Hospital 2013 MU Reporting Period Nears End

by Louis Wenzlow on September 25, 2013

September 30th is the last day of the 2013 meaningful use reporting period for those hospitals using a full year reporting period.

Hospitals attesting to meaningful use should be sure they’ve completed various MU objective activities (such as generating a new patient list, conducting or reviewing their risk assessment and remediating identified deficiencies, and demonstrating continued engagement in the testing of public health data submission) in addition to meeting the threshold and other full reporting year requirements by no later than the September 30th deadline.

Below find more information about EHR incentive program deadlines from a recent CMS News Bulletin.

EHR Incentive Programs ? A program of the Centers for Medicare & Medicaid Services


EHR Hospital Reporting for 2013 Ends on September 30; Begin Preparing for Attestation Today

September 30, 2013 is an important deadline for eligible hospitals and critical access hospitals (CAHs) participating in the EHR Incentive Programs. It marks the end of the fiscal year (FY) and the last day of the 2013 meaningful use program year.

Attestation Deadline
Hospitals participating in the Medicare EHR Incentive Program have until November 30, 2013 to attest to demonstrating meaningful use of the data collected during the FY 2013 reporting period. Hospitals participating in the Medicaid EHR Incentive Program need to refer to their state deadlines for attestation.

Hospitals must attest to demonstrating meaningful use every year to receive an incentive and avoid a payment adjustment.

Payment Adjustments
Payment adjustments will be applied beginning FY 2015 (October 1, 2014) to Medicare eligible hospitals that have not successfully demonstrated meaningful use. The adjustment is determined by the hospital’s reporting period in a prior year. Read the eligible hospital payment adjustment tipsheet to learn more.

Fiscal Year 2014
October 1, 2013 marks the start of FY 2014 and many important milestones for eligible hospitals, including:

  • The start of Stage 2 for eligible hospitals that have completed at least two years of Stage 1.
  • A reduced EHR incentive payment for hospitals that begin participation in 2014 and later.
  • A 3-month reporting period in 2014, regardless of the stage of meaningful use to allow more time to upgrade to 2014 certified      EHR technology.
    • The reporting period must be fixed to the quarter for Medicare eligible hospitals and CAHs.
    • The reporting period can be any 90 days for Medicaid eligible hospitals and CAHs.


Plan Ahead
Review all of the important dates for the EHR Incentive Programs on the HIT Timeline.


New HIE and Public Health Submission FAQs

by Louis Wenzlow on August 18, 2013

In early August, CMS issued a number of FAQs relating to health information exchange and public health data submission meaningful use requirements. One FAQ response indicates that HIEs can be used to meet public health submission requirements if they are certified to do so. Another indicates that providers that perform a test of public health submission in Year 1 must demonstrate continued engagement (even if not in the form of a test) in Year 2 in order to meet the requirement for Year 2. The full FAQs and links to the answers are pasted in below.


“Review New FAQs on HIE and Public Health Measure Requirements for Meaningful Use

To keep you updated with information on the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, CMS has recently added five new FAQs and an updated FAQ to the CMS FAQ system. We encourage you to stay informed by taking a few minutes to review the new information below.

New FAQs:

  1. Can a state capture electronic Clinical Quality Measures, or eCQMs, for the Medicaid EHR Incentive Program through a Health Information Exchange (HIE)? Read the answer here.
  2. Can a public health agency use a HIE to interface with providers who are submitting public health data to meet the public health objectives of meaningful use (such as submitting information to an immunization registry, reporting lab results to a public health agency or reporting syndromic surveillance information)? Read the answer here.
  3. If a provider utilizes a health information organization that participates with the eHealth Exchange but is not connected to public health entities in the provider’s state, does the provider still need to connect to those entities for purposes of participating in the Medicare and Medicaid EHR Incentive Program? Read the answer here.
  4. How does a provider attest to a meaningful use objective (e.g., the “transitions of care,” “view/download patient data,” and public health objectives) where the provider electronically transmits data using technical capabilities provided by a HIE? Read the answer here.
  5. If an EP or hospital attesting to meaningful use in the EHR Incentive Program submits a successful test to the immunization registry in year 1 of Stage 1 and engages with the immunization registry in year 2, but does not achieve ongoing submission of data to the immunization registry during their reporting period in year 1 or year 2, should they attest to the measure or the exclusion? Read the answer here.

Updated FAQ:

If multiple eligible professionals or eligible hospitals contribute information to a shared portal or to a patient’s online personal health record (PHR), how is it counted for meaningful use when the patient accesses the information on the portal or PHR? Read the answer here.

Want more information about the EHR Incentive Programs?
Make sure to visit the Medicare and Medicaid EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.”


2013 Meaningful Use Key Dates

June 29, 2013

As we approach the end of the 2013 Federal Fiscal Year, eligible hospitals/CAHs should be aware of the following key dates and deadlines: July 3rd: is the last day that those eligible hospitals/CAHs that are in their first year of Medicare HIT Incentive Program participation can begin their 90 day reporting period for the 2013 […]

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Impact of Sequestration on MU Payments

April 17, 2013

According to a recent CMS news release, the 2% smandatory spending reductions known as sequestration will apply to Medicare EHR incentive payments for reporting periods that end on or after April 1, 2013. Hospitals and EPs that have 90 day reporting periods that end prior to April 1 will not be subject to the reductions even if […]

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Stage 2 FAQ Provides Flexibility to Promote Shared Patient Portals

March 12, 2013

In a new FAQ, CMS has indicated that providers that contribute information to a shared patient portal can count applicable patients (those seen or discharged during the reporting period) in their numerator even if these patients do not access the specific information the provider posted to the portal. This FAQ has particular implications for providers […]

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Stage 2 Meaningful Use 2014 Clinical Quality Measure Report

February 17, 2013

This Stage 2 HIT Incentive Final Rule 2014 Hospital Clinical Quality Measure Challenge Identification Report summarizes the 2014 meaningful use CQM reporting requirements and identifies various challenges associated with the CQMs. The report was developed by Beth Dibbert and Louis Wenzlow of the Rural Wisconsin Health Cooperative and funded by the Wisconsin Office of Rural Health. As always, comments […]

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Final HIPAA Modification Rule Released

January 19, 2013

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CAH Method II Physicians Now Eligible For Incentives

January 11, 2013

CMS has released a fact sheet indicating that system changes are being made that will allow CAH method II physicians to participate in the EHR incentive program.  Those CAH method II eligible professionals that begin participating in calendar year  2013 will be eligible to earn a maximum of $39,000 in incentives, and all method II […]

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FCC Healthcare Connect Fund Will Benefit Rural Health

January 7, 2013

FCC Healthcare Connect Fund Will Benefit Rural Health On December 21st the FCC released a final order creating the Healthcare Connect Fund (HCF). The HCF order reforms the current Rural Healthcare Universal Service Fund (which subsidizes rural provider broadband and Internet needs) and transitions the expiring Rural Health Care Pilot Program (which subsidizes rural healthcare […]

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FCC Healthcare Connect Fund Announced

December 13, 2012

The FCC today announced the establishment of a new Healthcare Connect Fund that reforms the current USAC Rural Health Program. The new program will fund 65% of eligible telecommunications costs and will encourage network development between rural and urban healthcare providers. More information is available at the link below. Expect a follow-up post once the associated order is […]

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