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USVI EHR Incentive Provider User Manual

Contents

1. 9 132 Meaningful Use Menu Measure Question 4 Clinical Lab Test Results and answer No to STO 133 Meaningful Use Menu Measures Question 5 Patient 55 134 Meaningful Use Menu Measures Question 6 Patient Reminders and answer No to exclusion135 Meaningful Use Menu Measures Question 7 Patient Electronic Access and answer No to 136 Meaningful Use Menu Measure Question 8 Patient specific Education Resources 137 Meaningful Use Menu Measure Question 9 Medication Reconciliation and answer No to AGIR M eer 138 Meaningful Use Menu Measure Question 10 Transition of Care Summary and answer No to RMMTTCEE 139 Clinical Quality Measures Question 1 Adult Weight Screening and Follow up 140 Clinical Quality Measure Question 2 Hypertension Blood Pressure Measurement 140 Clinical Quality Measure Question 3 Preventive Care and Screening Measure Pair 141 Clinical Quality Measure Question 1 if denominator is 0 Preventive Care and Screening Influenza Immunization for Patients gt 50 years 142 Clinical Quality Measure Question 2 if denominator is 0 Weight Assessment and Counseling C mid
2. MHabona Provider Identifier MPT NLR Status Figure 11 Registration Instructions Page 9 2 6 Attestation Tab The Attestation tab displays the Attestation Instructions home page Refer to Figure 12 DRAFT Page 33 USVI Electronic Health Record Provider Incentive Program 4testations Attestation Instructions wVyelcoame ta the Attestation Page Depending on the current status of your attestation please select one of the following actions Attest Please select the Attest link to start attestation Attest for an incentive programs payment wear Continue an incomplete attestation Rescind Please select the Rescind link ta Cancel processing of a submitted attestation Resu brit Please select the Resubmit link to Resubmit an attestation that was prewiously deemed ineligible Please follayw along using the Provider Incentive Payment Hospital Provider Workbook as Companion guide you complete the attestation process Questions on the application or the program overall can be directed to the Provider Services Help Desk at 85883 483 0793 option amp for the Provider Service CMS and your state s Medicaid office recommends documentation are retained in case of audit Please reviews your state s Medicaid requirements and applicable provider manuals for the specific service requirements retention periods and lists Providers must maintain r
3. Red asterisk indicates a required field Service Setting Hospital based eligible professionals are not eligible for incentive payments n eligible professional is considered hospital based if 9095 or more of his her services are performed in a hospital inpatient CPlace Of Service code 21 or emergency room Place Of Service code 235 setting Complete the follawing information Did wou perform 9095 of your services in an inpatient hospital or emergency room hospital setting C ves Alo Figure 32 Attestation Tab Service Setting Error Hospital based providers not eligible to receive Medicaid EHR Incentive Program payments The application will display an error message You are NOT currently eligible to receive an incentive payment under the Medicaid EHR Incentive Program The attestation process is halted and the user will not be allowed to continue entering in information The eligibility status is set to Ineligible DRAFT Page 57 USVI Electronic Health Record Provider Incentive Program 2 Select NO if the provider is NOT hospital based and select the Save and Continue button The application will continue to the Eligibility Screen 2 Volume Check question 3 Select the Previous Page button to display the Verify Registration page Regardless of the answer and after attestation submission and finalization 48 hours after submittal the system will validate th
4. Patient Safety Population Public Clinical Process Effectiveness Clinical P recesss4Effectierness Clinical Proecess Effectiveness Clinical Process tmnmtsS Clinical ProcessEffectimeness Care Coordination Patient and Farnail Engagement Patient and Fariil Engagement Patient and Erin Engagement Patient Safety USVI Electronic Health Record Provider Incentive Program Title Preventive Care and Screening Screening for High Blood Pressure and Follow Up Documented Description Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AMD a recommended follow up plan is Population Public Health v documented based on the current blood pressure BP reading as indicated Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE EJ Figure 53 2014 Clinical Measures 11 3 3 Clinical Quality Measures Meaningful Use Question General Workflow Functionality To complete the COM section CMS instructions for 2013 CQMs which the provider can select if they are using 2011 CEHRT or a combination of 2011 and 2014 CEHRT and they choose 2013 MU Stage 1 If the provider chooses 2014 MU Stage 1 the provider must choose 9 out of 64 available COMs The navigation is the same as was outlined in the Meaningful Use Core and Menu Measures
