1 a deep dive into the final rule: meaningful use modifications for 2015 -2017 and beyond october...

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A Deep Dive into the Final Rule: Meaningful Use Modifications for 2015 -2017 and Beyond

October 21, 2015Marlene Hodges and Sandy Swallow

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Breaking News!

Modified Stage 2 Meaningful Use Rule Issued October 6, 2015

Modified

Stage 2Final Rule

Modified Stage 2

& Stage 3

https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-25595.pdf

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A Deep Dive into Modified Stage 2 Final Rule• Key Concepts and long term program alignment• Updated participation timeline • Program changes • Attestation updates• Payment Adjustments and hardship exceptions• Measures/Objectives• Comments for Stage 3 and MIPS

Today’s Objectives

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Key Concepts:• Aligned EHR reporting period with the calendar year for

ALL providers• Changed reporting period to 90-day period in 2015 • Restructured objectives/measures to align with Stage 3• Relaxed patient engagement objectives that require

“patient action” • Streamlined the program by removing redundant,

duplicative and topped-out measures to reduce burden• CQM reporting for both EPs and EH remains as previously

finalized

Modified Stage 2 – 2015 through 2017

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Timeline, Stages and Vendor Requirements

2015

• All participants attest to modified version of Stage 2; with accommodations for Stage 1 Providers; 2014 CEHRT

2016

• All EH and EP attest to modified version of Stage 2, at Stage 2 thresholds; 2014 or 2015 CEHRT

2017

• Attest to either modified version of Stage 2 or full version of Stage 3; 2014 or 2015 CEHRT

2018

• Attest to full version of Stage 3 with 2015 CEHRT

Long Term Program Alignment

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Updated MU Timeline

First year as a meaningful EHR user

stage of meaningful useStage of Meaningful Use

2015 2016 2017

2011 Modified Stage 2 2014 CEHRT

Modified Stage 2 2014 or 2015 CEHRT

Modified Stage 2 or 3 2014 or 2015 CEHRT


Modified Stage 22014 or 2015 CEHRT

Modified Stage 2 or 32014 or 2015 CEHRT




2014 Modified Stage 2*2014 CEHRT



2015 Modified Stage 2*2014 CEHRT

Modified Stage 2 2014 or 2015 CEHRT


2016 N/A Modified Stage 2 2014 or 2015 CEHRT


* Special accommodations for Stage 1 providers

In 2018, Everyone Moves to Stage 3 with 2015 CEHRT

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EHR Reporting Periods in 2015 - 2017

Year Eligible Professional Eligible Hospital/CAH

2015 All Participants

Any continuous 90-day period from

Jan. 1 to Dec. 31, 2015

Any continuous 90-day period from Oct. 1, 2014

to Dec. 31. 2015

2016 Returning participants Full calendar year January 1 through December 31, 2016

2016 New participants Any continuous 90-day period between January 1 and December 31, 2016

2017Returning participants Full calendar year January 1 through December 31, 2017

2017 New participants and/or

choose to implement Stage 3

Any continuous 90-day period between January 1 and December 31, 2016

2018All Providers (except Medicaid 1st yr. EP)

Full calendar year January 1 through December 31, 2017

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Single Set

• 10 Core Criteria for EPs– Including consolidated

Public Health Objective

• 9 Core Criteria for EH/CAHs– Including consolidated

Public Health Objective

Objective and Measure Requirements

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Objective EP Measure EH/CAH Measure

Protect Elec Health Info Conduct SRA/correct deficiencies Same

Clinical Decision Support 5 rules related to 4+ CQM; drug/drug and drug/allergy interaction check

Same

CPOE >60% med, >30% lab, > 30% radiology Same

eRx >50%; drug formulary query >10%; drug form. query

Health Information Exchange Use CEHRT to create summary; >10% electronically transmit

Same

Patient Specific Education >10% unique patients Same

Medication Reconciliation >50% transitions of care Same

Patient Elec Access (VDT) >50% timely access; 1 patient VDT Same

Secure Electronic Messaging Fully enabled n/a

Public Health 3 measure options - attest to 2

4 measure options - attest to 3

MU Objectives 2015 - 2017

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Relaxed Measures

Objective Old CurrentPatient Electronic

Access (View, Download or Transmit)

Measure = 5% of the patients

Measure = 1 patient

Secure Messaging with Patients (EP only)

Measure = 5% of the patients

Yes/No, stating “functionality fully

enabled”

