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A Meaningful Use Update

Posted on November 6, 2014 I Written By

The following is a guest post by Barry Haitoff, CEO of Medical Management Corporation of America.
Barry Haitoff
We’re deep in the heart of meaningful use. Every organization has likely evaluated their participation in meaningful use and knows their path forward. While the meaningful use program is quite mature, the regulations are still shifting as various organization push forward their agendas. It’s important to keep an eye on these shifts so you can plan appropriately for your organization. Here are three meaningful use items you should keep an eye on since they could have a significant impact on your clinic:

Flex-IT Act – For those not familiar with this act, it would change the attestation period for meaningful use stage 2 from 365 days to only 90 days. This act is being backed by some very strong healthcare organizations including a call from the AMA, CHIME, HIMSS, and MGMA to make this change. As is noted by these organizations, very few hospitals have attested to meaningful use stage 2 and only 2 percent of eligible providers have attested to meaningful use stage 2 so far (they do have until the end of February).

If the meaningful use stage 2 numbers continue on this trend, CMS will need to do something or risk having the program be labeled a failure. It’s hard to predict what will happen (or not happen) in Washington, but the pressure to change the meaningful use stage 2 reporting periods to 90 days is growing. Poor meaningful use stage 2 attestation numbers could very well push this issue over the edge.

EHR Penalty Hardship Exemption – In case you missed it, CMS reopened the meaningful use hardship exception period. Originally you had to file for a meaningful use hardship exception by July 1, 2014, but you now have until November 30, 2014 to apply for an exception. This is a big deal for those who likely didn’t know they’d need an exception for meaningful use.

While this exception is related to the EHR certification flexibility (ie. your EHR vendor software isn’t ready for you to implement and attest), many have wondered if we won’t see more ways for organizations to avoid the coming meaningful use penalties. These prognosticators suggest that if meaningful use stage 2 numbers continue to be as awful as what’s described above, it’s possible that the government will provide some relief from the meaningful use penalties. As of now, the meaningful use penalties are coming, so you better be prepared.

AMA’s Meaningful Use Letter – The AMA has a strong political voice in Washington and they’ve recently decided to tackle meaningful use head on. They’ve put their efforts into a Meaningful Use Blueprint that calls for more flexibility in the meaningful use program. Without going into all the line by line details, the AMA is asking CMS to:

  • Adopt a More Flexible Approach to Meaningful Use and move away from the current All or Nothing approach to Meaningful Use
  • Align the quality measures, reporting burden and overlapping penalties that exist across programs (Meaningful Use, PQRS, Value Based Reimbursement, etc)
  • Focus Meaningful Use and EHR certification on key areas like Interoperability

None of these issues have been put into action by CMS or ONC yet, but I believe this blueprint provides the framework for the AMA’s lobbying efforts. Therefore, it’s a strong indicator of where the meaningful use program might be going. I expect the majority of these suggestions would be welcome by doctors unless they’ve already gone off the meaningful use deep end and given up on meaningful use altogether. However, you don’t want to be caught flat footed if and when changes to the meaningful use program occur.

Security Risk Assessment
This is not really a change to meaningful use, but a reminder that many organizations have not paid appropriate attention to the HIPAA security risk assessment which is required as part of meaningful use. Far too many organizations check this check box during their meaningful use attestation without actually doing a proper security risk assessment. This is coming back to haunt many organizations during their meaningful use audit.

In case you missed it, you might want to start with the Security Risk Analysis Myths and Facts that EMR and HIPAA posted previously. It covers such topics as security risk analysis’ being optional (they’re not) and your installed certified EHR takes care of your risk analysis (more is required). This CMS FAQ offers more details on what needs to be done to meet this meaningful use requirement. For example, you need to do a security risk analysis ever year you attest to meaningful use. Make sure you take the time to do an appropriate risk assessment of your organization.

What other meaningful use trends and changes do you see on the horizon? What other things should we be considering as we plan our meaningful use future?

Medical Management Corporation of America, a leading provider of medical billing services, is a proud sponsor of EMR and HIPAA.

Killing Meaningful Use and Proposals to Change It

Posted on September 16, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Isn’t it nice that National Health IT Week brings people together to complain about meaningful use? Ok, that’s only partially in jest. Marc Probst, CIO of Intermountain and a member of the original meaningful use/EHR Certification committee (I lost track of the formal name), is making a strong statement as quoted by Don Fluckinger above.

Marc Probst is right that the majority of healthcare would be really happy to put a knife in meaningful use and move on from it. That’s kind of what I proposed when I suggested blowing up meaningful use. Not to mention my comments that meaningful use is on shaky ground. Comments from people like Marc Probst are proof of this fact.

In a related move, CHIME, AMDIS and 15 other healthcare organizations sent a letter to the HHS Secretary calling for immediate action to amend the 2015 meaningful use reporting period. These organizations believed that the final rule on meaningful use flexibility would change the reporting period, but it did not. It seems like they’re coming out guns blazing.

In even bigger news (albeit probably related), Congresswoman Renee Ellmers (R-NC) and Congressman Jim Matheson (D-UT) just introduced the Flexibility in Health IT Reporting (Flex-IT) act. This act would “allow providers to report their Health IT upgrades in 2015 through a 90-day reporting period as opposed to a full year.” I have yet to see any prediction on whether this act has enough support in Congress to get passed, but we could once again see congress act when CMS chose a different course of action like they did with ICD-10.

This story is definitely evolving and the pressure to change the reporting period to 90 days is on. My own personal prediction is that CMS will have to make the change. I’d love to hear your thoughts.

Happy National Health IT Week!