Attest for Meaningful Use

How do I complete Meaningful Use attestation for Medicare? How do I attest for government incentives? How do I report Meaningful Use to CMS? How do get my incentive check for the EHR Incentive Program? Where do you submit the Meaningful Use Dashboard when completed? How do I earn my incentive after I have achieved Meaningful Use?
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  • You can attest to Meaningful Use for the Medicare program on the CMS website after your reporting period has ended and you have achieved all the criteria.

    Download the Attestation Checklist >>

    Attestation Deadlines:
    Medicare:
    The deadline to attest for the 2014 program year is February 28, 2015. If 2014 is your first year in the Medicare program, you must attest by October 1, 2014 in order to avoid a 1% Medicare penalty in 2015. 
    Medicaid: Medicaid providers should check with their state Medicaid agency for deadline information, but should attest by February 28th, 2015 because that is the last date the 2014 Meaningful Use Dashboard will update. 

    Important Attestation Preparation Information

    It’s your responsibility to maintain paper or electronic documentation that fully supports the data submitted during attestation for at least six years to ensure you’re prepared for a potential audit

    1) Confirm your reporting period start and end dates in the 2014 Meaningful Use Dashboard. 

    2) Confirm that you have achieved Meaningful Use by successfully achieving the required number of measures
    • Stage 1: 13 core and 5/9 menu measures
    • Stage 2: 17 core and 3/6 menu measures

    3) Confirm you have charted more than 80% of your patient records in certified EHR technology (CEHRT). This is a requirement to meet Meaningful Use.  

    4) If you work in multiple locations with CEHRT, the attestation needs to combine numerators and denominators from all CEHRT.

    5) You will need to address different denominator types for Meaningful Use. Some measures may be limited to patients whose records are maintained using CEHRT, while other measures must include all unique patients regardless of whether the patient’s records are maintained using CEHRT. 
    • You will need to manually calculate patients who aren’t entered in Practice Fusion for measures based on all unique patients.
    • The Meaningful Use Dashboard values only include patients entered in Practice Fusion.
    • Review the CMS Attestation User Guide to see which individual measures may be limited to patients maintained using CEHRT 
    6) If you’re using Practice Fusion’s Meaningful Use Dashboard, make sure you’ve signed SOAP notes for all your patients seen during the reporting period in order to see data from those visits reflected in your Meaningful Use Dashboard. Prior to signing each SOAP note, you must select a relevant encounter type in the Finalization section in order to receive Meaningful Use Dashboard credit.  


    7) Note which measures for which you will claim an exclusion, if applicable. Prepare any documentation needed to prove that you qualify for that exclusion and save it in your records.


    You must choose at least one menu measure from the public health list (even if you’re claiming an exclusion) in Stage 1:
    - Immunization Registry Data Submission 
    - Syndromic Surveillance Data Submission

    If you have completed either public health measure: 
    • Collect documentation that proves you have completed the information exchange (e.g., email or written confirmation of the exchange from the receiving party), even if the exchange was unsuccessful. 
    If you’re claiming an exclusion to either public health measure: 
    • Prepare documentation to prove that you are excluded from both measures, even though you will only claim an exclusion for one during attestation. 
    8) Claiming an exclusion for a specific measure qualifies as submission of that measure. Note which measures for which you will claim an exclusion, if applicable. . Prepare any documentation needed to prove that you qualify for that exclusion and save it in your records for at least six years. 

    9) Save a signed and dated copy of your completed Security Risk Analysis, including any documentation that supports the activities that you completed as a result of the analysis, for at least six years. 

    10) 
    Save screenshots of functionality enabled for the entire reporting period to serve as supporting documentation for the following measures in case of an audit: Drug Interaction Checks (Stage 1), Drug Formulary Checks (Stage 1), and Clinical Decision Support (Stage 1 & 2). You must keep this documentation for at least six years. 

    11) 
    Print or save screenshots of the patient list report you ran during your reporting period to serve as supporting documentation in case of an audit. Make sure to remove or blur PHI and keep this documentation for at least six years.

    12)Take a screenshot or print out the Practice Fusion Meaningful Use Dashboard on the day you attest. You must keep this documentation for at least six years. 

    13) There may be instances where you choose to report values for core and menu measures that differ from the values in the Meaningful Use Dashboard. Make sure you keep documentation for these measures, including how you accounted for the values you’re reporting, for at least six years.

    14) Take a screenshot or print out your 2014 Clinical Quality Measures Report on the day you attest. You must keep this documentation for at least six years.

    15) 
    You must report nine CQMs related to three or more National Quality Strategy (NQS) domains. 
    1. Data submitted for CQMs must be reported directly from information generated by Practice Fusion’s 2014 Clinical Quality Measures Report. 
    2. Reporting a value of zero (0) for a CQM will not prevent you from meeting the CQM requirement for Meaningful Use. 