5. 46 Figure 22 Registration Tab Add Registration cccccccccccccccccccceeaeeeeeeseeeeeeeeeeceeeeeeeeeeneaaaaeas 46 Figure 23 Registration Tab Registration Information Page seen 47 Figure 24 Add Registration Error Message ccccccccssessssecccccccaeeeesseecceeceesaaeeseeecceeeeeaaaeseeeeeees 47 Figure 25 Registration Tab Registration Information Section esee 48 Figure 26 Registration Tab Remove 48 Pae A scores ect 50 Figure 28 Attestation Tab Attestation Selection 51 Figure 29 Attestation Tab Attestation Topic Listing sese 52 Figure 30 Attestation Tab Verify ccccccccccccccscsseseeeeceeeceeeeesssecceeeeesaaaaeeeeeees 54 51 Attestation Tab Service SCS 27 Figure 32 Attestation Tab Service Setting 57 Figure 33 Attestation Tab Medicaid Patient nnns 60 Figure 34 Attestation Tab Out of State Medicaid Patient 8 61 Figure 35 Attetation Tab Out of State Entry Add Edit 62 Figure 36 Att
6. cccccseeeeeeeeeeeeeeeeeeeeeeees 18 Figure 3 Eligible Provider Workbook Medicaid 20 Figure 4 Eligible Provider Workbook EHR Certification 27 Figure 5 Eligible Provider Workbook 25 Figure 6 Certified health IT Product List 168 eoo rone nee 28 Rare 30 PIS Une DeSCHDUODL 30 Pare Wate ANC COUN CMC b Pai Ri rem br 31 32 Figure 11 Registration Instructions nennen eene 33 Figure 12 Ae Stato m Instruction 34 LEisure 15 Standard DUCLOFIS EE 35 Fic re 14 Attestation Flowchart 27 Pure 41 9 UL SVELOPID 40 Poue s desea Do auda ape MM app 4 Figure 17 Provider Incentive About this Site Page 42 Pone re HOBIG 43 44 Figure 20 Registration Tab Registration Home 45 Figure 21 Registration Tab No records to display
7. Eligible professionals EPs must attest YES to having implemented one clinical decision support rule for the length of the reporting period ta meet the measure C Yes C Nn Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE 3 DRAFT Page 123 USVI Electronic Health Record Provider Incentive Program Meaningful Use Core Question 10 Clinical Decision Support Rule Questionnaire 11 of 13 Red asterisk indicates a required field Electronic Copy of Health Information Objective Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists medication allergies upon request Measure More than 5096 of all patients of the EP the inpatient or emergency departments of the eligible hospital or POS 21 ar 23 who request an electronic copy of their health information are provided it within 3 business days EXCLUSION Based ALL patient records who has no requests from patients or their agents for an electronic copy of patient health information during the EHR reporting period would be excluded fram this requirement EPs must enter in the Exclusion box to attest to exclusion from this requirement Does this exclusion apply to Yes C Exclusion Box fs Please select the PREYIOUS PAGE button to go back or the SAVE amp
8. This attestation will begin with the 13 required core objectives listed below Objecte Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional quidelines Implement drug drug and drug allergy interaction checks Maintain an up to date problem list of current and active diagnoses Generate and transmit permissible prescriptions electronically Maintain active medication list Maintain active medication allergy list Record demographics preferred lanquage gender race date of birth Record and chart changes in vital signs Height length Weight Blood pressure age 3 and ower Calculate and display Plot and display growth charts for patients 0 20 years including BMI Record smoking status for patients 13 years old or older Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with rule Prowide patients the ability to wiew online download and transmit their health information within four business days of the information being available to the EP Provide clinical summaries for patients for each office visit Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities Measure More than 3055 of unique pat
9. Displays a screen with an email address box USVI Medicaid EHR Incentive Program will use this email address to send notifications regarding the attestations You may enter a new address or update an existing one Save changes by selecting the Update button Press the Cancel button and changes will not be saved My PDIP Account Update Account Red asterisk indicates a required field First lame Mame Last Name LastName Email Address CANCEL UPDATE Figure 9 Update Account Screen 9 2 3 Back to VI MMIS Portal Q Displays the VI MMIS Portal Welcome screen Refer to Figure 16 USVI Welcome Screen 9 2 4 Home Tab Displays the page as shown in Figure 10 DRAFT Page 31 USVI Electronic Health Record Provider Incentive Program Tite Registration Attestation Status Welcome First Successful Login Unsuccessful Login Attempts 0 Notifications Welcome to the Provider Incentive Payment System Medicaid EHR incentive program participants can complete their attestation and receive incentive payments using this system You will need to demonstrate adoption implementation upgrading or meaningful use of certified EHR technology in your first year and demonstrate meaningful use for the remaining years in the program Instructions Select any tab to continue Registration Tab Please select the Registration tab above to perform any of the following acti
