As the deadline for meaningful use approaches, doctors are rushing to adopt the program to take advantage of government incentives. However, as we speak to doctors, we realize that many of them are confused about the program, which makes it difficult for them to earn maximum incentives. The confusion surrounds the requirements, incentives, penalties, exemptions and deadlines of the program.
To clear up the problems, the Meaningful Use team at CureMD conducted a telephone interview with an industry expert, William J. O’Byrne, Executive Director of the New Jersey Health Information Technology Extension Center (NJ-HITEC), joined by the organization’s Meaningful Use Specialist, Arixmar Velez.
Mr. O’Byrne is leading the health information evolution by assisting more than 5,000 New Jersey’s medical providers in the transition from paper records to the Meaningful Useof Electronic Health Record (EHR) systems.
The interview covered a wide range of questions regarding a physician’s eligibility for Meaningful Use Stages 1 and 2, the penalties, incentives, hardship exemption and EHR software certification.
CureMD: What happens if a doctor does not attest for Meaningful Use program this year?
O’Byrne: 2014 is the last year to start the MU program. If a Medicare provider does not meaningfully use a CCHIT certified EHR this year, they will not only lose out on government incentives but also incur a penalty in 2015.
This penalty is in the form of reduction being made to their Medicare Part B reimbursement payment. In 2015, this reduction will start increasing 1% every year until it reaches 5%.
CureMD: Could you tell us about the reporting period for physicians who have started their Meaningful Use program in 2013 and those who started this year?
Velez: Once physicians start the Meaningful Use program, there is always a 90?day period. The rule in 2014 is that doctors would have to report for 90?day quarter. So, it’s still a three month period, but now a 90?day quarter.
CureMD: What happens if the doctors don’t attest for a 90-day period before October 1, 2014?
Velez: The October 1 deadline is for new professionals entering the Meaningful Use program. But October 1 is not the concern right now because there is another July 1 deadline as well for the hardship exemption for 2015 payment adjustment.
CureMD: What is Hardship Exemption and who does it apply to?
Velez: We are encouraging everyone that there is a July 1, 2014 deadline for the 2015 payment adjustments. So, if eligible professionals have not used Meaningful Use program in 2013, are new to the program and will not be eligible by October 1 deadline, they are required to fill the hardship exemption form.
CureMD: If a doctor starts the Meaningful Use program this year, how much incentives he/she will earn?
Velez: If Medicare professionals start Meaningful Use program this year, then they can expect to earn over $22,000 over the period of next four years.
CureMD: If a doctor does not start by July, 1 2014, will he or she be incurring penalty in 2015?
Velez: If the doctor does not fill the hardship exemption form during the 90-day period, he or she will be subject to penalties.
CureMD: If a physician has a 2011 certified EHR software, will he or she still be able to attest for Meaningful Use Stage 2 this year?
Velez:Centers for Medicare and Medicaid Services (CMS) has said that only certified products that meet the 2014 criteria can be used to attest for Meaningful Use Stage 2. Doctors are advised to get 2014 certified version, as it will be mandatory in 2015.
CureMD strongly suggests you start the Meaningful Use program by July 1, 2014 if you haven’t done it already in order to avail government incentives and avoid penalties in 2015.
What a wasted of a great resource.. I actually understand MU in depth and this article added nothing to most providers on the actual deadlines, links to FAQ's or anything of substance..
Someone who actually works in the industry needs to be writing these articles - IE when is the last day to attest.. when is the last day to start to use an EHR to attest. What changed for MU stage 1 for 2011 vs 2014? WHat if your EHR vendor isn't ready yet? etc.. At the least give people the link to CMS FAQ's
@JohnH To tell you what, this article did add value for me. I am a practicing physician in Downtown New York area and I can see the deadline clearly by Velez when she talks about Hardship Exemptions. I agree with you they didn't explain the stage 1 2011 vs 2014 well but I went to the CMS website from the link they gave and read the FAQs there. Worked for me!