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Modified Stage 2 - Clinical Quality Measures

Clinical Quality Measures• 9 EP or 16 EH/CAH measures out of

64, covering at least three domains• None are “required” but some are

recommended• Zero in the denominator is a positive

response• Can report through attestation system

or the PQRS portal (EP) and QualityNet Portal (EH/CAH)

• 2015 CQM reporting period can be different than the rest of MU (90 day)

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2015• Attestation will open January 4, 2016 • For new and returning EPs the deadline is February 29, 2016 to

avoid 2017 payment adjustments (PA)

2016• For returning EPs the deadline is February 28, 2017 to avoid 2018

payment adjustments • For new EPs the deadline is October 1, 2016 to avoid 2017 payment

adjustment• For new EPs the deadline is February 28, 2017 to avoid 2018 payment

adjustments

Attestation Deadlines - EPs

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2015• Attestation will open January 4, 2016 • For new and returning EHs the deadline is February 29, 2016 to

avoid 2017 payment adjustments (PA)

2016• For returning EHs the deadline is February 28, 2017 to avoid 2018

payment adjustments • For new EHs the deadline is October 1, 2016 to avoid 2017 payment

adjustment• For new EHs the deadline is February 28, 2017 to avoid 2018

payment adjustments

Attestation Deadlines - EHs

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2015• Attestation will open January 4, 2016 • For new and returning CAHs the deadline is February 29, 2016 to

avoid 2015 payment adjustments

2016• For new and returning CAHs the deadline is February 28, 2017 to


2017• For new and returning CAHs the deadline is February 28, 2018 to


Attestation Deadlines - CAHs

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Medicaid EHR Participants Need to Know• Attesting to AIU does not result in avoiding the Medicare payment

adjustment• Changes to reporting period, stages and objectives criteria apply• If Medicaid patient volume fall below program thresholds providers

will be able to avoid a Medicare payment adjustment by using the Medicare Registration and Attestation system to attest

• Medicaid participants will not earn an incentive for that program year• Does not effect their Medicaid program eligibility for subsequent

years• Would not constitute a switch in programs

Attestation Updates

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Payment Adjustments Facts

• EH - applied as a reduction to the applicable percentage increase to IPPS payment rate tied to a specific year (page 571 Final Rule)

• CAH - adjustment to Medicare’s reimbursement for inpatient services• EP - applied to MPFS and amounts established by law

o For 2015 – 99% of MPFS o For 2016 – 98% of MPFS o For 2017 and 2018 – 97% of MPFS

• Providers not eligible to participate in the Medicare EHR Incentive Program (i.e. PA, ARNP, CMW) are not subject to payment adjustment

• Annual attestation required to avoid adjustment• Stop after the calendar year it was applied if the provider meets MU

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If you do not successfully attest in 2015, you may apply for a hardship exception • Apply in 2016 to avoid the 2017 Medicare payment

adjustments – Infrastructure – Lack of control – Lack of face-to-face interaction – Unforeseen and/or uncontrollable circumstances

• Hardship application tool will be available in early 2016– July 1, 2016 deadline for EP and EH

Hardship Exceptions

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Switching Vendors – Can I apply for a hardship?• If a provider switches EHR vendors during the Program Year

and is unable to demonstrate meaningful use, the provider may apply for an Extreme and/or Uncontrollable Circumstances hardship exception and if approved may be exempt from the payment adjustment.

• For example, if an eligible professional (EP) switches EHR vendors in 2015 and is unable to demonstrate meaningful use in 2015, the EP can apply for an EHR Vendor Issue hardship, before the July 1, 2016 submission deadline, and be exempt from the payment adjustment in 2017.

FAQ 12653Created 9/23/15

Recently Released Hardship FAQs

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What if your product is decertified?• If your product is decertified, you can still use that product to attest

if your EHR reporting period ended before the decertification occurred. If your EHR reporting period ended after the decertification occurred, you can apply for a hardship exception.

• If the decertification occurs after the hardship exception period has already closed for the payment adjustment year which would be applicable for your reporting period, please contact CMS Hardship Coordinator at [email protected] to apply for a hardship exception under the Extreme and/or Uncontrollable Circumstances category per CMS discretion to allow such an application.

FAQ 12657 Created 9/23/15


mailto:[email protected]

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Unable to attest in 2015 due to timing of Modification Rule release?• If a provider is unable to meet the requirements of meaningful use

for an EHR reporting period in 2015 for reasons related to the timing of the publication of the final rule, a provider may apply for a hardship exception under the "extreme and uncontrollable" circumstances category. Each hardship exception application will be reviewed on a case-by-case basis, as required by law.