10. Measure For more than 5095 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period have blood pressure for patients age 3 and over only and height and weight for all ages recorded as structured data EXCLUSION Based ALL patient records Any who sees no patients 3 years or older 15 excluded from recording blood pressure Any EP who believes that all 3 vital signs of height length weight and blood pressure have no relevance to their scope of practice is excluded from recording them Any EP who believes that height length and weight are relevant to their scope of practice but blood pressure is not is excluded from recording blood pressure Any EP who believes that blood pressure is relevant to their scope of practice but height length and weight are not is excluded fram recording height length and weight Please select the exclusion option that applies to you Any EP who sees no patients 3 years older is excluded from recording blond pressure Any EP who believes that all three vital signs of height weight and blood C pressure have no relevance to their scope of practice is excluded from recording them Any EP who believes that height and weight are relevant to their scope of C practice but blood pressure is not is excluded from recording blood pressure 4ny EP who believes that blood pressure is
11. Registrations Add Registration Red asterisk indicates a required field Add a regstrabon to your registrabons list so that you can attest for the associated provider or simply vew the attestabon status and payment status of the regstrabon account The registrabon must have been completed at the CMS Website and recerved by the State Please alow at least 24 hours for the State to and process new of updated registration Enter the Registration ID you recerved m the submission receipt at the end of the CMS EHR incentive program regstrabon process Also enter the NPI of the provider associated with the regstrabon WARNING If the registration i for provsder other than yourself you must recerve authonzabon from the provider associated with the registrabon before adding the registrabon to your list Registration NPE Ao Figure 22 Registration Tab Add Registration 1 Select the Add Registration button on the Registration Home Page 2 Enter registration ID obtained from the CMS website 3 Enter the EP s NPI 4 Click the Add button The system validates that the registration ID is a valid ID assigned by CMS and that the correct NPI was entered Page 46 USVI Electronic Health Record Provider Incentive Program If valid the registration ID and NPI are associated with the user ID The Registration Information Page displays with the registration infor
12. ss 79 11 2 Meaningful Use Menu 79 11 2 1 Meaningful Use Question General Workflow 81 C13 Clinical Q ality Measures 82 11 3 1 2013 MU Stage 1 Clinical Quality Measure Entry sess 82 11 3 2 2014 MU Stage 1 Clinical Quality Measure Entry eese 85 11 3 3 Clinical Quality Measures Meaningful Use Question General Workflow Functionality 89 12 Submit Attestation and payment Status sccccccccccrcssssssssscccccscssssssscscsccccssscssssses 91 IX yet enn p Eten cme E 93 CucIeunm E 96 14 Successful Registration with CMS Email ecce eee eee eee eee eee eee 97 15 Submitted Attestatlon cessssccscccscesecscsescscccssstecscessusccessswecscnesaseseessdecsenasascsessswecssneadas 98 16 Error occurred when processing registration Email ssssssssccccsssssssssssscccsoees 99 Lr Att station Accepted anre N eni 100 18 Error Occurred While Processing Registration Medicaid Enrollment failed Email 101 19 Attestation Error Practice predominately in a Hospital Setting Email 102 20 Attestation Error Medicaid Claims count failed Email 103 21 Attest
13. Authorized Testing and Certification Body ATCB in order for a provider to qualify for EHR incentive payments REMEMBER You do not need to have your certified EHR technology in place to register for the EHR incentive programs However you must adopt implement upgrade or successfully demonstrate meaningful use of certified EHR technology under the Medicaid EHR Incentive Program before you can receive an EHR incentive payment Enter the CMS EHR Certification ID you received from the ONC EHR CHPL Web site CMS EHR Certification ID Current EHR System Usage Status Adopt Implement I certify that I adopted implemented upgr bove EHR for a 90 day period in the Upgrade Meaningful Use 2013 Stage 1 Meaningful Use 2014 Stage 1 Please select a 90 day period in the current payment yea Start Date 1 1 2014 um End Date 3 31 2014 ERI current payment year starting on the follo PREVIOUS PAGE SAVE AND CONTINUE 09 Figure 41 Certified EHR Technology Page Enter the EHR Certification number 2 Select your current EHR system usage status 3 Select the 90 day period that the EHR system was adopted implemented upgraded or meaningful used based on your EHR usage Type in dates or select a date via the Calendar function System will calculate the 90 days from the start or end date entered Page 72 USVI Electronic Health Record Provider Incentive Program If AIU select then 4 Select Sav
14. Cholesterol Fasting Low Density Lipoprotein LOL Test Performed Description Percentage of patients aged 20 through 79 years whose risk factors haee been assessed and a fasting LOL test has been performed Tithe Preventive Care and Screening Risk Stratified Cholesterol Fasting Low Density Lipoprotein Deesoription Percentage of patients aged 20 through SO years who had a fasting LOL test performed and whose risk stratified fasting LOL ts at or belos the recommended LOL amp geal Title Dementia Cegnitive Assessment Description Percentage of patients regardless of age with a diagnosis of dementia for mr assessment of cognition is performed and the results revievred at least cerca wwithin a 12 month period Tithe Mypertension Improwement in Blood Pressure Desorption Percentage of patients saged 158 85 years of age with a diaqnosis of hypertension whose blocad pressure improved curing the rmneasurernent periodi Title Closing the Referral Loop Receipt of Specialist Reppert Percentage of patients vith referrals regardless of age for which the referring prowider receives m report from the prowider tc w horm the patient was referred Tithe Furmctional Status Assessment for Knee Replacerment Desorption Percentage of patients saged L8 years and older with primar total knee arthroplasty TKAJ who completed baseline amd followr up peatrent reported functional
