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ARRA: What’s a Reporting Period?

In yesterday’s post we reviewed when “Payment Years” began with respect to the ARRA. Today, we’ll review the other key component of ARRA timing–”Reporting Periods”.

For “Eligible Professionals” a Reporting Period is:

For the FIRST Payment Year:

  • Any continuous 90-day period within a calendar year.

For the second, third and fourth payment years:

  • The calendar year.

For Eligible Hospitals (or critical access hospitals):

For the FIRST Payment Year:

  • Any continuous 90-day period within the FEDERAL fiscal year (October 1 – September 30).

For the second, third and fourth payment years:

  • The Federal fiscal year (i.e. beginning Oct 1)

Posted in ARRA, Implementation.

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ARRA: What’s a “Payment Year”?

There’s a bit of confusion (understandably so) regarding the specific dates associated with the ARRA funding, and the “Meaningful Use” requirements.

Unfortunately, the answer to the question “When do I need to be up and running with my EMR?” has a number of possibilities depending on your status:

For “Eligible Professionals”:

Filing for MEDICARE:

  • A “Payment Year” is a calendar year starting in 2011.

Filing for MEDICAID:

  • A “Payment Year” begins in 2010 for adoption, implementation or upgrading of a certified EHR.
  • Meaningful Use begins in 2011.

REMEMBER – you can file for EITHER Medicare OR Medicaid, but NOT BOTH!

For Eligible Hospitals (or critical access hospitals):

“Payment Year” is based on the FEDERAL FISCAL YEAR (which is October 1 through September 30).

  • A Payment Year begins in Fiscal Year (FY) 2011 (i.e. October 1, 2010)

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Meaningful Use Useful Summary

Ran across Chris Thorman’s Blog, and he’s got a very nice summary page regarding the ARRA and the definition of Meaningful Use:

Updates on Meaningful Use, Certified EHR Technology and the Stimulus Bill

Worth taking a peek at–quite a bit of information in one place!

Posted in ARRA, Implementation, Redlog Blog.

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3 Stages of EHR Adoption

While we’re currently looking at Stage 1 of ERM Adoption, but we should recognize that there are 3 planned stages, each building on the goals and objectives of the previous stage:

Stage 1

Focuses on:

  • The capture of health information in a coded format, using EHRs.
  • Tracking key clinical conditions
  • Communication of outcomes of care to improve the coordination of care
  • Implementation of decision support tools to facilitate disease and medication management
  • Reporting outcomes for public health purposes

Stage 2

  • Expands on Stage 1:
  • Enhanced use of CPOE
  • Transitions in care
  • Electronic transmission of diagnostic test results
  • Research

Stage 3

  • Expands on Stages 1 & 2:
  • Promotes improvements to quality and safety
  • Focuses on clinical decision support at a national level
    • Targeting improved patient access to health information and involvement in care
  • Improvement in population health data

Meaningful Use Stages by Payment Year:

Payment Year
First Payment Year 2011 2012 2013 2014 2015
2011 Stage 1 Stage 1 Stage 2 Stage 2 Stage 3
2012 Stage 1 Stage 1 Stage 2 Stage 3
2013 Stage 1 Stage 2 Stage 3
2014 Stage 1 Stage 3
2015 Stage 3

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Meaningful Use: Who is “Eligible”?

CMS’ Proposed Rule for Meaningful Use relies on the following definitions of “Eligibility”:

Eligible Professional

Medicare:

  • Doctor of Medicine
  • Doctor of Osteopathy
  • Dental Surgeon
  • Doctor of Dental Medicine
  • Podiatrist
  • Optometrist
  • Chiropractor

Medicaid:

  • Physicians
  • Pediatricians
  • Dentists
  • Certified Nurse Midwives
  • Nurse Practitioners
  • Physicians Assistants (operating at an FQHC/RHC led by a Physician Assistant)

Eligible Hospital

Medicare:

  • Subsection (d) hospitals that are paid under the hospital inpatient prospective payment system
  • Critical Access Hospitals
  • Must reside in the 50 states or District of Columbia

Medicaid:

  • Acute Care Hospitals
  • Childrens’ Hospitals

Posted in ARRA, EMR, Implementation.

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