Transcript Nevada Medicaid EHR Incentive Program for Hospitals

Nevada Medicaid EHR Incentive
Program for Eligible Hospitals
Rural Hospitals
Critical Access Hospitals
Information & Handouts
• Accessing Handouts and Supporting
Documents
• Asking Questions & Getting Answers
Agenda
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What Incentives are Available
Calculating Incentive Payments
When Incentives are Available
Qualifying for Incentives
Brief Q&A
What Incentives Are Available
• Medicare AND Medicaid Incentives Available to
Eligible Hospitals
• Eligible Hospitals may participate in only BOTH of
the two programs
• Medicaid incentive payments may begin as late as
FY2016
• https://www.cms.gov/Outreach-andEducation/Medicare-Learning-NetworkMLN/MLNProducts/downloads/Medicaid_Hosp_Ince
ntive_Payments_Tip_Sheets.pdf
Hospital Incentive Calculation
• The Overall EHR Amount is determined by
the formula:
• The Medicaid Share is determined by the
formula:
When are Incentives Available
• Nevada Medicaid EHR Incentive Program is
currently scheduled to launch early August
• Expect Year 1 payment 4-6 weeks after
attestation for Adoption Implementation or
Upgrade
• Medicaid Incentive Payments will be made up
to 2021
What is needed to Qualify for
Incentives
• Have at least 10% of patient volume
attributable to Medicaid
• Have a CCN that has the last four digits in
the series 0001 – 0879 or 1300 – 1399
• Have an average length of patient stay of 25
days or fewer.
• Adopt, Implement or Upgrade to a Certified
EHR Solution
Adopt, Implement & Upgrade
• Simple Definition: Sign an agreement to
implement a Certified EHR (if not on an EHR)
or upgrade to the Certified EHR Version (if
already on an EHR)
• Verify your EHR is certified by visiting:
http://oncchpl.force.com/ehrcert?q=CHPL
• Clinical Compliance is not required in Year 1
Patient Volume
• 10% Medicaid patient volume over 90-day
period in the most recent prior fiscal year
• Patient volume can be aggregated from
multiple locations or states
• Medicaid Patient volume = (Total Medicaid
Patient encounters / total patient encounters) x 100
A, I, U Requirements
• EPs and EHs will need to be prepared to provide information
and documentation about their EHR adoption efforts at the time
of attestation including:
– EHR Certification Number which can be found at
http://oncchpl.force.com/ehrcert?q=CHPL
– Medicaid Patient Volume Information including Numerator and
Denominator
– Signed letter on practice letterhead stating Adopt, Implement or Upgrade
methodology being used and how efforts support this methodology
– Copy of Purchase Order, Contract, Service Agreement, etc. to prove the
purchase or acquisition of a Certified EHR.
Register for Incentive Programs
• Users must have an Identity and Access
Management system (I&A) web user
account
• Register using the Medicare and Medicaid
EHR Incentive Program Site to indicate
your intent to participate in Nevada
Medicaid EHR Incentive Program
• https://ehrincentives.cms.gov/hitech/login.a
ction
Contact Information
HealthInsight
State of Nevada Medicaid
Erick Maddox
[email protected]
Nevada Medicaid Provider Support
[email protected]
Eileen Colen
[email protected]
Catelyn Nguyen
[email protected]
1-800-483-0932
1-775-684-3700
1-775-684-3701
Webinar Schedule
Past Sessions
•
July 11th– General information including requirements for qualification and
computing Patient volume & registering with PECOS (access the recording at
http://www.healthinsight.org/Internal/REC_Events.html
Upcoming Sessions
•
July 18th at 11am – Hospital Medicaid Information
http://tinyurl.com/NVMedicaidHospital
•
July 18th at 1pm – Frequently Asked Questions
http://tinyurl.com/NVMedicaidFAQ
•
July 25th at 12 pm – Registration/Attestation Process
http://tinyurl.com/NVMedicaidReg
•
August 1st at 1pm – Repeat of Registration/Attestation Process
http://tinyurl.com/NVMedicaidAttest
Links & Resources
HealthInsight: http://www.HealthInsight.org
Incentive Registration: https://ehrincentives.cms.gov/hitech/login.action
CMS Medicaid FAQ:
Nevada Medicaid FAQ:
https://questions.cms.gov/
https://dhcfp.nv.gov/EHRI/Final%20FAQ's.pdf
EHR Certification Information: http://oncchpl.force.com/ehrcert?q=CHPL
Hospital Attestation User Guide: http://www.cms.gov/Regulations-andGuidance/Legislation/EHRIncentivePrograms/downloads/HospAttestationUser
Guide.pdf
CMS Medicaid Hospital Incentive Calculation Tip Sheet:
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-NetworkMLN/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sh
eets.pdf