MEDICAID MEANINGFUL USE

We only hire the best in the healthcare industry to fulfill the requirements of providers of all sizes. Therefore, when you employ P3 Healthcare Solutions, you don’t need to worry about errors, submission problems, or other such issues.
  • As a provider, you need to stay abreast of the Medicaid & Medicare Reporting requirements for 2018.
  • Providers that accept Medicare need to be familiar with Medicare Access, CHIP Reauthorization Act 2015, and Merit-based Incentive Payment System.
  • Providers who accept Medicaid have to understand the applicability and relevance to exhibit Meaningful Use currently undergoing Stage 3.
  • Advancing Care Information links to Meaningful Use, still there exists a difference. Providers that accept both would see differences relating to varying impacts & implementations.


Advancing Care Information & Medicaid Meaningful Use in 2018

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.

Differences between Advancing Care Information & Meaningful Use Stage 3

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.
  • Clinical data registry
  • Public Health Information registry reporting
  • Electronic case reporting
  • Syndromic surveillance
  • Immunization registry
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.

Additional Information

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.

Medicaid EHR Incentive Payment Schedule for Eligible Professionals

 

1st Payment in 20111st Payment in 20121st Payment in 20131st Payment in 20141st Payment in 20151st 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

P3’s role

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!
Call now for a free eligibility check or in depth advice from one of our analysts
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Address

3200 E Guasti Road Suite 100
Ontario CA 91761


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info@www.p3care.com



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Copyright by P3 Care Healthcare Solution 2018. All rights reserved.





Copyright by P3 Care Healthcare Solution 2018. All rights reserved.



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  • Use the rendering NPI used to bill Medicare Part B
  • The rendering NPI is the field 24j on the CMS 1500 form
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