In 2011, CMS established the Medicare and Medicaid EHR Incentive Programs (now known as the Promoting Interoperability Programs) to encourage eligible professionals (EPs), eligible hospitals, and CAHs to adopt, implement, upgrade (AIU), and demonstrate meaningful use of certified electronic health record technology (CEHRT). The program consisted of three stages and by using certified EHR technology, the provider must submit to the Secretary of Health & Human Services (HHS) information on the quality of care and other measures.
The following hospitals are eligible to participate in the Medicare Promoting Interoperability Program:
A minimum of any continuous 90-day period within calendar (CY) 2020 or 2021, respectively. Please contact your State Medicaid Agency for information on the attestation period and deadline. (Contact information below)
*November 30, 2020: Deadline for critical access hospitals (CAHs) to submit a hardship exception application*
Medicare eligible hospitals and CAHs must attest through the QualityNet Secure Portal. (Visit Portal Site button above)
|Query of PDMP||5 Points (Bonus)|
|Health Information Exchange||Support Electronic Referral Loops by Sending Health Information||20 Points|
|Support Electronic Referral Loops by Receiving and Incorporating Health Information||20 Points|
|Provider to Patient Exchange||Provides Patients Electronic Access to their Health Information||40 Points|
|Public Health and Clinical Data Exchange||Report to two different public health agencies or clinical data registries.**||10 Points|
**Public Health Objective included in the programs: Public Health Registry and Clinical Data Registry Reporting. The specific measures included under the above objective are-
***includes- a) Cancer Reporting by Eligible Practitioners (EPs) only to State Cancer Registries. b) Reporting data by EPs and Eligible Hospitals (EHs)/CAHs to CDC/NCHS and CDC/NHSN programs for Health Care Surveys and Antibiotic Use (AU) & Antibiotic Resistance (AR). EHs and CAHs must attest to at least two measures from 1 through 6 above.
Starting in 2016, eligible professionals and hospitals having failed to adopt and demonstrate meaningful use of certified EHR technology (and related health IT) in the preceding year were hit with Medicare payment reductions. If a CAH does not demonstrate meaningful use, its Medicare reimbursement will be reduced from 101 percent of its reasonable costs to a specified percent for each year.