15. Denominator Exclusions Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 35 Use of Appropriate Medications for Asthma Page 162 USVI Electronic Health Record Provider Incentive Program Questionnaire 36 of 38 Red asterisk indicates a required field 0052 Title Low Back Pain Use of Imaging Studies Description The percentage of patients with a primary diagnosis of low back pain who did not have an Imaging study plain x ray MRI CT scan within 28 days of diagnosis Numerator Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE Clinical Quality Measure Question 36 Low Back Pain Use of Imaging Studies Questionnaire 37 of 38 Red asterisk indicates a required field NOF 0075 Title Ischemic Vascular Disease Complete Lipid Panel and LOL Control Description The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction AMIJI coronary artery bypass graft CABG or percutaneous transluminal coronary angioplasty PTCA from January 1 November 1 of the year prior to the measurement year who had a diagnosis af ischemic vascular disease IVD during the measurement year and the year prior the measurement year
16. USVI Electronic Health Record Provider Incentive Program Questionnaire 4 of 10 Red asterisk indicates required field Clinical Lab Test Results Objective Incorporate clinical lab test results into certified EHR technology as structured data Measure More than 40 of all clinical lab tests results ordered by the EP or by an authonzed provider of the eligible hospital or CAH for patients admitted to its inpatient or emergency Gepartment POS 21 or 23 during the EHR reporting period whose results are either in a positive negative numerical format are incorporated in certified EHR technology as structured data Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of lab test results whose results are expressed in a positive or negative affirmation or number which 15 incorporated as structured data Denominator Number of lab test results ordered during the EHR reporting period by the EP whose results are expressed in positive or negative affirmation or as a number Numerator Denominotor lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed 0 PREVIOUS PAGE SAVE AND CONTINUE 3 Meaningful Use Menu Measure Question 4 Clinical Lab Test Results and answer No to exclusion DRAFT Page 133 USVI Electronic Health Record Provider Incentive Program Questionnaire
17. USVI Electronic Health Record Provider Incentive Program Registration Registrations Registration Instructions Welcome to the Registrabon Page Professionals EP and Ekgible Hospital s can register for the Modicasd EHR Incentive Program at the CMS Website Please allow at least 24 hours for the State to recerve and process your registration Once the State has recerved and processed your registrabon you can add the regestration to the list below Regestrabons m this kst will appear on the Attestation tab and the Status tab Select one of the following actions to manage the regestrabons associated with your EHR Incentive Program user account Add Registration Please select the ADD REGISTRATION button to associate a reqstrabon with your EHR Incentive Program user account for any of the folowing reasons You are EP or eligible hospital and have completed the Medicaid EHR Incentive Program registrabon at the CMS Website You want to associate the registrabon with your EHR Incentive Program account to begn attestabon You are working on behalf of an EP or ebgible hospital and want to view the provider s EHR Incentive Program records and or attest on behalf of the provider Select Registration Please select the Solect acbon next to the regstration in the list to view the registration informatbon that was entered at the CMS Website and manage hospital payment calculation adjustments Remove Regrstration Please s
18. When this message is received log into the Provider Portal to register and attest PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 19 Michael giHealthcare com Subject Medicaid Registration Received and Processed Successfully Proceed with Attestation Your NLR registration details have been successfully processed by VI Medicaid EHR Provider Incentive System NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 You may now log into the VI EHR system at www vimmis com to download the instruction manual provider worksheets and frequently asked questions to document and attest that you have adopted implemented or upgraded a certified EHR technology system that demonstrates meaningful use If you need any other assistance regarding how to attest please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Figure 58 Email Ready to attest DRAFT Page 97 USVI Electronic Health Record Provider Incentive Program 15 Submitted Attestation Email This email is sent after submitting the attestation The Attestation Application will allow EPs to make changes to a submitted attestation for 48 hours After 48 hours have passed from the last attestation change the system will execute its final edits PIP Administrator VI pip admin amp vi mm
