Meaningful Use: Registration & Attestation Eligible Professionals
Meaningful Use Webinar OverviewRegistration & Attestation:
Review Registration Requirements
Step by Step Instructional: EHR Incentive Program Registration
(Medicare/Medicaid)
Review of Third party proxy registration
Review Requirements for Attestation
Step by Step Instructional: EHR Incentive Program Attestation
(Medicare)
Provider/Admin Q&A or email questions [email protected]
Meaningful Use Registration Overview:Medicare Program
Gather InformationVerify Eligibility /
Select ProgramRegister
National Provider
Identifier (NPI)
National Plan and
Provider Enumeration
System (NPPES) User ID
and Password
Payee Tax Identification
Number (if you are
reassigning your
benefits)
Payee National Provider
Identifier (NPI)(if you
are reassigning your
benefits)
Physicians can only
register for Medicare or
Medicaid incentives
Before 2015, an eligible
professional may switch
programs only once
after the first incentive
payment is initiated
Physicians may not be
hospital based - seeing
90% or more of their
Medicare covered
services in: Hospital
Inpatient setting (POS
21) or Emergency
Department (POS 23)
Register for the Medicare
and/or Medicaid EHR Incentive
Programs
NOTE – New York Medicaid
Registration will not be open
until 4th Quarter 2011
NOTE – Each physician will have
to register separately and is
legally responsible for
information provided.
NOTE – Third party registration
will become available
NOTE – You are only required to
register once.
NOTE- You do not need certified
EHR technology requested.
EHR Incentive Program CMS Registration & Attestation Portal
To Register for the EHR Incentive Program•Access CMS Registration/Attestation web portal https://ehrincentives.cms.gov
•Click “Continue”•On Next Screen Click “Continue” again for login page to appear
Click On Registration Link
Click “Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
•Enter the NPPES User ID & Password•User ID & Password are Case Sensitive•Or Proxy User ID & Password
EHR Incentive Program CMS Registration & Attestation Portal
Click Log In
Tips:1) Contact the PECOS or NPPES Help desk if you cannot remember you password or login1866-484-8049 (PECOS)Or 1800-465-3203 (NPPES)
2) Eligible Professionals (EPs) can authorize personnel as proxy’s to register & attest on their behalf an I&A web account must be created for the user
Proxy Reg
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Select to begin registration process
Tips:Welcome Screen Consist of five tabs to navigate theportal.• Home• Registration• Attestation• Status • Account Management
Jane Doe
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Tips:Once you enter theregistration you can selectfrom five options
• Register • Modify• Cancel• Reactivate• Resubmit
Select “Register” to begin process
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Tips:Data required for thisregistration is grouped intothree topics. All three mustbe completed.
• EHR Incentive Program • Personal Information• Business Address &
Phone
Click on “Start Registration” to continue
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal (Medicare)
Select Incentive Program & Click “Apply”
Select EP Type
Click “Yes/No” for EHR
Tips:A certified EHR system is notrequired to register but will be required for attestation.
Click “Save & Continue”Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal (Medicaid)
Tips: IMPORTANT: You cannot register for the Medicaid EHR Incentive ProgramUntil Your State has Launched it’s site. If your State does not appearin the “Medicaid State/Territory” drop down menu your state site has not launched.
Click “Save & Continue”Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Tips:SSN Payee TIN indicates that the provider receives the payment.
EIN Payee TIN indicates the group receives the payment.•Choose “Group Name” if selecting EIN (click apply)•Enter Group NPI
•IMPORTANTMedicaid EPs can elect to have payment sent to another qualified entity by selecting Payee TIN Type of EIN. This information will be sent to the State. There are rules around reassignments governing this program. Please see the CMS website for more information –http://www.cms.gov/EHRIncentivePrograms/
Select where payment will go in the Payee TIN Type & Click “Apply”
Click “Save& Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Tips:Review Business Address & Phone:•Data is pulled from NPPES•Address can be revised but is not sent to NPPES•Business address cannot be a P.O. Box
Information will be posted on the EHR website once you receive payment
Click “Save & Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Tips:Check marks indicate registration topics have been completed
Click “Begin Submission”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Click “Submit”
Tips:1) Review and verify registration for accuracy
2) To make changes click on “Previous Page” to revise information.•Topics for registration appear •Click “Modify” to change your registration
Click to Make Changes
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:If “Disagree” is selected the user is directed to the Registration Instructions Page. •Select Modify to restart process
Review Disclaimer select “Agree” Or “Disagree”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Click “Print”
Tips:Important: Select “Print”. Print page for your records.
