EMR
Attestation
Audits!!!
Documenting for $'s
Clinical Quality Measures
100
Improve quality, safety and efficiency of patient care Engage patients and families Improve care coordination Ensure adequate privacy and security for PHI Improve population and public health
The overall goals of meaningful use
100
How many days of data are required for reporting under the Medicaid incentive program, Stage 1, year 1?
None. Under the Medicaid program, providers are not required to prove meaningful use in the first year; instead they need to prove that they are in the process of Adopting, Implementing or Upgrading certified EHR technology.
100
When can audits take place?
Either before or after the incentive payment has been made.
100
Is there an MU stage one threshold for drug-drug interactions?
No, this is a system generated measure used for attestation only, so there is no threshold.
100
Name 3 Core CQM's
Blood Pressure Measurement, Preventative Care and Screening, a)Tobacco Use Assessment b)Tobacco Cessation Intervention, Adult Weight Screening and Follow-Up
200
Who is responsible for monitoring the MU reports for your practice?
MU practice leads, Practice manager, EP, everyone!!
200
How many days of data are required for attestation for Medicare Stage 1 year 2?
A full calendar year.
200
Who is Figliozzi and company?
CMS has contracted with Figliozzi & Co., CPA's from Garden City, to conduct meaningful use audits of certified EHR technology.
200
Who can enter a medication order?
The order must be entered by someone who could exercise clinical judgment in the case that the entry generates any alerts about possible interactions or other clinical decision support aides.
200
Name one additional CQM for lowering cholesterol
NQF-0074 CAD: Drug Therapy for Lowering LDL- Cholesterol
300
Through what 2 programs can an EP attest for Meaningful Use?
Medicare and Medicaid
300
What percentage of an EP's patients must be seen at a location equipped with an EMR?
EPs must have 50% or more of their patients seen during the reporting period at a location equipped with certified EHR technology.
300
How long do I need to keep records of attestation data?
6 years
300
Can an EP under Medicare be penalized for not utilizing an EHR by 2015?
Yes. If EP's under the Medicare program have not demonstrated MU of a certified EHR by 2015, their Medicare payments will be reduced by 1% in 2015, 2% in 2016 and 3% in 2017.
300
What is the Smart Text for Adult Weight Screening and Follow up.
BMI MU Plan
400
Stage 2 MU takes effect in what year?
2014
400
What should you do at the end of your reporting period and before you attest?
Complete a test run of you attestation data.
400
What steps should I take to prepare my practice in case of an audit?
Print out and keep all reports used for attestation, Maintain a risk assessment policy, Print out screen shots during the reporting period for "attestation only" measures.
400
True or false....EP's must attest "yes" to having conducted or reviewed a security risk analysis.
True
400
Name 3 alternate Core Measures
Weight Assessment and Counseling for Children and Adolescents, Childhood Immunization Status, Preventative Care and Screening - Influenza, Immunization for Patients ≥ 50 years old
500
How do you activate the MU checklist in Epic?
Enter visit diagnosis, Complete the progress note, Enter a level of service, Mark as reviewed
500
If your attestation is rejected can you resubmit with changes?
Yes
500
True or False, an EP will receive notification that he/she has been selected for an audit electronically from a CMS e-mail address.
True When the providers are selected for an audit, they will receive an initial request letter from the auditor. The request will be sent electronically from a CMS e-mail address to the email address provided during registration.
500
The Stage 1 goals of Meaningful Use are to use technology to improve:
quality, efficiency and patient safety.
500
Name 3 additional CQM's
Controlling High Blood Pressure, Diabetes: Blood Pressure Management, CAD Drug Therapy for Lowering LDL, Breast Cancer Screening, Colorectal Screening, Asthma Assessment
M
e
n
u