• In the past, CMS has considered these applications seriously and, in fact, has approved over 85% of hardship exemptions. Hardship applications will be available in early 2016 on website https://www.cms.gov/EHRIncentivePrograms FAQ12845

Created 10/7/2015

Updated 10/8/2015


https://www.cms.gov/EHRIncentivePrograms



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Hospital-Based Providers

Qualifications for Hospital-Based EPs• EP is ineligible for incentive payment and payment

adjustments if >90% covered professional services in sites of service identified as:– POS 21 (inpatient)– POS 23 (emergency room)

• CMS did not proceed to change the definition to include POS 22 (outpatient)

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A Closer Look

A Deep Dive Into the Modified Version Stage 2

Objectives and Measures

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Objectives & Measures for Stage 2 Demonstrators

1) Protect Patient Health InformationObjective: Protect electronic health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities. • Conduct or review a security risk assessment• To include encryption of ePHI created or maintained• No exclusions

Link to SRA tool developed by ONC and OCRhttps://www.healthit.gov/providers-professionals/security-risk-assessment-tool

https://www.healthit.gov/providers-professionals/security-risk-assessment-tool

https://www.healthit.gov/providers-professionals/security-risk-assessment-tool

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2) Clinical Decision Support (CDS)• Objective: Use clinical decision support to improve

performance on high-priority health conditions.• Measure 1: Implement 5 CDS interventions related to 4+ CQMs

at a relevant point of care for the entire EHR reporting period. If there are not 4 related to scope of practice or patient population CDS must be related to high priority conditions.

• Exclusions: None• Measure 2: Enable & implement drug-drug and drug-allergy

interaction checks for entire reporting period.• Exclusion: EP who writes fewer than 100 prescriptions

*There is an exclusion and alternative objective for Stage 1 providers

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3) Computerized Provider Order Entry for EP• Objective: Use CPOE for medication, laboratory and radiology

orders directly entered by any licensed healthcare professional that can enter orders into the medical record per state, local and professional guidelines during the EHR reporting period.

• Measure 1: Use CPOE for 60%+ medication orders • Measure 2: Use CPOE for 30%+ lab orders • Measure 3: Use CPOE for 30%+ radiology orders • Exclusions: Any EP who writes <100 medication, laboratory or

radiology orders during the reporting period*There is an exclusion and alternative objective for Stage 1 providers

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3) Computerized Provider Order Entry for EH/CAH• Measure 1: Use CPOE for 60%+ medication orders created by

authorized providers of the EH/CAH inpatient or emergency department during the reporting period

• Measure 2: Use CPOE for 30%+ lab orders created by authorized providers of the EH/CAH inpatient or emergency during the reporting period

• Measure 3: Use CPOE for 30%+ radiology orders created by authorized providers of the EH/CAH inpatient or emergency during the reporting period

• Exclusions: None for EH/CAH*There is an exclusion and alternative objective for Stage 1 providers

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4) ePrescribing (eRx) for EP• Objective: Generate and transmit permissible prescriptions

electronically (eRx)• EP Measure: 50%+ permissible prescriptions written by the

EP are queried for a drug formulary and transmitted electronically using CEHRT

• EP Exclusions: Y Writes <100 permissible prescriptions during reporting

periodY Does not have a pharmacy w/I 10 miles that accepts eRx


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4) ePrescribing (eRx) for EH/CAH• EH/CAH Measure: 10%+ hospital discharge medication

orders for permissible prescriptions (new and changed) are queried for drug formulary and transmitted electronically using CEHRT

• EH/CAH Exclusions: o does not have an internal pharmacy that can accept eRx and

that is not located w/in 10 miles of any pharmacy that accepts eRx.

o In 2015, Stage 2 demonstrators that did not intend to select eRx Menu Objective can claim an exclusion


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5) Health Information Exchange• Objective: EP, EH or CAH that transitions or refers their patient to

another setting of care or provider of care provides a summary of care record for each transition of care or referral

• Measure: Provider that refers must --- Use CEHRT to create a summary of care record, and- Electronically transmit such summary to a receiving provider

for 10%+ of transitions of care or referrals• Exclusion: Any EP who transfers a patient to another setting or refers

at patient to another provider <100 times during the reporting period. No exclusions for EH or CAH.


