REMINDER - Important edit changes for Professional claims effective July 6, 2014
CMS issued Change Request (CR) 8571 edit spreadsheet changes for Professional electronic claims. The Professional edit changes below will be implemented the evening of July 6, 2014.
REVISED EDITS
X222.157.2300.CLM.010 - Added new message IK304=7 “Segment not in proper sequence”
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Wednesday, July 2, 2014
Wednesday, June 4, 2014
Submit Your Comments on CEHRT NPRM by July 21
NPRM Comment Period Now Open: Submit by July 21, 2014
CMS and ONC invite the public to submit comments on the recently released notice of proposed rulemaking (NPRM) that would allow providers participating in the EHR Incentive Programs to use the 2011 Edition or 2014 Edition of certified electronic health record technology (CEHRT) for the 2014 reporting year.
Comments must be received by July 21, 2014 to be considered.
About the NPRM
If finalized, the proposal would allow providers to meet Stage 1 or Stage 2 of meaningful use with EHRs certified to the 2011 or 2014 Edition criteria or a combination of both Editions.
Beginning in 2015, all eligible providers would be required to report using 2014 Edition CEHRT.
2014 Participation Options
If finalized, this proposal will provide participation options that vary by a provider’s stage of meaningful use and by their CEHRT Edition selection.
2011 CEHRT Providers in Stage 1 or 2:
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Combination of 2011 & 2014 CEHRT Providers in Stage 1:
Providers in Stage 2:
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2014 CEHRT Providers in Stage 1:
Providers in Stage 2:
|
Extending Stage 2
The proposed rule also includes a provision that would formalize CMS and ONC’s recommended timeline to extend Stage 2 through 2016. If finalized, the earliest a provider would participate in Stage 3 of meaningful use would be 2017.
For More Information
Monday, June 2, 2014
Annual Update: 2014 Eligible Professional eCQM Specifications
CMS Posts 2014 Eligible Professional Electronic Clinical Quality Measure Update
The annual update of the 2014 electronic clinical quality measures (eCQMs) for eligible professionals and corresponding specifications for electronic reporting is now available. CMS updates the specifications annually to ensure that the measure representation and recent code system versions reflect the best understanding of standards and logic, and remain relevant and actionable within the clinical care setting. In addition, some of the non-substantive changes to the measures were made based on input from the provider and vendor communities.
The eCQM specifications are used for multiple programs, such as the Physician Quality Reporting System (PQRS), to align with the EHR Incentive Programs and reduce the burden on providers to report quality measures.
CMS strongly encourages the implementation and use of the updated electronic specifications of the CQMs since they include updated terminologies, logic corrections, and intent clarifications. However, CMS will accept all versions of the CQMs for the EHR Incentive Programs, beginning with those finalized in the December 4, 2012 CMS-ONC Interim Final Rule.
Please note, the 2014 updated specifications cannot be used prior to the 2015 EHR Reporting Period.
Updated 2014 CQM Resources
To help eligible professionals navigate the updated eCQMs, several resources are available on the eCQM Library page. Additional eCQM file formats and access to past versions for side by side comparisons are available on the Meaningful Use tab of the United States Health Information Knowledge base(USHIK).
EHR CQM Certification
To participate in the EHR Incentive Programs for 2014, a system must at least be certified to the specifications published in the December 2012 Interim Final Rule.
Wednesday, May 28, 2014
Eligible Professionals: Deadline to Submit Hardship Exception Applications Approaching
Eligible Professionals Must Submit Hardship Exception Applications by July 1, 2014
Are you a Medicare provider who was unable to successfully demonstrate meaningful use for 2013? CMS is accepting applications for hardship exceptions to avoid the upcoming Medicare payment adjustment for the 2015 reporting year.
Payment adjustments for the Medicare EHR Incentive Program will begin on January 1, 2015 for eligible professionals.
However, you can avoid the adjustment by completing a hardship exception application and providing supporting documentation that proves demonstrating meaningful use would be a significant hardship for you. CMS will review applications to determine whether or not you are granted a hardship exception.
CMS has posted hardship exception applications on the EHR website for:
- Eligible professionals
- Eligible professionals submitting multiple National Provider Identifiers (NPIs)
Applications for the 2015 payment adjustments are due July 1, 2014 for eligible professionals. If approved, the exception is valid for one year.
