Presented by: Deb Anderson, CPHIMS HIT Consultant and Business Relationship Manager EHR Incen entive ive Program am Registrati ration on CONNECTING THE DOTS! 2 1 3 HTS, a department of Mountain Pacific Quality Health Foundation 1
Thank you for spending your valuable time with us today. This webinar will be recorded for your convenience. A copy of today’s presentation and the webinar recording will be available on our website. A link to these resources will be emailed to you following the webinar. All phones will be muted during the presentation and unmuted during the Q&A session. Computer users can use the chat box to ask questions which will be answered at the end of the presentation. We would greatly appreciate your providing us feedback by completing the survey at the end of the webinar today. 2
Mountain-Pacific holds the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contract for the states of Montana, Wyoming, Alaska and Hawaii, providing quality improvement assistance. HTS, a department of MPQH, has assisted 1480 providers and 50 Critical Access Hospitals to reach Meaningful Use. We also assist healthcare facilities with utilizing Health Information Technology (HIT) to improve health care, quality, efficiency and outcomes. 3
The presenter is not an attorney and the information provided is the presenter(s)’ opinion and should not be taken as legal advice. The information is presented for informational purposes only. Compliance with regulations can involve legal subject matter with serious consequences. The information contained in the webinar(s) and related materials (including, but not limited to, recordings, handouts, and presentation documents) is not intended to constitute legal advice or the rendering of legal, consulting or other professional services of any kind. Users of the webinar(s) and webinar materials should not in any manner rely upon or construe the information as legal, or other professional advice. Users should seek the services of a competent legal or other professional before acting, or failing to act, based upon the information contained in the webinar(s) in order to ascertain what is may be best for the users individual needs. 4
Deb Anderson, CPHIMS, Health Technology Services Business Relationship Manager 5
Identify which providers should register for the EHR Incentive Program Identify how to access the CMS Identity and Access Management System Understand the PECOS Checklist for Registration Identify where and how to Register providers Understand the State Level Registry for Medicaid eligible hospitals and providers 6
Eligible Providers 2015 Meaningful Use changes EHR Incentive Registration ◦ Identity and Access (I&A) Management System ◦ PECOS Checklist ◦ CMS Registration ◦ Wyoming State Level Registry ◦ Montana State Level Registry Q&A Resource links and contact information 7
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Some providers will automatically be granted a hardship exception. CMS will use Medicare data on these providers to determine their hardship exception. The following providers do not need to submit a hardship application: New providers to the profession in their first year Eligible professionals who are hospital-based: a provider is considered hospital-based if he or she provides more than 90% of their covered professional services in either an inpatient (Place of Service 21) or emergency department (Place of Service 23) of a hospital Eligible professionals in which 90% of their claims include Place of Service 21, Place of Service 23 and certain observation services using Place of Service 22. Eligible professionals with certain PECOS specialties (05-Anesthesiology, 22- Pathology, 30-Diagnostic Radiology, 36-Nuclear Medicine, 94-Interventional Radiology) 6 months prior to the first day of the payment adjustments. Eligible professionals should verify that their PECOS specialty is up to date. 9
2 In the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated that payment adjustments should be applied to Medicare eligible professionals, eligible hospitals, and critical access hospitals (CAH) that are not meaningful users of Certified Electronic Health Record (EHR) Technology under the Medicare EHR Incentive Program. If a provider is eligible to participate in the Medicare EHR Incentive Program, they must demonstrate meaningful use in either the Medicare EHR Incentive Program or in the Medicaid EHR Incentive Program, to avoid a payment adjustment. Medicaid providers who are only eligible to participate in the Medicaid EHR Incentive Program are not subject to these payment adjustments. Medicare eligible professionals will receive payment adjustments starting on January 1, 2015. 10
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CMS Final Rule encompasses EHR Incentive Programs in 2015 through 2017 called “ Modified Stage 2 ” and Stage 3 in 2018 No longer the Stage/Year Concept 2015-2017 is Modif ified ied Stage ge 2 ◦ Further information is available on the CMS website https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/2015 ProgramRequirements.html 12
Identity and Access Management System PECOS Checklist CMS EHR Registration (NLR) Accessing Medicaid State Level Registries (SLR) 13
4 https://nppes.cms.hhs.gov/IAWeb/login.do 14
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YES - Users registering or attesting on behalf of an EP must have an Identity and Access Management System (I&A) web user account (User ID/Password) and be associated to the EP's NPI. If you are working on behalf of an EP(s) and do not have an I&A web user account, please visit https://nppes.cms.hhs.gov/NPPES/IASecurityCheck.do to create one. Keywords: FAQ10565 17
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4 NPI Registry Search Home ◦ https://npiregistry.cms.hhs.gov/ 22
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Make sure to have an ACTIVE enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) Verify that the Medicare Administrative Contractor (MAC) has the correct banking information and payee information including: ◦ Bank account number ◦ Bank routing number ◦ Payee Address ◦ Payee National Provider Identifier (NPI) and Payee Tax Identification Number (TIN) combinations https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/Downloads/Registration_Attestation_PECO Checklist_09_25_12.pdf 30
https://ehrincentives.cms.gov/hitech/login.action 31
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Valid I&A login Tax ID (TIN OR SSN) NPI Incentive type (Medicare/Medicaid/both) Eligible Provider Type Payee Information (NPI) Business Address, Zip +4, Phone number Email address for confirmation email Optional – EHR Certification Number 33
Login in at the bottom om of the e page. e. 34
Select the Registration Tab 35
Click the Register button of the appropriate EP 36
Step 1 37
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Medicare EPs are now finished with registration! 42
Wyoming and Montana CMS National Level Registry - Registration information State Level Registry Registration and MU Data downloads from NLR to SLR 43
NPI CMS Registration Identifier https://wyslr.health.wyo.gov/ 44
• Must Set up an Account in MT SLR MT Medicaid Site: http://mt.arraincentive.com/ 45
o Eligible Professional with valid PECOS enrollment o Avoid Payment Adjustments by being a Meaningful User o I&A Access to EHR Incentive Program o CMS Registration using the I&A access o State Level Registry access for those who are Medicaid eligible 46
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MU 2015 Steps ps to Attestat statio ion n - in January Check our website for additional webinars or join our mailing list for direct invitations. 48
Deb Anderson Health Technology Consultant Business Relationship Manager 307-772-1096 danderson@mpqhf.org 49
2015 MU Changes can be found at https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/2015 ProgramRequirements.html CMS Identity & Access Management System https://nppes.cms.hhs.gov/IAWeb/login.do CMS EHR Registration and Attestation System https://ehrincentives.cms.gov/hitech/login.action Medicare Provider Enrollment, Chain, and Ownership System (PECOS) https://pecos.cms.hhs.gov/pecos/login.do#headin gLv1 50
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