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5) Health Information Exchange (continued)• Maintains the data elements included in the summary of

care document at 77FR 54016 as follows:Y Patient name, referring provider’s name, office and contact

information, procedures, encounter diagnosis, immunizations, lab results, vital signs, smoking status, functional status, demographic information, care plan, goals, discharge instructions (hospital), reason for referral (EP) (if information is not available may leave blank)

Y Current problem list, medication list and allergy list must be included and not left blank

Y Providers should work with their EHR developer to limit parameters

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6) Patient Specific Education• Objective: Use clinically relevant information from CEHRT to

identify patient-specific education resources and provide those resources to the patient.

• Measure: Patient-specific education resources identified by CEHRT are provided to patients for 10%+ of all unique patients with an office visit seen by the EP or admitted as inpatient or emergency room for EH or CAH during the reporting period

• Exclusions: Any EP who has no office visits during the reporting period. No exclusion for EH or CAH.


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7) Medication Reconciliation• Objective: the EP, EH or CAH that received a patient from another

setting of care or provider of care or believes an encounter is relevant performs medication reconciliation.

• EP Measure: the EP performs medication reconciliation for 50%+ of transitions of care in which the patient is transitioned into the care of the EP

• EP Exclusion: Any EP who was not the recipient of any transitions of care during the reporting period

• EH/CAH Measure: the EH or CAH performs medication reconciliation for 50%+ of transitions of care in which the patient is admitted to inpatient or emergency department (POS 21 or 23)

• EH/CAH Exclusion: none*There is an exclusion and alternative objective for Stage 1 providers

Objectives & Measures for Stage 2Demonstrators

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8) Patient Electronic Access – EP • EP Objective: Provide patients the ability to VDT their health information within

4 business days of the information being available to the EP.• EP Measure 1: 50%+ of all unique patients seen by the EP during the reporting

period are provided timely online access to their health info. to VDT to a 3rd party.• EP Measure 2 for 2015 and 2016: at least one patient (or authorized representative)

seen by the EP during the reporting period views, downloads or transmits (VDT) his or her health info. to a third party during the reporting period. • EP Measure 2 for 2017: 5%+ of unique patients (or authorized representative) seen

by the EP during the reporting period VDT to a third party their health information during the reporting period. • Exclusions: Any EP who neither orders nor creates any of the information listed for

inclusion. Conducts 50%+ of patient encounters, or is located in county that does not have 50%+ housing units with 4Mbps broadband availability from FCC.


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8) Patient Electronic Access – EH or CAH• EH/CAH Objective: Provide patients the ability to VDT their health information

within 36 hours of hospital discharge.• EH/CAH Measure 1: 50%+ of all unique patients who are discharge from the

inpatient or emergency department of an eligible hospital or CAH are provided timely online access to VDT to a third party their health information.

• EH/CAH Measure 2 for 2015 and 2016: at least one patient discharged from the inpatient or emergency department (or authorized representative) views, downloads or transmits (VDT) his or her health information to a third party during the reporting period.

• EH/CAH Measure 2 for 2017: 5%+ of unique patients discharged from the inpatient or emergency department (or authorized representative)VDT to a third party their health information during the reporting period.

• Exclusions: Any EH or CAH that is located in a county that does not have 50%+ of its housing units with 4Mbps broadband availability from FCC on the first day of the reporting period.


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Recently Released Patient Electronic Access FAQ

If multiple eligible professionals or eligible hospitals contribute information to a shared portal or to a patient's online personal health record (PHR), how is it counted for meaningful use when the patient accesses the information on the portal or PHR?This answer is relevant to the following meaningful use measures:• For Eligible Professionals:

“More than 5 percent of all unique patients seen by the eligible professional during the EHR reporting period (or their authorized representatives) view, download or transmit to a third party their health information.”

• For Eligible Hospitals and Critical Access Hospitals:“More than 5 percent of all unique patients (or their authorized representatives) who are discharged from the inpatient or emergency department (Place of Service 21 or 23) of an eligible hospital or CAH view, download or transmit to a third party their information during the EHR reporting period.”

• EP Measure: "Patient-specific education resources identified by CEHRT are provided to patients for more than 10 percent of all unique patients with office visits seen by the EP during the EHR reporting period."