19. follow the steps outlined below Select your practice type by selecting the Ambulatory or Inpatient buttons below Search for EHR Products by browsing all products searching by product name or searching by criteria met 1 2 3 Add product s to your cart to determine if your product s meet 100 of the required criteria 4 Request CMS EHR Certification ID for CMS registration or attestation from your cart page STEP 1 SELECT YOUR PRACTICE TYPE ONG HIT Website Privacy Policy Last Modified Date 12 23 2010 The information on this page is currently hosted by the HITRC and its Partners under contract with the Office of the National Coordinator for Health Information Technology Figure 6 Certified health IT Product List site Page 28 USVI Electronic Health Record Provider Incentive Program 8 System Requirements To successfully use all features of the USVI Provider Incentive Program application ensure that the computer system meets the following minimum requirements PChasareliable internet connection Q Web browser The latest version of Microsoft Internet Explorer is recommended IE8 0 and higher As new versions of Internet Explorer become available it 15 recommended that these versions are used Adobe Acrobat Reader DRAFT Page 29 USVI Electronic Health Record Provider Incentive Program 9 Navigation This section describes the navigation options that are available throughout the app
20. gt 23 and 30 Age 18 64 years BAIL 183 5 and 25 Tithe Cataracts Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Proscecures Description Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days followring cataract surgery which would indicate the occur of any Of the Following major corme lication retained mc lear fragroents endophthalrnitis dislocated or wrong power DOL retinal detachrmoent cr wound dehiscence Tithe Cataracts 20 40 or Better Visual Acuity within 90 Days FPollowring Cataract Surgery Dees coription Percentage of patients aged 15 years and older writh a diagnosis of plicated cataract whe had cataract surgery and me significant ocular conmcditions im the wisual oF surgery and had best corrected wisual acuity of 20740 cer better distance or near achieved within 90 days following the cataract surgery Tithe Pregnant Wormen That Had HEsAg Testing Dees criptiam This measure identifies pregnant women who had a HBsAg hepatitis E test during their preqnanc Tithe Depression Rernission at Tweboef bRlonths Deesoriptiome cult patients age 18 and older with major depression or cdysthyroia and arn initial PHO SI score gt 9 wrho dermonmstrate remission at terelwre months defined as PHE sc
21. 5 of 10 Red asterisk indicates a required field Patient Lists Objective Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Measure Generate at least one report listing patients of the EP eligible hospital or with a specific condition Complete the following information Eligible professionals EPs must attest YES to having generated at least one report listing patients of the EP with a specific condition to meet this measure C Yes C No Please select the PREVIOLIS PAGE button to go back or the SAVE CONTINUE button to proceed 4 PREVIOUS PAGE SAVE AND CONTINUE B Meaningful Use Menu Measures Question 5 Patient Lists Page 134 USVI Electronic Health Record Provider Incentive Program Questionnaire 6 of 10 Red asterisk indicates a required field Patient Reminders Objective Send reminders to patients per patient preference for preventive follow up care Measure More than 2095 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period EXCLUSION Based on ALL patient records If an EP has patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology that EP is excluded from this requirement Does this exclusion apply to you Sx m Questionnaire 6 of 10
22. AND CONTINUE Measure The EP eligible hospital performs medication reconciliation for more than 509 of transitions of care in which the patient is transitioned into the care of the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 Complete the following information All mformation entered may be subject to audit that could result in payment recoupment Numeratar Number of transitions of care in the denominatar where medication recancihatian was performed Denominator Number of transitions of care during the EHR reporting period for which the EP was the receiving party of the transition Numeratar Denoaominatar L lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed EJ PREVIOUS PAGE SAVE AND CONTINUE amp Meaningful Use Menu Measure Question 9 Medication Reconciliation and answer No to exclusion Page 138 USVI Electronic Health Record Provider Incentive Program Questionnaire 10 of 10 Red asterisk indicates a required field Transition of Care Summary Objective The EP eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral Measure The EP eligible hospital or CAH who transitions or refers their patient to another setting
