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Resource Data Management – Philadelphia

Healthcare professionals: Did you know there’s money available from the government to Medicare and Medicaid eligible professionals (EPs) to upgrade to electronic health records (EHR) technology?

Resource Data Management of Philadelphia can help you get these incentives and upgrade your health records. The money was included as part of the American Recovery and Reinvestment Act of 2009.

To learn about our medical records scanning process, please click here.

Who gets the EHR incentives?
Medicare EPs: Doctor of medicine or osteopathy; doctor of oral surgery or dental medicine; doctor of podiatric medicine; doctor of optometry; or a chiropractor.
Medicaid EPs: Physicians, dentists, certified nurse-midwives, nurse practitioners and physician assistants practicing in Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) led by a physician assistant.

Can payments from both programs be received in the same year?
No. In an event an EP qualifies for EHR payments from both programs, the EP must elect to receive payments from only one program, and may only switch between the two programs once prior to 2015 after receiving an incentive.

What are the differences between the two programs?
Medicare

  • Federal government will implement (will be an option nationally)
  • Payment reductions begin in 2015 for providers that do not demonstrate Meaningful Use
  • Must demonstrate Meaningful Use in Year 1
  • Last year a provider may initiate program is 2014; last year to register is 2016; payment adjustments begin 2015
  • Only physicians, subsection (d) hospitals and CAHs

Medicaid

  • Voluntary for states to implement (may not be an option in every state)
  • No Medicaid payment reductions
  • A/I/U for first year
  • Last year a provider may initiate payments is 2016; last year to register is 2016
  • Five types of EPs, acute care hospitals, CAHs and children hospitals

What is Meaningful Use?
Meaningful Use, introduced as part of the ARRA of 2009, is focused on quality reporting through the use of health information technology. The ARRA stimulus package includes financial incentives for health care providers that attain meaningful use through EHR systems.

What are the goals of Meaningful Use?
The Centers for Medicare and Medicaid Services (CMS) established five goals for meaningful use:

  • Improving quality, safety, efficiency and reducing health care disparities
  • Engaging patient and families
  • Improving care coordination
  • Ensuring adequate privacy and security for personal health information
  • Improving population and public health

How do I earn incentives?
To be eligible for the incentives, providers must:

  • Use a certified EHR in a meaningful manner
  • Use a certified EHR technology for electronic exchange of health information
  • Use of certified EHR technology to submit clinical quality and other measures

Who is eligible to apply?
Eligible Providers in Medicare

  • Doctor of Medicine or Osteopathy
  • Doctor of Dental Surgery or Dental Medicine
  • Doctor of Podiatric Medicine
  • Doctor of Optometry
  • Chiropractor

Eligible Providers in Medicaid
EPs with a minimum Medicaid patient volume threshold of 30%

  • Physicians (pediatricians have special eligibility and payment rules – 20% threshold)
  • Nurse Practitioners (NPs)
  • Certified Nurse-Midwives (CNMs)
  • Dentist
  • Physician Assistants (Pas) who lead a FQHC or RHC that is directed by a PA

What are the requirements to meet Stage 1 Meaningful Use?
Core Set
EPs must meet all 15 core requirements:

  1. Use of CPOE
  2. Implement drug to drug and drug allergy interaction checks
  3. E-prescribing
  4. Record demographics
  5. Maintain an up-to-date problem list
  6. Maintain active medication list
  7. Maintain active medication allergy list
  8. Record and chart changes in vital signs
  9. Record smoking status
  10. Implement one clinical decision support rule
  11. Report clinical quality measures (CQM) as specified by the secretary (6 CQM for EPs)
  12. Electronically exchange key clinical information
  13. Provide patients with an electronic copy of their health information
  14. Provide clinical summaries for patients each office visit
  15. Protect electronic health information created or maintained by certified HER

Menu Set
10 additional objects, of which EPs must choose 5. Must choose at least 1 population and public health measure.

  1. Implement drug-formulary checks
  2. Incorporate clinical lab-test results into certified EHR technology as structured data
  3. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach
  4. Send reminders to patients per patient preference for preventative/follow-up care
  5. Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, medication allergies) within four (4) business days
  6. Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate
  7. The EP, eligible hospital or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation
  8. Care summary for transfer of care
  9. Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice
  10. Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law.

Have questions or want to get started? Call us today at 215-953-5175 or Click Here to Request a Free Quote.

 

 
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