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. The deadline to attest for the 2013 program year is March 31, 2014.

    Before you attest, review Practice Fusion's Attestation Checklist. Practice Fusion also hosts live webinars about attestation. Check out the schedule.

    You have until March 30, 2014 to sign your SOAP notes for visits that occurred during your 2013 reporting period.

    Important Attestation Information
    1) Confirm that you signed all SOAP notes for all patients seen during your reporting period.

    2) Confirm that you have achieved Meaningful Use by successfully achieving 13 Core and 5 Menu measures, unless you qualify for exclusions.

    3) Print the Meaningful Use Dashboard and "ONC Stage 1 – CQM Report" on the day that you attest.

    4) Collect documentation that proves your electronic information exchanges (e.g. immunization/syndromic information exchange). This could be email or other written confirmation of the exchange from the receiving party. Remember that you need to save this confirmation even if the exchange was unsuccessful.

    5) Print and save your completed Privacy and Security Toolkit packet, and make sure it is signed and dated.

    6) Print or save dated documentation records of your lab orders and patient reminders from your reporting period, if applicable.

    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.

    8) If you are claiming an exclusion to either of the public health measures – immunization exchange or syndromic surveillance exchange – be prepared with documentation that you are excluded from both measures, even though you will only claim an exclusion for one.

    You must select one public health menu measure during attestation, even if you are claiming an exclusion.
    Remember: you should not claim an exclusion if you attempted to exchange the information, but failed. A failed attempt to exchange information counts as completing the measure successfully, and you should attest YES to whichever measure you select.

    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
    - 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.
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  • 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).
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    • 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?
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    • 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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