You will not receive an email confirmation
SUCCESSFUL SUBMISSION
Assigned Registration ID
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Click “Print”
FAILED SUBMISSION
Tips:Important: Select “Print”. Print page for your records.
You will not receive an email confirmationFor failed submission, review “Failed Submission Reasons” and contact appropriate departments to correct.
Assigned Registration ID
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Click “Status Tab” to Review Registration Status
Tips:Click “Select” to view Details
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:Registration Status will appear as “Active” when all validations pass.
Click “Additional Information” for registration status reason.
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal (Medicaid)
Tips:Registration status will read PENDING STATE VALIDATION until the registration process is completed by the State.
Other Registration Statuses:•Pending State Approval•In Progress•RejectedStatus reason is listed on the Additional Information page
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:Help link is located on every screen and can provide additional assistance and vital contact information.
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:
IMPORTANT: Eligible Professionals can switch between the Medicare and Medicaid EHR Incentives programs only once after receiving an incentive payment. The switch has to occur before 2015.
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
Questions-Registration
Medicare eligible professionals attest using the CMS' web-based Medicare and Medicaid EHR Incentive Program Registration and Attestation System. In the system, providers will fill in numerators and denominators for the meaningful use objectives and clinical quality measures, indicate if they qualify for exclusions to specific objectives, and legally attest that they have successfully demonstrated meaningful use.
Medicaid EPs must prove only that they have adopted, implemented or upgraded certified EHR technology in the first year of participation – they do not need to prove that they are meaningfully using certified technology until the second year of Meaningful Use. Medicaid Incentive Programs participants must attest using their states EHR Incentive Program site. The New York Medicaid EHR Incentive Program website will open Dec. 2011. Medicaid Incentive Program participants cannot use the CMS web-base portal to attest.
EHR certification number is required to attest. Certifications numbers can be obtained from Certified Health IT Product List (CHPL). To obtain a CMS EHR Certification ID, follow the steps outlined below:
Select your practice type
(IP or Ambulatory)
Search for EHR product(s)
by Name
Add product(s) to cart and
determine if meet criteria
Request CMS EHR
Certification ID
1 2 3 4
EHR Incentive Program CMS Registration & Attestation Portal
EHR Incentive Program CMS Registration & Attestation PortalTo Register for the EHR Incentive Program•Access CMS Registration/Attestation web portal https://ehrincentives.cms.gov
•Click “Continue”•On Next Screen Click “Continue” again for login page to appear
Click On Registration Link
Click “Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
•Enter the NPPES User ID & Password•User ID & Password are Case Sensitive•Or Proxy User ID & Password
EHR Incentive Program CMS Registration & Attestation Portal
Click Log In
Tips:1) Contact the PECOS or NPPES Help desk if you cannot remember you password or login1866-484-8049 (PECOS)Or 1800-465-3203 (NPPES)
2) Eligible Professionals (EPs) can authorize personnel as proxy’s to register & attest on their behalf an I&A web account must be created for the user
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program
CMS Registration & Attestation Portal
Tips:Welcome Screen Consist of five tabs to navigate theportal.• Home• Registration• Attestation• Status • Account Management
Select to begin attestation process
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Select “Attest” to begin process
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Click “Start Attestation” to being process
Tips:When all topics are checked completed or N/Auser can select “PROCEED WITHATTESTATION”
All areas must be completeto complete attestation
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
EHR Certificate Number is Required for Attestation . This information must be entered .
Reporting period must be 90 consecutive days
Tips:IMPORTANT: YOU MUST ENTER YOUREHR CERTIFICATIONNUMBER TO ATTEST.The EHR CertificationNumber is 15characters long
Click “Save & Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Process:1) Select Appropriate option for “Patient Records”
2) Answer “Yes”or “No” to the Exclusion Question. If “No” is selected the screen will expand to enter the numerator & denominator for the measure (see below)
3) Click “Save & Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:
You can log out at any timeand continue your attestation later. All of theinformation entered up tothis point will be savedwithin the attestationmodule.
