APMA News - February 2013 - (Page 42)

Small Business 101 From the American Academy of Podiatric Practice Management, the voice of practice management for the profession. By John Guiliana, DPM The ABCs and 123s of 2013 Meaningful Use Like it or not, meaningful use is here to stay. It has become the central focus of many practices as physicians and their staffs revolutionize in-office workflow to accommodate it. The decision to not comply will eventually come with rather steep penalties. As a review, the potential incentive is a maximum of $44,000 per physician, depending on the first year of EHR meaningful use, and is paid out over five years. For the provider’s first payment year, he or she must demonstrate meaningful use for any 90-day period. (All subsequent years—except 2014—require a full year of meaningful use.) Providers who began their first meaningful use reporting period by October 3, 2012, stand to receive the maximum amount of money. That time having passed, here is how the remainder of the incentive will be distributed: Payment Year and Incentive First Year of Use Total 2011 2012 2011 $44,000 $18,000 2012 $44,000 $0 2013 $39,000 2014 2015 & on 2013 2014 2015 2016 $12,000 $8,000 $4,000 $2,000 $0 $18,000 $12,000 $8,000 $4,000 $2,000 $0 $0 $15,000 $12,000 $8,000 $4,000 $24,000 $0 $0 $0 $12,000 $8,000 $4,000 $0 $0 $0 $0 $0 $0 $0 According to CMS, physicians cannot “miss” a year of meaningful use once they have started without significant incentive loss. If you received $18,000 for 2012, but you don’t report meaningful use in 2013, the maximum incentive available drops to $32,000, because you will forfeit the entire $12,000 payment year. According to Congressional Budget Office estimates, CMS’s net spending for incentives will total about $20 billion. But beware: Attesting for meaningful use is much like submitting a claim. Falsely doing so could constitute health-care fraud. In its investigations into Medicare and Medicaid fraud, the Office of Inspector General (OIG) will undertake Recovery Act reviews, which include probes into the EHR incentive program. In its work plan for fiscal year 2013, OIG will review Medicare incentive payments to eligible health-care professionals and hospitals for adopting EHR to prevent erroneous incentive payments. In its plan, OIG states it will look at incentive payments CMS made beginning in 2011 to identify payments to providers who should not have received them— those who did not meet the meaningful use criteria. Stage 2 of meaningful use will begin in 2014. Until that time, all criteria remain the same for each of your reporting years. Compared to Stage 1, which was focused on data capture 42 APMA News February 2013 and sharing, Stage 2 places greater emphasis on advanced clinical processes, such as care coordination and patient engagement. New objectives focus on these advanced clinical processes, and percentages of compliance have increased for those objectives that remain from Stage 1. Additionally, anyone participating in meaningful use in 2014 will need to be using Stage 2-certified EHR technology, regardless of whether you are still attesting to Stage 1 or have already moved on to Stage 2. For Stage 2, the core and menu structure will be similar to Stage 1. However, some objectives were combined and others were eliminated. For example, many of the menu objectives that were related to patient engagement in Stage 1 have now become core objectives in Stage 2. There will be 17 core objectives and three of six menu objectives that you must meet. One of the new core objectives focuses on patient engagement and will require providers to communicate with at least five percent of patients using secure electronic messaging. Providers will also need to provide at least 5 percent of patients with the ability to view, download, and transmit their health information online. Providers in limited broadband areas will be exempt. The threshold that providers must meet for the objectives has also been raised. For example, in Stage 1, providers had to record certain demographic data for more than 50 percent of patients, as well as record and chart changes in vital signs. In Stage 2, that threshold has been increased to more than 80 percent for both measures. Other Changes • • The three-month reporting period: In order to give providers time to implement an EHR system, in 2014 there will be a three-month reporting period for all participating providers, regardless of whether they are attesting to Stage 1 or Stage 2. Exclusions: In Stage 2, exclusions claimed for menu objectives will not count toward the required number of menu objectives for attestation. Instead, if an exclusion is claimed, providers will need to select another menu objective that can be met. While meaningful use compliance might seem like just another bureaucratic interference in health care, it’s with us for good. Its relevance should become apparent as our nation’s health-care system evolves into one in which financing is based upon outcomes. n Contact Dr. Guiliana at Jguiliana@aappm.org.

Table of Contents for the Digital Edition of APMA News - February 2013

APMA News - February 2013
President’s Message
Table of Contents
Keeping Boots on the Ground: Podiatric Physicians in the Military
Catch Comedian Tom Cotter at The National Opening Session
Annual Meeting Sponsors
State Advocacy in Focus: Sowing Grassroots Advocacy
APMA Staff Celebrates 100th Anniversary with Time Capsule
Social Media 101: Strategies for Today’s Podiatrist
2012 Podiatric Practice Survey: Year of Graduation from Podiatric Medical College by Practice Arrangement Type
Reimbursement
Federal Advocacy Forum
APMAPAC Chair Report
IT Consultant
Website Wisdom
Small Business 101
Seeking Award Nominations
CPME Update
Resolutions Deadlines
Call for Abstracts
In Short
Worthy of Note
Call for Abstracts
List of Affi liated Organizations
Insurance Advisor
New Members
Death Notices
APMAPAC Update
Development Update
Classifi ed Advertising
Dates to Remember
Advertising Index
10 Questions
Your APMA
2013 Annual Scientific Meeting Preliminary Program

APMA News - February 2013

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