meaningful use stage 2 & 3: medicare penalties

Meaningful USE Stage 2 & 3  MEDICARE PENALTIES

OVERVIEW §     MEANINGFUL USE : A LOOK BACK

§  REVIEW: 4 MARKS OF MEANINGFUL USE

§  MEDICARE PENALTIES: THE FACTS

Meaningful USE: A LOOK BACK

Meaningful Use: A Look Back

$11.8 Billion in Total Incentives Program to Date    

Meaningful Use: A Look Back

$11.8 Billion in Total Incentives Program to Date o  $2.4 Billion in Medicare Incentives Paid –

Hospitals/Providers

Meaningful Use: A Look Back

$11.8 Billion in Total Incentives Program to Date o  $2.4 Billion in Medicare Incentives Paid –

Hospitals/Providers o  $1.8 Billion in Medicaid Incentives Paid –

Hospitals/Providers

Meaningful Use: A Look Back

$11.8 Billion in Total Incentives Program to Date o  $2.4 Billion in Medicare Incentives Paid

– Hospitals/Providers o  $1.8 Billion in Medicaid Incentives Paid

– Hospitals/Providers o  $7.3 Billion in Medicare/Medicaid to

Hospitals

Meaningful Use: A Look Back o 372,000 Hospitals / Professionals

registered    

Meaningful Use: A Look Back

o 372,000 Hospitals / Professionals registered

o 49 States, D.C. and PR have launched

Medicaid Programs * Hawaii, Guam, Am. Samoa – Unknown * Virgin Islands – Unknown

Meaningful Use: A Look Back

Active Registrations:

Meaningful Use: A Look Back

Active Registrations:

o  Hospitals → 4,257 (5,724 in U.S. – 74%)

Meaningful Use: A Look Back

Active Registrations:

o  Hospitals → 4,257 (5,724 in U.S. – 74%)

o  Medicare Eligible Providers → 253,477 (834,769 U.S. Physicians – 30%)

Meaningful Use: A Look Back

Active Registrations:

o  Hospitals → 4,257 (5,724 in U.S. – 74%)

o  Medicare Eligible Providers → 253,477 (834,769 U.S. Physicians – 30%)

o  Medicaid Eligible Providers → 114,866 (U.S. Physicians – 14%)

Meaningful Use: A Look Back

Total Attestation:

Meaningful Use: A Look Back

Total Attestation:

o  Hospital Attestation → $7,861,299,090

Meaningful Use: A Look Back

Total Attestation:

o  Hospital Attestation → $7,861,299,090

o  Medicare EP Stage 1 Attestation → $2,134,906,925

Meaningful Use: A Look Back

Total Attestation:

o  Hospital Attestation → $7,861,299,090

o  Medicare EP Stage 1 Attestation → $2,134,906,925

o  Medicaid EP Year 1 & 2 Attestation → $1,595,896,115

Review: 4 MARKS OF MU

stage 1

q  Adopt & Use EHR

stage 1

q  Adopt & Use EHR q  Capture Data

stage 2

ü  Adopt & Use EHR ü  Capture Data q  Move Data

stage 2

ü  Adopt & Use EHR ü  Capture Data q  Move Data q  Report Data

PENALTIES: THE FACTS YOU NEED TO KNOW

Medicare PENALTIES

Applies to all providers treating

Medicare Part B PFS Patients  

Medicare Penalties

HITECH requires Payment

Adjustment if a provider shows no MU by 2015

Medicare Penalties

Payment Adjustment based on

prior year’s reporting period  

Medicare Penalties

Payment Adjustment based on

prior year’s reporting period  

*  

Medicare Penalties

Payment Adjustment based on

prior year’s reporting period  

There will be a 2 year lag between when the data is reported and when they apply the payment adjustment    *  

Medicare Penalties

If provider attested to MU

in 2011/2012, they will need a full year of MU reporting in 2013

to avoid penalty.  

Adopting, Implementing or

Upgrading your EHR is not MU!

REMEMBER:  

Medicare Penalties

Any MU in 2013

= No Adjustment in 2015

Medicare Penalties

Complete Medicare MU registration

& attestation by 10/1/2014 = No Adjustment in 2015

Medicare Penalties

WHICH MEANS:  90-day reporting period no later

than 7/1/2014

Medicare Penalties

Providers must continue to meet MU annually to avoid adjustments in subsequent years

Medicare Penalties

Hospital-based EPs (90% of Services) not eligible so not subject to penalties

Learn more about Mu stage 2:  http://www.successehs.com/item/meaningful-use-stage-2-core-and-menu-measures.htm