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal Process:
IMPORTANT: YOUMUST SELECT FIVE MENU MEASURES AT LEAST ONEMUST BE A PUBLIC HEALTH MEASURE1) Select five by clicking the box immediately following the measure
Menu: Public Health Measure
Menu: Non Public Health Measures
Tips:Up to two public health measures can be chosen
Click “Continue”
EHR Incentive Program CMS Registration & Attestation Portal
Process:IMPORTANT: YOUMUST ATTEST TO ONEPUBLIC HEALTH MEASURE EVEN IF AN EXCLUSION APPLIES TO BOTH
Click “Save & Continue”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Click “Save & Continue”
Process:IMPORTANT: YOUMUST REPORT ON A
MINIMUM OF 6 CQMs or a MAXIMUM OF 9 CQMs
•CHOOSE THREE FROM THE CORE OR ALTERNATE CORE. (If you report zeros on any of the core you must report on an alternate core even if that alternate core is zero. It is possible to report on all core &
alternate core if all are zeros).
&
•CHOOSE THREE FROM THE ADDITIONAL SET OF THIRTY-EIGHT
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:
When all topics are markedas completed or N/A youmay proceed withattestation.
The next screen will allowyou to review entries before final submission.
Click “Proceed with Attestation ”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:•Check the box next to each statement •Click “Agree” to complete attestation•If you click “Disagree” you will be moved back to the home page & your attestation will not be submitted
Click “Yes” if you are sure you want to attest
Click “Agree” or “Disagree”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:•If you click “Disagree” you will be moved back to the home page & your attestation will not be submitted
•If “Agree” is chosen and you have met all measures, you will receive the “Accept Attestation” submission receipt
Click “Agree” or “Disagree”
EHR Incentive Program CMS Registration & Attestation Portal
Tips:•Print receipt you will not receive an email confirmation
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
Tips:•Rejected: You did not meet one or more of the measures. Check for errors & if a error was made modify and resubmit for same 90 day reporting period or submit for different 90 reporting period. The 90 day reporting period can be a day later (For Example 3/1-5/31 vs. 3/2-6/1) Please note: If different 90day is chosen EP may have to recalculate numerator/denominator
•Print receipt you will not receive an email confirmation
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal
1) Click “Resubmit”
2) Click “Proceed with Attestation”
Process :•Click “Resubmit”
•Click “Proceed with Attestation” New submission receipt will appear & disclaimers.
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
Questions- Attestation
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
Third Party Proxy Process :•Click “Create a login”
•Click “Yes” to access the I&A system
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Third Party Proxy Process:The application and security check will prompt the requestor to answer security questions, create a profile, and user name and password.
Please note: User IDs cannot be changed. Any secret questions you create will be permanently linked to your account. User IDs are case sensitive.
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Third Party Proxy Process:•Click Access Requests
•Click Add Access
•Click Submit
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Third Party Proxy Process:•Click “You are requesting on behalf of an individual provider”.
•Click Next
•Select Application Type: EHR Incentive Program
•Click Next
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Third Party Proxy Process:•Enter NPI for provider
•Click Search
•Click Save to got to “My Access Request Page” or Click “Save & Add Another” to multiple providers
• A proxy can register and attest for a maximum of 300 providers .
Click “Save” or Save & Add Another”
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Third Party Proxy Process:•Click each box for the NPI use wish to access. To select all, click “Select All”.
•Click Submit
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
EHR Incentive Program CMS Registration & Attestation Portal***THIRD PARTY PROXY REGISTRATION***
Third Party Proxy Process:•You will receive an email
notification that the External User
Services (EUS) Help Desk has
approved your request
•Record your tracking number for
use on any correspondence
•The EP must log into the I&A
system and approve your
request
•Notify the EP that you have
requested access
•At this time there is not an
automated email notification of the I&A system
Source: CMS EHR Incentive Programs Registration & Attestation User Guide Medicare & Medicaid For Eligible Professionals
Introduction to Meaningful Use:
Webinar Recap
Review Registration Requirements
Step by Step Instructional: EHR Incentive Program
Registration (Medicare/Medicaid) Review of Third party proxy registration
Review Requirements for Attestation
Step by Step Instructional: EHR Incentive Program
Attestation (Medicare)
Provider/Admin Q&A or email questions [email protected]
Upcoming Webinars:
• MU Webinar : Meaningful Use Registration and
Attestation for Voluntary Physicians
November 3rd and 15th
• MU Webinar : Guide to Clinical Quality Measures
November 10th and 17th
Dec 1st
• MU Webinar : Workflow Changes for MU Measures
TBA
• MU Webinar: Epic Reporting and Attestation
TBA