Attest for Meaningful Use

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  • Updated 2 months ago
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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Naushad G.

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Posted 2 years ago

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Nina W., Official Rep

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Official Response
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:
The deadline to attest for the 2014 program year is March 20, 2015 at 11:59pm EST. Please note that this deadline was extended from February 28, 2015 to March 20, 2015. For additional information about the attestation deadline, please see our blog post. 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