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Recently Released Patient Electronic Access FAQ – Continued

• If an EP sees a patient during the EHR reporting period, the EP may count the patient in the numerator for this measure if the patient (or an authorized representative) views online, downloads, or transmits to a third party any of the health information from the shared portal or online PHR. The same would apply for an eligible hospital or CAH if a patient is discharged during the EHR reporting period. If patient-specific education resources are provided electronically, it may be counted in the numerator for any provider within the group sharing the CEHRT who has contributed information to the patient's record if that provider has the patient in their denominator for the EHR reporting period. The respective EP, EH, or CAH must have contributed at least some of the information identified in the Stage 2 final rule to the shared portal or online PHR for the patient. However, the respective provider need not have contributed the particular info. that was viewed, downloaded, or transmitted by the patient.

• Although availability varies by state and geographic location, some Health Information Exchanges (HIEs) provide shared portal or PHR services. If a provider uses an HIE for these services to make information available to patients, in order to meet meaningful use requirements the provider must use an HIE that is certified as an EHR Module for that purpose. The HIE must be able to verify whether a particular provider actually contributed some of the information identified in the Stage 2 final rule to the shared portal or PHR for a particular patient. If a provider elects to use the HIE for these shared portal or PHR services, the provider must include the HIE’s certification number as part of their attestation.

FAQ12821; Created 10/2/2015

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Recently Released Patient Electronic Access FAQs

If a patient sends a message or accesses his/her health information made available by their eligible professional (EP), can the other EPs in the practice get credit for the patient’s action in meeting the objectives?

Yes. This transitive effect applies to the Secure Messaging, the 2nd measure of the Patient Access (View, Download and Transmit) core objectives, and Patient Specific Education.• If a patient sends a secure message about a clinical or health related subject to the group

practice of their EP, that patient can be counted in the numerator of the Secure Messaging measure for any of the EPs at the group practice who use the same certified electronic health records technology (CEHRT) that saw the patient during their EHR reporting period.

• Similarly, if a patient views, downloads or transmits to a third party the health information that was made available online by their EP, that patient can be counted in the numerator of the 2nd Patient Access measure for any of the EPs in that group practice who use the same CEHRT and saw that patient during their EHR reporting period.

• If patient-specific education resources are provided electronically, it may be counted in the numerator for any provider within the group sharing the CEHRT who has contributed information to the patient's record if that provider has the patient in their denominator for the EHR reporting period.

FAQ12825; Created 10/2/2015

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9) Secure Electronic Messaging (EP Only)EP Objective: Use secure electronic messaging to communicate with patients on health information.2015: the capability for patients to send and receive a secure electronic message with the EP was fully enabled during the entire reporting period. 2016: at least 1 patient seen by the EP during the reporting period was sent a secure message using the electronic messaging function (or authorized representative), or in response to a secure message sent by the patient (or authorized representative).2017: 5%+ unique patients seen by the EP during the reporting period was sent a secure message using the electronic messaging function (or authorized representative), or in response to a secure message sent by the patient (or authorized representative).Exclusion: any EP who has no office visits during the reporting period, or conducts 50%+ encounters in a county that does not have 50%+ of its housing units with 4Mbps broadband availability from the FCC. *There is an exclusion and alternative objective for Stage 1 providers

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10) Public Health Reporting • Objective: The EP, EH or CAH is in “active engagement”

with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.

• EP must meet 2 and EH/CAH must meet 3 • 3 definitions of “Active engagement”

Option 1: Completed registration to submit data Option 2: Testing and validation Option 3: Production


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Public Health Reporting (continued)

Measure Measure Specification Maximum times measure can count towards

objectiveMeasure 1 – Immunization Registry

EP, EH or CAH 1

Measure 2 – Syndromic Surveillance

EP, EH or CAH 1

Measure 3 – Specialized Registry

EP, EH or CAH 2 for EP, 3 for EH

Measure 4 - Electronic Lab Results Reporting

EH or CAH 1 EH


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Public Health Reporting (continued)

Exclusions:1. Don’t administer immunization, or collect surveillance data, diagnosis

and treat any disease or perform reportable lab results. 2. Operate in jurisdiction for which immunization registry, public health

agency receives surveillance data, capable of accepting electronic registry transactions in specific standards.

3. Operates in jurisdiction where no immunization registry, public health agency or specialized registry declares readiness to receive transactions at the beginning of the EHR reporting period.

Exclusions don’t count toward 2 (EP) or 3 (EH/CAH) measures unless you can exclude from specialized registries.