23. ES 26 6 Determine If Intend to Use Group Clinic Medicaid Volume to meet Medicaid Volume ICCOUIECIBCH ES 27 As Finding EHR Certification dE eS Na 28 S System ROeQquireimellls cppnecstscacencacessscagesavectnessnncet ans EEE E EEEE EEEE EERE aS 29 NIV UI TIME 30 9 1 30 9 2 Use or the Navigation amp sasererasetusassserstavaievaansadetadsncnebsantsderatavacebidnpadeiatereiebiuniedeanians 30 LOU Help DS 30 9 2 2 USVI Medicaid EHR Incentive Program Account Hyperlink eeeeeeeesesessss 3l 92 2 duck to a ud isa 3l D MEM 3l 32 22 0 A a 33 92 ANG at 35 10 Using the USVI Medicaid EHR Incentive Program Application 36 10 1 Pre eligibility check on receipt of CMS registration 38 10 2 Login to the USVI Medicaid EHR Incentive 1 39 10 2 1 Starting USVI Medicaid EHR Incentive Program application eeeeessssssss 39 10 3 Registering a Provider within USVI Medicaid EHR Incentive Program 44 10 3 1 Re PISLEIUOTD 46 10 3 2 Registration Sele
24. Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Attestation Submitted Date 9 30 2014 12 52 41 PM Amount Paid 8 500 00 Payment Date 9 30 2014 12 53 52 PM For more information on payment or eligibility for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding payment or eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 T Figure 66 Email Attestation Paid Page 104 USVI Electronic Health Record Provider Incentive Program 22 Attestation Payment Denied Email If final eligibility checks did not pass and payment issues occurred an email indicating denial is sent The USVI Medicaid Provider Services staff at 855 248 7536 option 2 may be able to address questions PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 29 Michael Masterton amp MolinaHealthcare com Subject Your VI EHR Incentive payment has been created Attestation Paid The attestation whose details are listed below has been paid NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Attestation Submitted Date 9 30 2014 12 52 41 PM Amount Paid 8 500 00 Payment Date 9 30 2014 12 53 52 PM F
25. Menu Measures Screen Shots CMS requires that minimum of five questions are selected All ten question screen shots are displayed The application will display the questions that are selected by the user Questionnaire 1 of 10 Red asterisk indicates a required field Immunization Registries Data Submission Objective Capability to submit electronic data to immunization registries ar immunization information systems except where prohibited and in accordance with applicable law and practice Measure Performed at least ane test of certified EHR technology s capacity to submit electronic data ta immunization registries and follow up submission if the test is successful unless none af the Immunization registries to which the EP eligible hospital or CAH submits such information have the capacity to receive the information electronically EXCLUSION Based on ALL patient records If an EP does not perform immunizations during the EHR reporting periad or if there is no immunization registry that has the capacity to receive the information electronically then the EP would be excluded fram this requirement Does this exclusion apply to you Yes C If you answered YES then complete the following information Please select one of the statements listed below that best describes the reason for the exclusion Immunizations were not provided during the EHR reporting period There was no entity capable of testing during the EH
26. OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed B PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 20 Prostate Cancer Avoidance of Overuse of Bone Scan DRAFT Page 153 USVI Electronic Health Record Provider Incentive Program Questionnaire 21 of 38 Red asterisk indicates a required field 0027 115 Title Smoking and Tobacco Use Cessation Medical assistance a Advising Smokers and Tobacco Users ta Quit b Discussing Smoking and Tobacco Use Cessation Medications c Discussing Smoking and Tobacco Use Cessation Strategies Description The percentage of patients 18 years of age and older who were current smokers or tobacco users who were seen by a practitioner during the measurement year and who received advice to quit smoking tobacco use or whose practitioner recommended or discussed smoking or tobacco use cessation medications methods or strategies Mumeratar 1 t Denominator Mumeratar 2 t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 53 Clinical Quality Measures Question 21 Smoking amp Tobacco Use Cessation Medical assistance Questio
27. Page 160 USVI Electronic Health Record Provider Incentive Program Questionnaire 34 of 38 Red asterisk indicates a required field NOF 0033 Title Chlamydia Screening for Women Description The percentage of women 15 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year Population criteria I Wumerator Denoaminatar Exclusions Population criteria 2 Numeratar Denominator Exclusions Population criteria 3 Numeseratar Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed t PREVIOUS PAGE SAVE AND CONTINUE 8 Clinical Quality Measure Question 34 Chlamydia Screening for Women DRAFT Page 161 USVI Electronic Health Record Provider Incentive Program Questionnaire 35 of 38 Red asterisk indicates a required field NOF 0036 Title Use of Appropriate Medications for Asthma Description The percentage of patients 5 50 years of age dunng the measurement year who were identified as having persistent asthma and were appropriately prescribed medication during the measurement year Report three age stratifications 5 11 years 12 50 years and total Population criteria 1 Numerator Denominator Exclusions Population criteria 2 Numerator Denominator Exclusions Population criteria 3 Numerator