    Reporting option #1: Electronic reporting 
    • Electronic reporting is for the full calendar year of 2014 and will allow you to receive credit for both PQRS and Meaningful Use. Learn more about electronic reporting. 
    • If you choose this option, you must elect for Practice Fusion to submit CQM data to CMS on your behalf. You will be able to elect this option in the EHR beginning in the fall of 2014, and the data will be electronically submitted to CMS in the beginning of 2015. 

    Reporting option #2: Attestation 
    • If reporting CQMs via attestation, make sure to submit CQM data that matches your reporting period for Meaningful Use. 
    • This method of reporting only gives you credit for the EHR Incentive program, but allows you to complete your attestation at the same time you report data for core and menu measures. 
    • You may choose to report CQMs via attestation for Meaningful Use while also choosing to report CQM data electronically for PQRS. 

    Meaningful Use Dashboard for attestation
    The Dashboard provides the information necessary to guide you through attestation, but is not directly reported to CMS. 

    Remember that any items completed outside of the EHR will not be tracked in the Dashboard. During attestation, you will populate the criteria numerators and denominators, indicate whether you qualify for exclusions to specific objectives and legally attest that you have successfully demonstrated Meaningful Use. 

    You will qualify for a Medicare incentive payment upon completing a successful online submission through the attestation system. Payments are sent by CMS roughly 6-8 weeks after successful attestation.

    For the Medicaid EHR Incentive Program, you will follow a similar process using your CMS state attestation system.



    Additional Resources


    We recommend you attend one of Practice Fusion's live attestation webinars. You can also download additional attestation resources in our Meaningful Use Center
    - CMS attestation guide
    - Attestation worksheet
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  • Since proxy's (an office manager) can attest for the provider, we need to note for which items require the provider's login account, e.g. immunization export to update the dashboard
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  • Anyone reading this: If you are attesting for Medi-Cal (in California), you WILL need a list of all your Medi-Cal patient encounters for your 90-day reporting period. This cannot be billing dates or appointment dates. It must be encounter dates (when that patient actually came to the office).

    I'm going through an ordeal with Medi-Cal right now with three doctor offices and Medi-Cal is screaming that the patient lists we provided were billing dates, not encounter dates. Since PF doesn't have a report to export, the doctors are having to go through paper charts to document patient name and date (or one by one inside PF). It's very important you have this data or you cannot attest properly. And it's very important to maintain a running log file (on paper, in a spreadsheet) of every patient encounter during your reporting period.
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  • I hope this is the correct forum for this question:

    I know that if a provider adopted PF in 2011 and attested in 2011, they can also attest again 2012, and 2013.

    1. Does Stage 1 continue into 2014 & 2015 (even though Stage 2 starts 01/01/2014)? And, if Stage 1 does continue, can the provider attest again in 2014 and/or 2015? (provided they already attested in 2013) (of if they attested in 2012, they can attest again in 2013 - as long as it's before Oct 3, 2013 - the deadline date).

    2. Since Stage 2 starts 01/01/2014, can the provider begin their 90-day on 01/01/2014 and attest 90 days later for 2014?

    3. Doesn't Stage 2 go from 2014, 2015, and 2016? - if so, can the provider attest in those years as well?

    I'm trying to maximize attestation for providers I consult with. Some of my clients are very meticulous about keeping PF updated w/all their data and could easily attest any day of the week with zero problems.
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  • 1) Providers will always meet the Stage 1 requirements in their first 2 years demonstrating meaningful use, so Stage 1 will exist in 2014 and beyond. Read more about the stage timeline . Providers will continue to attest to CMS to report their values each year to either receive a payment or avoid a penalty.
    2) Yes, Stage 2 begins in 2014 for providers who attested for 2011 or 2012. Providers will choose a 3-month reporting period tied to a quarter of the calendar year and can attest after their reporting period has completed and they have met the requirements successfully.
    3) Stage 2 will continue to exist in 2015 and beyond to accommodate providers who began the program later. Attesting and reporting clinical quality information will continue to exist in the future for either Medicare incentive payments or payment reductions.
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  • This reply was removed on 2013-12-31.
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  • What if the provider fails for their Stage 1, year 2 (the entire year reporting). Can they repeat Stage 1, Year 2 in 2014? or must they just move on and being Stage 2, Year 1 (90-day reporting)?
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  • I am attesting to medicare stage 1 (full year) however, Core CQM 0013: hypertension: blood pressure management is 0/0 eventhough I have signed all my SOAP notes. Why?
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  • 1
    Paula - that CQM is controlled from activities in the finalization tab by checking off the boxes for BP Mgt. However, you'd only see those boxes IF practice fusion detected the patient has a Dx of hypertension or of the sorts. If there is no Dx, you will not see the boxes. I went through the same ordeal with a doctor client of mine. She wasn't assigning the patient a diagnosis, but just typing in her SOAP note "hypertension" - and once we corrected it, the boxes showed up in the finalization tab and she would check them - then we'd see data in the CQM report.
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  • This reply was removed on 2014-01-21.
    see the change log
  • I’m Frustrated
    I have assigned the diagnosis code 402.90 to most of my patients with hypertension. But PF has not been counting that code and even now I cannot run a report telling me how many patients have that code, never mind how many have had 2 visits with their BP measured (as required to fulfill the CQM for Meaningful Use).
    • view 1 more comment
    • Hi Martin and Arvind, you cannot calculate your own values for CQMs. You must report CQMs exactly as they appear in your 2013 ONC Stage 1 - CQM Report. Reporting zero values for CQMs will not prevent you from meeting Meaningful Use or attesting.
    • I am aware that Sophie's comment states the factual situation and that is how I reported for attestation. My comment is that reporting zero values from my practice reflects MeaningLESS Use.
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  • This reply was created from a merged topic originally titled
    Full year attestation.


