published in October o7 2012 in XThe inal !uleY thepush 7or MU began li;e a 7ren@ied shar; 7eeding* /oon the ters adopt or A%,%Ubecae obsolete in 7avor o7 a trendier MU*

To 7urther coplicate the atter3 around id 201& the -M/ started using A%,%U asKpart o7 eaning7ul use=* -M/ retro6tted the ter MU to include a provider 8ith a login to a syste could Kpotentially= use the so7t8are in a eaning7ul 8ay* /o soon all o7

the ters 8ere being tossed around and erged and used out o7 conte?t* Meaningand connotation very 4uic;ly 7ell into the hands o7 #! vendors loo;ing to pro6t 7rothe con7usion* Mean8hile3 the abiguity served the ederal "overnent inadvancing the 7ederal initiatives* !eeber3 the progra 8as designed to advancethe healthcare syste and provide ore accountability3 data interoperability3 patientengageent3 reduce 7raud and ultiately create a greater health and 8ellnessoutcoe aongst other goals* ,7 everyone is getting in and upgrading then theprogra is oving 7or8ard*


17/18

-O$U/,O$ -O$T*

Are you MU Well you need to adopt 6rst* !#M#M(#! , )OU A!#ADOPT,$" )OU A!# $OT !#EU,!#D TO TU!$ O$ O! PU!-A/# M#A$,$"UHU/# MODUH#/ (#-AU/# )OU! (A/# P!ODU-T M##T/ T# 201 -!,T#!,A*

T# $#W A$D ,MP!O.#D P!ODU-T UP"!AD#/ /#!.# $O PU!PO/# U$H#// )OU APPH) O! )#A! TWO W,- ,$.OH.#/ -OO/,$" A I0DA) P#!,OD TO!#PO!T TO T# "O.#!$M#$T O$ -H,$,-AH EUAH,T) M#A/U!#/*

,s your so7t8are 201 copliant Probably* ,7 you=ve upgraded your #!syste in the last 2 years you are li;ely operating a 201 O$- -erti6ed 9(ase#! so7t8are:* ,=ve listed soe coon so7t8are pieces that 4uali7y on page1*

,7 you don=t see your syste eail e at man"@Lehr;[email protected] and ,8ill gladly loo; that in7oration up 7or you*


18/18

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#! H#T=/ ADOPTP!ODU-T .#!/,O$ P!A-T,-# T)P#

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AltaPoint Advanced #! 2 Abulatory 201AltaPoint Data /yste*** 1011!00 1&1#01EO(A1

AltaPoint #! 15 Abulatory 201AltaPoint Data /yste*** 102&'!00 1&1#01EO/[#

-arestrea .ue !,/ 11*0*12*'0 Abulatory 201-arestrea ealth 101'I!00 1&1#01P".M

-arestrea .ue !,/ 11*0*12*50 Abulatory 201-arestrea ealth --B201B&50B1 1&1#01PP.#+#

DentiMa? #! ' Abulatory 201DentiMa?3 HH- 10&!00 1&1#01PE(W

Denticon 201121' Abulatory 201Planet DD/3 ,nc* 01222015B2IB& 1&1#01PU/T2#

Dentri? #! 201*1 Abulatory 201U*/* ealth!ecord3 ,*** 021I2015B20B' 1&1#01EAU+

Dentri? #nterprise *0 -# Abulatory 201enry /chein Practic*** 1&010'!00 A01#01+,."#

Dentri? #nterprise Abulatory 201enry /chein Practic*** --B201B1000&&B1 A01#01$I!#

#agleso7t -linician * Abulatory 201Patterson Dental /up*** 0'2'201B1IIB 1&1#01P.DA#

MacPractice 2020 MU 5 Abulatory 201MacPractice3 ,nc* 1010'!00 1&1#01!-O'P#

MacPractice 2020 MU 5*1 Abulatory 201MacPractice3 ,nc* 1010'!01 1&1#01!-O'U

MacPractice D- MU 5 Abulatory 201MacPractice3 ,nc* 1010'!00 1&1#01!-O'U

MacPractice D- MU 5*1 Abulatory 201MacPractice3 ,nc* 1010'!01 1&1#01!-O'\#

MacPractice DD/ MU 5 Abulatory 201MacPractice3 ,nc* 1010'!00 1&1#01!-OI#

MacPractice DD/ MU 5*1 Abulatory 201MacPractice3 ,nc* 1010'!01 1&1#01!-OI#

MacPractice MD MU 5 Abulatory 201MacPractice3 ,nc* 1010'!00 1&1#01!-O##

MacPractice MD MU 5*1 Abulatory 201MacPractice3 ,nc* 1010'!01 1&1#01EE'.2

E/,Dental -P/ .* Abulatory 201$e?t"en ealthcare --B201B&5B11 1&1#01!-O[#

E/,Dental Web 2*&*0 Abulatory 201$e?t"en ealthcare --B201B&5BI A01#01MAH)H#

HDent MU * Abulatory 201Pro7essional #conoi*** 05&0201B&02B 1&1#01OTA##

Documents

Why Medicaid Providers Should ADOPT