Both Medicaid & Medicare are now subject to a new set of rules. MIPS names these set of rules as objectives for Advancing Care information Objectives. Whereas, Meaningful Use enters from Stage 2 to Stage 3 for Medicaid service.
Mainly, ACI does away with many of the measure thresholds. There are some required measures for ACI that help providers reach base score. The clinicians need to achieve that required score. Otherwise, they will fail ACI scoring category. There can be many measures that you need to take care of including Security Risk Analysis and Provide Patient Access. You need to meet more measures to achieve a higher score. The program is based on flexibility thresholds & exclusions.
On the contrary, the MU Stage 3 maintains more aggressive percentage thresholds for its measures and objectives. You have to achieve an objective’s minimum threshold. If you fail to accomplish the objective’s minimum threshold, you fail the Stage 3, resulting in zero incentive payments received.
For example, the objective, “Patient Electronic Access to Health Information” needs to demonstrate Meaningful Use in 80% of the unique visiting patients and electronic access to their health records. However, under ACI, you are only required to give access to one patient’s record. For any additional patient’s access, you get extra points.
The program approaches different thresholds differently letting Medicaid Meaningful Use retain exclusions so that clinicians can eliminate measures under various circumstances in their score. MIPS provides greater flexibility with MACRA scratching the option for exclusions given to objectives.
There also exists a difference of objectives between Stage 3 and ACI. In case of ACI, there is no need for CDS (Clinician Decision Support) or CPOE (Computerized Provider Order Entry). CMS (The Centers for Medicare & Medicaid Services) explained in MACRA”s final rule that due to the exceptional performance of providers on these measures it would not continue measuring the provider's performance based on those objectives.
There is a difference between the treatment of public health and interoperability for ACI and MU. Unless a relevant exclusion applies, in Medicaid Stage 3 clinicians have to actively engage in connecting two public health agencies or clinical data registries. They have the option to choose from the following.
In case of ACI, there is no requirement for actively engaging public health agencies. Initially, MACRA did propose a rule to include a requirement to engage an immunization registry actively. However, this rule was later withdrawn.
There exist significant reporting differences between these Medicaid EHR incentive programs. Get in touch with P3 Healthcare Solutions to know more about how we can help, by taking care of the different reporting requirements, and attestations. We understand the health information technology challenges faced by the providers working in the US healthcare industry.
Our services assist any size of Eligible Hospital, or Eligible Professionals (EPs). P3 Healthcare Solutions’ team is well versed with Electronic Health Records (EHR), and Payment Adjustments. Let our Medicare and Medicaid help you get Medicare EHR incentive program payments.
Stay ahead of your competitors by letting P3 Healthcare Solutions help you with the regulatory requirements. Do not take the chance of relying upon in-house resources for regulatory compliance. Our US healthcare industry experts understand how the new changes will impact your practice. Let us help you in mitigating the risks of non-compliance.
Each incentive is based on a state level eligibility check
For all eligible professionals moving through 2017 (Modified Stage 2), there are 10 MU objectives.
|1st Payment in 2011||1st Payment in 2012||1st Payment in 2013||1st Payment in 2014||1st Payment in 2015||1st Payment in 2016 |
*Last year to enter the Medicaid EHR Incentive Program
|2011 Payment Amount||$21,250.00||$0.00||$0.00||$0.00||$0.00||$0.00|
|2012 Payment Amount||$8,500.00||$21,250.00||$0.00||$0.00||$0.00||$0.00|
|2013 Payment Amount||$8,500.00||$8,500.00||$21,250.00||$0.00||$0.00||$0.00|
|2014 Payment Amount||$8,500.00||$8,500.00||$8,500.00||$21,250.00||$0.00||$0.00|
|2015 Payment Amount||$8,500.00||$8,500.00||$8,500.00||$8,500.00||$21,250.00||$0.00|
|2016 Payment Amount||$8,500.00||$8,500.00||$8,500.00||$8,500.00||$8,500.00||$21,250.00|
|2017 Payment Amount||$0.00||$8,500.00||$8,500.00||$8,500.00||$8,500.00||$8,500.00|
|2018 Payment Amount||$0.00||$0.00||$8,500.00||$8,500.00||$8,500.00||$8,500.00|
|2019 Payment Amount||$0.00||$0.00||$0.00||$8,500.00||$8,500.00||$8,500.00|
|2020 Payment Amount||$0.00||$0.00||$0.00||$0.00||$8,500.00||$8,500.00|
|2021 Payment Amount||$0.00||$0.00||$0.00||$0.00||$0.00||$8,500.00|
|TOTAL Incentive Payments||$63,750.00||$63,750.00||$63,750.00||$63,750.00||$63,750.00||$63,7|
We understand your practice’s first priority – patient care. P3 dynamically takes charge of your Medicaid MU from eligibility to EFT disbursement / check disbursement from the state. The P3 guarantee ends when you have the incentive in your bank account. While we stand by with documentation in case of an audit for at least 6 years!
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