    So we have completed our full year core measures, and are ready for attestation, when can we start the attestation?
    • view 1 more comment
    • Given all the 2013 and 2014 providers expecting to attest on
      April 1st, there is the potential for server overload. What is the status of our dashboard values after April 1st. Are Q1 values frozen for our future use? or does everything go to zero. What if we can't print patient lists on April 1?
      How long do we have to attest for Q1, using only Q1 values?
    • Hi Greg, you will be able to view your Q1 values in the 2014 dashboard as long as you have access to your Practice Fusion account. If you continue to sign SOAP notes with dates of service from your reporting period, then your dashboard could potentially update. This would be the case until February 28th, 2015, the attestation deadline for the 2014 reporting year.
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  • I’m mad
    Two part question- I finished and met criteria for MU 1st quarter, except PF did not correctly record my pt list. I did the list. I have a screen shot of it. But why did it not record as complete? Will PF correct this?
    After this, I am ready to upload my "batch file". How do I save this batch file to my computer. Medicare is asking for a batch file to upload.
    • Hi Elaine, the previous display issue with the patient list report calculation was previously corrected before the end of Q1. As long as you have supporting documentation that you completed the patient list report measure, this should be sufficient for audit purposes.

      Regarding the batch file upload, you can only do this if multiple providers in a group are attesting. You can read more about this process by reviewing the CMS Batch Reporting User Guide.
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  • I’m unsure
    We have completed Core Measures for the 2014 2 Quarter, ready for Attestation. Can we attest with CMS now or wait unitl the ending quarter period?
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  • This reply was created from a merged topic originally titled
    Attestation questions.


    please help me

    If I am in stage 1 and 1st year and just finished my April 1 - June 30 period, I am now ready to attest.
    Two issues came up:

    1. After choosing 5 menu measures ( 4 plus one public health measure ( neither of which I can complete as I am an ortho surgeon) once I agreed to the exclusion for the immunization measure the CMS web site then kicked me back in and asked me to chose another Menu measure ( now my 6th)....The only one I have left is the transition of care which the dashboard says I have completed but registers only 1/1.

    Is this OK?

    2. My CQM report has only two or three that have data....mostly all O/O

    I cannot even find 9 that I would be doing as an ortho spine surgeon?

    Whay do I do?

    Note: This topic was created from a reply on the What stage of Meaningful Use am I in? topic.
    • view 3 more comments
    • yes but then it will kick us out again it is like the system forces to not exclude. It will let us go if we claim the second exclusion for immunizations that there is no registry. then it will let us go through but if we check that we are not giving immunizations it is kicking us back to the first page and asking to pick another public measure
    • Hi Veronica, based on what you told me, I'd recommend reaching out to CMS directly for further troubleshooting since it seems like a technical issue. The EHR Incentive Program phone number is 1-888-734-6433.
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  • I’m anxious
    This reply was created from a merged topic originally titled
    Do I need to input a certain amount of patients daily for this to count towards MU?.


    Hello, I am an office manager working in a dental office and I am the only employee in the office. It has been very difficult to input files everyday because of my work load and because of my need to perform as dental assistant as well. In order for the MU to go through, do I need to put files in every day (I know days we are closed it's impossible)? I worry also because we have been having a very difficult summer and have had a huge reduction in patients. Basically my concern is, do I have to be concerned how many patients are being put into PF or do I just have to be concerned that I am meeting all the incentives on time?

    Thank you!
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