Medical Transcription Services - MxSecure

1. Introduction to the HITECH ActMedical Transcription Services & EHR Sponsored by:

2. Medical Transcription Services & EHR • HITECH Act • What is it? • Who qualifies? • What are the incentives? • What do Professionals need to do to qualify?

3. HITECH Act • Part of the American Recovery and Reinvestment Act • Incentives to encourage Professionals and hospitals to utilize EHR technology • Incentives in the form of payments to “Eligible Professionals” and hospitals that see Medicare/Medicaid patients • Focus on Eligible Professionals

4. Eligible Professionals Medicare: • MD, DO, DDS, DPM, OD, DC • Does not include hospital-based Professionals • Incentives are up to $44,000 per provider Medicaid: • Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC • Incentives up to $63,750 • Must see 30% Medicaid patients • Pediatricians qualify at 20% Pick one program only—you may switch one time

5. Medicare Incentive Matrix Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009

6. Medicare Incentives • Based on Part B FFS claims • Applies only to services furnished by EP • Professional components only • 75% of submitted allowable charges • EPs in Health Provider Shortage Area earn an additional 10%

7. Medicaid Incentive Matrix Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009

8. Medicaid Incentives • Incentive amount based on what CMS has identified as the “net allowable cost” of purchasing, implementing and maintaining an EHR system • Per CMS, the cost alone is $54,000 • Maximum payment is $63,750 • At least 30% of your patient encounters for the reporting period must be Medicaid • Pediatricians qualify at 20%

9. Qualifications • Certified EHR • HHS will determine the certifying body or bodies • Responsibility of EHR vendor • Meaningful Use • 25 criteria have been proposed • Responsibility of the EP

10. Payment Year • For Medicare Eligible Professionals, the first payment year begins 1/1/2011 and is based on a calendar year (hospitals are being paid using the federal fiscal year) • For Medicaid Eligible Professionals, the first payment year can begin as early as 2010 if you are in the process of implementing an EHR already

11. Reporting Period • First year: any continuous 90-day period within the payment year • Example: January 1-March 31, 2011 • Second year onward: entire payment year • Example: January 1 – December 31, 2012

12. Tracking and Payment • National Provider Identifier • Single data repository to track identification • Medicare – CMS • Medicaid - States

13. Timelines from CMS • 12/30/09: Notice of Proposed Rule Making • 556 pages: www.hhs.org • 3/15/10: 60 day comment period expired • Final ruling approximately 6/1/10 • Gives us more details defining “meaningful use”

14. Meaningful Use Stages • STAGE 1 2011 and 2012 • STAGE 2 2013 and 2014 • STAGE 3 2015 • You only need to meet the Stage 1 requirements in your first year, regardless of when that is. However, in your second year, you must meet the requirements for the Stage assigned to that payment year.

15. Meaningful Use Requirements • 25 meaningful use requirements in Stage 1 • 5 pillars of meaningful use • Patient/family engagement • Coordinated care • Quality, safety and efficiency • Privacy and security • Improve public and population health

16. Caveats • Getting an EHR that is CCHIT certified now does not qualify you for stimulus payments • Meaningful use is up to you • Keep the well-being of your patients and your practice in mind

17. Summary • Providers can earn up to $44,000 in Medicare incentives or $63,750 in Medicaid incentives • Requires use of a certified EHR (HHS) • Requires meaningful use and ability to report on meaningful use • Incentives start in 2011 • Earlier adopters can earn more incentives

18. Questions? • For more information contact: Barbara Brownlee barbara.brownlee@mxsecure.com 888.580.1010-Toll Free 480.776.8933-Direct • Source: Title XIII of the American Recovery and Investment Act of 2009 • www.hhs.org