New Hardship Exception Tipsheets
You can also avoid payment adjustments by successfully demonstrating meaningful use prior to the payment adjustment. Tipsheets are available on the CMS website that outline when eligible professionals must demonstrate meaningful use in order to avoid the payment adjustments.
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.
Tuesday, May 20, 2014
CMS NPRM - EHR Certification Flexibility for 2014; Extends Stage 2
CMS and ONC Release NPRM Allowing CEHRT Flexibility and Extending Stage 2
Today, CMS and ONC released a notice of proposed rulemaking (NPRM) that would allow providers participating in the EHR Incentive Programs to use the 2011 Edition of certified electronic health record technology (CEHRT) for calendar and fiscal year 2014.
The NPRM will grant flexibility to providers who are experiencing difficulties fully implementing 2014 Edition CEHRT to attest this year. The proposed rule would allow providers to use EHRs that have been certified under the 2011 Edition, a combination of the 2011 and 2014 Editions, or the 2014 Edition.
Beginning in 2015, all eligible providers would be required to report using 2014 Edition CEHRT.
2014 Participation Options
Under this proposal, valid only for the 2014 reporting year, providers would be able to use 2011 Edition CEHRT for either Stage 1 or Stage 2, would have the option to attest to the 2013 definition of meaningful use core and menu objectives, and use the 2013 definition CQMs.
Providers currently working on Stage 1 in 2014 would be able to demonstrate:
- Stage 1 (2013 Definition) using 2011 Edition CEHRT, or using a combination of 2011 and 2014 Edition CEHRT; or
- Stage 1 (2014+ Definition) using 2014 Edition CEHRT.
Providers currently working on Stage 2 in 2014 would be able to demonstrate:
- Stage 1 (2013 Definition) using 2011 Edition CEHRT, or using a combination of 2011 and 2014 Edition CEHRT;
- Stage 1 (2014+ Definition) using 2014 Edition CEHRT; or
- Stage 2 (2014+ Definition) using 2014 Edition CEHRT.
Extending Stage 2
The proposed rule also includes a provision that would formalize CMS and ONC’s recommended timeline to extend Stage 2 through 2016. If finalized, the earliest a provider would participate in Stage 3 of meaningful use would be 2017.
For More Information
Visit the CMS Newsroom to read the press release about the NPRM.
Reminder: Join CMS on 5/29 to Learn More about Stage 2
Register for the May 29th National Provider Call on 2014 Stage 2 Meaningful Use for Eligible Professionals
Are you an eligible professional participating in Stage 2 of Meaningful Use? Join CMS on May 29 from 1:30 p.m. – 3:00 p.m. ET for a National Provider Call to learn more about Stage 2 requirements, reporting options, and data submission processes for eligible professionals in 2014.
The call will include detailed information for eligible professionals who are required to meet Stage 2 criteria in 2014 on completion of at least two program years under Stage 1 of meaningful use in the EHR Incentive Programs.
CMS experts will answer questions submitted prior to the call as well as respond to participant questions during a live Q&A session. Please email your questions no later than May 21 to be considered.
Agenda
The following topics will be discussed on the call:
- Overview of Stage 2 of Meaningful Use
- Reporting
- Data Submission
- Answers to Submitted Questions
- Live Q&A Session
A link to the slide presentation will be posted to prior to the call.
Registration
To register for this MLN Connects National Provider Call, please visit the CMS MLN Connects Upcoming Calls registration website. Registration will close at 12:00 p.m. ET on the day of the call or when available space has been filled; no exceptions will be made, so please register early.
More Information
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.
Friday, May 16, 2014
Stage 2 Attestation User Guides Now Available
Review Steps for Submitting Stage 2 Meaningful Use Data through the Attestation System
Are you preparing to submit Stage 2 meaningful use data for the Medicare EHR Incentive Program? If so, CMS has recently posted the following step-by-step guides to help navigate the CMS Attestation System:
- Stage 2 Attestation User Guide for Eligible Professionals
- Stage 2 Attestation User Guide for Eligible Hospitals and CAHs
These guides provide instructions and important information that you will need in order to successfully attest, as well as helpful tips and screenshots to walk you through the process.
Note: While all providers begin their registration through the CMS Registration & Attestation System, Medicaid eligible professionals and Medicaid-only eligible hospitals must attest through their State Medicaid Agency’s website. Please visit the Medicaid State Information pageto learn more.
