Modified Stage 2 Meaningful Use
- Medicaid Eligible Professional Types
- Medicaid Patient Volume and Hospital-Based Eligibility
- Needy Individual Patient Volume and Practice Predominantly Eligibility
- Group Attestation Requirements
- Adopt, Implement, Upgrade and Supporting Documentation
- Public Health Reporting
- Meaningful Use and Clinical Quality Measures Supporting Documentation
To meet Modified Stage 2 Meaningful Use (MU) requirements, Eligible Professionals (EPs) must attest to a single set of objectives and measures. (This replaces the core and menu objectives structure of previous stages.) For EPs, there are 10 objectives, including one consolidated public health reporting objective.
If the EP practices in more than one site/location that has Certified EHR Technology (CEHRT), the Meaningful Use numerators and denominators need to include the patient records from all CEHRTs and any records maintained on paper or non-certified EHR. For further guidance on calculating numerators and denominators from multiple locations, refer to the Guide for Practicing in Multiple Locations .
The following guidelines apply to Modified Stage 2 MU attestations.
Meaningful Use Reporting Period
- In 2015 only, the EHR reporting period for EPs is any continuous 90-day period within the calendar year. EPs may select an EHR reporting period for any continuous 90 days from January 1, 2015 through December 31, 2015.
- New EPs in the program: any continuous 90-day period between January 1, 2016 and December 31, 2016.
- Returning EPs: a full calendar year EHR reporting period from January 1, 2016 through December 31, 2016.
- New EPs in the program: any continuous 90-day period between January 1, 2017 and December 31, 2017.
- Returning EPs: a full calendar year EHR reporting period from January 1, 2017 through December 31, 2017.
Note the distinction between MU reporting period (which is based on data from the current calendar year) and the patient volume reporting period (which is based on 90-days of data from the prior calendar year.)
EPs must upload EHR screenshots and other supporting documentation with Protected Health Information redacted (i.e., HIPAA protected information) at the time of attestation in order for the payment request to be processed. In addition, screenshots must be dated from within the Meaningful Use reporting period. For additional guidance, refer to the New Hampshire Guidelines – Modified Stage 2 Meaningful Use Supporting Documentation .
Objectives and Measures
EPs are required to attest to a single set of objectives and measures (Modified Stage 2). This replaces the core and menu objectives structure of previous stages.
- EPs attest to 10 objectives, including one consolidated public health reporting objective.
- In 2015, all providers must attest to objectives and measures using EHR technology certified to the 2014 Edition.
- Clinical Quality Measures: EPs attest to 9 (of 64) CQMs which must cover a minimum of 3 of the 6 National Quality Strategy domains. These include:
- Patient and Family Engagement
- Patient Safety
- Care Coordination
- Population/Public Health
- Efficient Use of Healthcare Resources
- Clinical Process/Effectiveness
- EPs that work at multiple practice locations: at least 50 percent of their total patient encounters must take place at a location(s) where certified EHR technology is available. (These EPs would base all MU measures only on those encounters that occurred at locations with CEHRT.) For the purpose of calculating the 50 percent threshold, all encounters (and not just Medicaid and/or Needy Individual encounters) should be considered in this calculation.
- MU measures may not be applicable to every clinical practice. For example, dentists do not typically perform immunizations. In these cases, providers would not have any eligible patients or actions for the measure denominator and could attest to an exclusion (i.e., be excluded from having to meet that measure). Claiming an exclusion (i.e., providing a 'yes' response to an exclusion) for a specific measure qualifies as submission of that measure.
- Measure results do not round up. For example, a numerator of 199 and a denominator of 1,000 is 19%.
- Measures that require a result greater than a given percentage must be more than that given percentage to pass. For example, in a measure requiring a result of greater than 80%, a result of 80.1% will pass, but a result of 80.0% will not pass.
- There are two types of percentage-based denominators reported for MU measures. The first is when the denominator equals all patients seen or admitted during the EHR reporting period. In this instance, the denominator is all patients regardless of whether their records are maintained using certified EHR technology. The second is based on actions or subsets of patients seen or admitted during the EHR reporting period. In this instance, the denominator only includes patients, or actions taken on behalf of those patients, whose records are maintained using certified EHR technology.
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