Objectives & Measures for Stage 2Demonstrators

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Accommodations for Stage 1 Providers

You are attesting to Stage 1 in 2015…• Stage 1 based on the same

core objectives• Attest to Stage 1 thresholds• Will take an exclusion for

the Stage 2 measures if there is no equivalent Stage 1 measure

• Menu objectives move to core objectives

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Objective Alternate Measure, Exclusion/Specifications for 2015

Protect Elec Health Info None

CDS EP, EH and CAH - Implement one CDS rule relevant to specialty or high clinical priority, along with the ability to track compliance

CPOE* EP, EH and CAH - >30% med, exclusion for lab and radiology

eRx* EP - >40 % EP; EH and CAH – may take an exclusion for Stage 1 and Stage 2 did not intend to demonstrate as a Menu in Stage 2

Health Information Exchange EP, EH and CAH - Exclusion

Patient-Specific Education EP, EH and CAH - Exclusion, if did not intend to demonstrate as a Menu objective in Stage 1


*In 2016, EH and CAHs previously scheduled to be in Stage 1 may claim an alternate exclusion.

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Objective Alternate Measure, Exclusion/Specifications in 2015 Med. Reconciliation EP, EH and CAH - Exclusion, if did not intend to demonstrate

as a Menu objective in Stage 1

Pt. Electronic Access EP, EH and CAH – Exclusion for the second measure; does not have equivalent measure

Secure Electronic Messaging(EP only)

EP - Exclusion; does not have equivalent measure

Public Health EP – must meet 1 measureEH and CAH – must meet 2 measures


(Continued)

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• Watch the 2015 EHR Incentive Program Requirements website – Updated Measures Specifications Sheets– FAQs– Attestation guides

• Verify registration information is accurate– Confirm your Stage– Check registration information– NPPES login information– Make sure e-mail address is correct– Make sure payment information is correct– Identify and Access Management (I & A)

Preparing for 2015 Attestation

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MACRA alters the EHR Incentive Programs for EPs• Comment topic:

– Incorporation of Stage 3 Meaningful Use into MACRA and MIPS

• Submit Comments by December 17, 2015– Electronically: http://www.regulations.gov– Regular mail: CMS, Dept. of HHS, Attention: CMS-3310 &3311-FC, P.O. Box

8013, Baltimore, MD 21244-1850– Overnight mail: CMS, Dept. of HHS, Attention: CMS-3310 &3311-FC, Mail Stop

C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850

CMS Seeks Public Comment

http://www.regulations.gov/

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• EHR Incentive Stage 3 and Modification Rule 2015-2017https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-25595.pdf

• 2015 EHR Incentive Program Requirementshttps://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2015ProgramRequirements.html

• Hardship Exceptionhttps://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html

• EHR Incentive Program Websitehttps://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/valuebasedpaymentmodifier.html

• National Institutes of Healthhttp://www.nih.gov/health/clinicaltrials/registries.htm

• National Quality Registry Network (NQRN)http://www.ama-assn.org/ama/pub/physician-resources/physician-consortium-performance-improvement/nqrn.page

• National Broadband Map (NBM) http://www.broadbandmap.gov/developer/api/county-broadband-availability-api-search-by-county-name

Resource Library



https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2015ProgramRequirements.html

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2015ProgramRequirements.html

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/valuebasedpaymentmodifier.html



http://www.nih.gov/health/clinicaltrials/registries.htm

http://www.nih.gov/health/clinicaltrials/registries.htm

http://www.ama-assn.org/ama/pub/physician-resources/physician-consortium-performance-improvement/nqrn.page




http://www.broadbandmap.gov/developer/api/county-broadband-availability-api-search-by-county-name

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Who to Call for Help?

QINQIO Colorado Contact:Terrey Currie720.554.1396

[email protected]

QINQIO Illinois Contacts:Linda Brewer630.928.5819

[email protected]

QINQIO Iowa Contact:Sandy Swallow515-223-2105

[email protected]

Temaka Williams630.928.5838

[email protected]

EHR Incentive Program Information Center: • 888-734-6433 , press option 1 (TTY 888-734-6563) • Monday – Friday: 8:00 am – 8:00 pm EST

Questions or comments can be sent to: [email protected]





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Thank you for joining!

Marlene Hodges515-457-3707

[email protected]

Sandy Swallow515-223-2105

[email protected]

This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-QIN-B4-10/2015-11282



1 a deep dive into the final rule: meaningful use modifications for 2015 -2017 and beyond october...

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