Additional Stage 2 Resources
CMS has additional resources to help ensure your attestation will be successful:
- Stage 2 Attestation Worksheet for Eligible Professionals
- Stage 2 Attestation Worksheet for Eligible Hospitals and CAHs
- Stage 2 Meaningful Use Specification Sheet Table of Contents for Eligible Professionals
- Stage 2 Meaningful Use Specification Sheet Table of Contents for Eligible Hospitals and CAHs
For More Information
Visit the Registration and Attestation and Stage 2 pages for more information on how to successfully demonstrate meaningful use.
Monday, May 12, 2014
Join CMS on 5/29 to Learn More about Stage 2
Register for the May 29th National Provider Call on 2014 Stage 2 Meaningful Use for Eligible Professionals
Are you an eligible professional participating in Stage 2 Meaningful Use? Join CMS on May 29 from 1:30 p.m. – 3:00 p.m. ET for a National Provider Call to learn more about Stage 2 requirements, reporting options, and data submission processes for eligible professionals in 2014.
The call will include detailed information for eligible professionals who are required to meet Stage 2 criteria in 2014 on completion of at least two program years under Stage 1 of Meaningful Use in the Electronic Health Record (EHR) Incentive Programs.
CMS experts will answer questions submitted prior to the call as well as respond to participant questions during a live Q&A session. Please email your questions no later than May 21 to be considered.
Agenda
The following topics will be discussed on the call:
- Overview of Stage 2 of Meaningful Use
- Reporting
- Data Submission
- Answers to Submitted Questions
- Live Q&A Session
A link to the slide presentation will be posted to prior to the call.
Registration
To register for this MLN Connects National Provider Call, please visit the CMS MLN Connects Upcoming Calls registration website. Registration will close at 12:00 p.m. ET on the day of the call or when available space has been filled; no exceptions will be made, so please register early.
More Information
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.
Friday, May 9, 2014
Reminder: EHR Hardship Exception Applications for Eligible Professionals
Eligible Professionals Must Submit Hardship Exception Applications by July 1, 2014
Are you a Medicare provider who was unable to successfully demonstrate meaningful use for 2013 due to circumstances beyond your control? CMS is accepting applications for hardship exceptions to avoid the upcoming Medicare payment adjustment for the 2013 reporting year.
Payment adjustments for the Medicare EHR Incentive Program will begin on January 1, 2015 for eligible professionals.
However, you can avoid the adjustment by completing a hardship exception application and providing supporting documentation that proves demonstrating meaningful use would be a significant hardship for you. CMS will review applications to determine whether or not you are granted a hardship exception.
CMS has posted hardship exception applications on the EHR website for:
- Eligible professionals
- Eligible professionals submitting multiple National Provider Identifiers (NPIs)
Applications for the 2015 payment adjustments are due July 1, 2014 for eligible professionals. If approved, the exception is valid for one year.
New Hardship Exception Tipsheets
You can also avoid payment adjustments by successfully demonstrating meaningful use prior to the payment adjustment. Tipsheets are available on the CMS website that outline when eligible professionals must demonstrate meaningful use in order to avoid the payment adjustments.
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.
Tuesday, March 5, 2013
Learn more about Stage 2 of Meaningful Use at HIMSS 2013
Attending HIMSS? Join CMS for an Educational Session on Stage 2 of Meaningful Use in the EHR Incentive Programs
CMS is participating at the 2013 Healthcare Information and Management Systems Society (HIMSS) Annual Conference & Exhibition in New Orleans from March 3 – 7.
Representatives from CMS are located at booth #2868 from 9:30 a.m. – 1:00 p.m. and 2:30 – 6:00 p.m. CT today to discuss the Medicare and Medicaid EHR Incentive Programs.
March 5 Educational Session
If you are attending HIMSS, please join CMS' educational session #62, Stage 2: EHR Incentive Programs, held today in New Orleans Theater C from 9:45 – 10:45 a.m. CT.
The session will discuss:
- An overview of the Stage 2 final rule
- Stage 2 CQMs
- Medicare payment adjustments and hardship exceptions
Join the Twitter Conversation!
CMS is tweeting from HIMSS13 about the EHR Incentive Programs and other HIMSS13 news. Join the discussion by following the @CMSGov Twitter handle, and look for tweets with the hashtags #HIMSS13 and #CMSeHealth.
Want more information about the EHR Incentive Programs?
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.
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