28. Quality Measure Question 12 POAG Optic Nerve Evaluation 149 Clinical Quality Measure Question 13 Diabetic Retinopathy Documentation 150 Clinical Quality Measure Question 14 Diabetic Retinopathy Communication 150 Clinical Quality Measure Question 15 Asthma Pharmacologic Therapy 151 Clinical Quality Measure Question 16 Asthma 151 Clinical Quality Measure Question 17 Appropriate Testing for Children for Pharyngitis 152 Clinical Quality Measure Question 18 Oncology Breast Cancer Hormonal Therapy for Stage 152 Clinical Quality Measure Question 19 Oncology Colon Cancer Chemotherapy for Stage III 153 Clinical Quality Measure Question 20 Prostate Cancer Avoidance of Overuse of Bone Scan 153 Clinical Quality Measures Question 21 Smoking amp Tobacco Use Cessation Medical assistance 154 Clinical Quality Measures Question 22 Diabetes Eye Exam 154 Clinical Quality Measure Question 23 Diabetes Urine 155 Clinical Quality Measure Question 24 Diabetes Foot Exa
29. Status Only in the first year of participation and only in the Medicaid EHE Incentive Program eligible professionals EPS and eligible hospitals can receive incentive payments through an option called adopt implement or upgrade commonly known as AIL The AIU option is offered in recognition of EPs and hospitals that may not be ready to Meaningtully Use certified EHE technology in the first payment year and additionally may require initial up front resources to adopt implement or upgrade the certified EHE technology required to participate in the program Briefly the EHR final rule and regulations define AIU as folbowrs To il or access to certified EHR ae There is evidence that a prowider demonstrated actual installation prior to the incentive rather than efforts to install This evidence would seve to differentiate between activities that may not result in installation for example researching EHRs or interviewing EHR vendors and actual purchase facquisition or installation Acquisition or purchase does not necessarily mean the certified EHR technology is installed and functioning Ino ple nventation To install or commence utilization of certified EHR technology The provider has installed certified technology and has started using the certified technology in his or her clinical practice Implementation activities would include staff training in the certified EHR technology the data entr
30. Title ADHD Follow Up Care for Children Prescribed Attention Deficit Hyperactivity Disorder 40HD Medication Description Percentage of children 6 12 years of age and newly dispensed a medication for attention deficit hyperactivity disorder 40HD who had appropriate follow up care Two rates are reported a Percentage of children who had one follow up visi with a practitioner with prescribing authority during the 30 Day Initiation Phase b Percentage of children who remained on ADHO medication for at least 210 days and who in addition to the wisit in the Initiation Phase had at least two additional follow up wisits with a practitioner within 270 days months after the Initiation Phase ended Figure 51 2014 Clinical Measures continued Population P ublic Health Clinical Process Effectivemess Efficient Use of Healthcare Resources Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Efficient Use of Healthcare Resources Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Clinical Process Effectiveness Patient Safety Clinical Process Effectiveness Clinical Process E
31. Upgrade for YEAR 1 attestation 20137 i Asse p 2011 Edition or Combination of 2013 and 2014 Meaningful Use 20135 Stage 1 if EHR is 2014 Edition or Combination of 2013 and 2014 2014 Meaningful U s Edition Meaningful Use 2014 Stage 1 Question required if not using a 2014 EHR Edition Do you attest that you are unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability If yes explain delay Questions required regardless of EHR Edition BU of patients information in an EHR YES or NO Did you practice at multiple practices or locations during your meaningful use reporting period If yes obtain locations information Practice Name Practice Total Encounters COMMENT An audit of your attestation may require you to produce documentation to prove the usage of the EMR EIHR solution attested to as well az it current usage status Figure 4 Eligible Provider Workbook EHR Certification Number Page 22 USVI Electronic Health Record Provider Incentive Program 2 5 Eligible Provider Attestation Workbook Out of State Volume Entries The fifth table of the worksheet captures the out of state volumes which includes Needy Patient volume j USVI Electronic Health Record Provider Incentive Professional Provider Attestation Worksheet Attesting Provider Information If the provider has significant Medicaid encounters from another S
32. active medication list Maintain active medication allergy list Record demographics preferred lanquage gender race ethnicity date of birth Record and chart changes in vital signs Height length Weight Blood pressure age 3 and over Calculate and display BMI Plot and display growth charts for patients 0 20 years including BMI Record smoking status for patients 13 years old or older Implement one clinical decision support rule relevant te specialty or high clinical priority along with the ability to track compliance with rule Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists medication allergies upon request Provide clinical summaries for patients for each office visit Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities Measure More than 30 of unique patients with at least one medication list seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one medication order entered using CPOE The EP eligible has enabled this functionality for the entire EHR reporting period More than 8095 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one
33. amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE B Meaningful Use Core Question 5 Active Medication List DRAFT Page 117 USVI Electronic Health Record Provider Incentive Program Questionnaire 6 of 13 Red asterisk indicates a required field Medication Allergy List Objective Maintain active medication allergy list Measure More than 8096 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least entry or an Indication that the patient is not currently prescribed any medication allergies recorded as structured data Complete the following information All information entered may be subject ta audit that could result in payment recoupment Numerator Number of unique patients in the denominator who have at least entry Cor an Indication that the patient has known medication allergies recorded as structured data in their medication allergy list Denominator Number of unique patients seen by the EP during the EHR reporting period Wumerator Denominatar Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp Meaningful Use Core Question 6 Medication Allergy List Page 118 USVI Electronic Health Record Provider Incentive Program Questionnaire 7 of 13 Red asteris
34. and nocturnal asthma symptoms Wumerator Denominatar Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed a PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 16 Asthma Assessment DRAFT Page 151 USVI Electronic Health Record Provider Incentive Program Questionnaire 17 of 38 Red asterisk indicates a required field 0002 66 Title Appropriate Testing for Children with Pharyngitis Description The percentage of children 2 18 years of age who were diagnosed with Pharyngitis dispensed an antibiotic and received a group 4 streptococcus strep test for the episode Numeratar Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS SAVE AND CONTINUE 8 Clinical Quality Measure Question 17 Appropriate Testing for Children for Pharyngitis Questionnaire 18 of 38 Red asterisk indicates a required field 0387 71 Title Oncology Breast Cancer Hormonal Therapy for Stage IC IIIC Estrogen Receptor Progesterone Receptor Positive Breast Cancer Description Percentage of female patients aged 18 years and older with Stage IC through IIIC ER or PR positive breast cancer who were prescribed tamoxifen or aromatase inhibitor AD during the 12 month reporting period Wumerator Denominator Exclu
35. and who had a complete lipid profile performed during the measurement year and whose LDL C was lt 100 mg dL Numerator 1 t Denominator Numerator 2 t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 3 Clinical Quality Measure Question 37 Ischemic Vascular Disease IVD Complete Lipid Panel and LDL Control DRAFT Page 163 USVI Electronic Health Record Provider Incentive Program Questionnaire 38 of 38 Red asterisk indicates a required field 0575 Title Diabetes Hb amp ic Control lt 896 Description The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had HbAic 8 096 Wumerator Denominator Exclusions Please select the PREVIOUS PAGE button to ga back ar the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 38 Diabetes HbA1c Control 8 Page 164
36. as structured data Complete the folowing information All information entered may be subject ta audit that could result in payment recoupment Numerator Number of patients in the denominator who have at least one entry of their height weight and or blood pressure recorded as structured data Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp Meaningful Use Core Record Vitals exclusion DRAFT Page 121 USVI Electronic Health Record Provider Incentive Program Questionnaire 9 of 13 Red asterisk indicates a required field Record Smoking Status Objective Record smoking status for patients 13 years old or older Measure More than 5095 of all unique patients 13 years old or older seen by the EP or admitted to the eligible haspital s or CAH s inpatient or emergency department POS 21 or 23 have smoking status recorded as structured data EXCLUSION Based on ALL patient records EP who sees no patients 13 years or older would be excluded from this requirement EPs must enter 0 in the Exclusion box to attest to exclusion from this requirement Daes this exclusion apply to you C Yes C No Exclusion Bax OoOo Please select the PREYIOUS PAGE button to go back or the SAVE amp CONTINUE button to proc
37. during the measurement period Title Use of High Risk Medications in the Elderly Description Percentage of patients 66 years of age and older who were ordered high risk medications Two rates are reported a Percentage of patients who were ordered at least one high risk medication b Percentage of patients who were ordered at least two different high risk medications Title Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Description Percentage of patients 3 17 years of age who had an outpatient visit with a Primary Care Physician PCP or Obstetrician Gynecologist OB GYN and who had evidence of the following during the measurement period Three rates are reported Percentage of patients with height weight and body mass index BMI percentile documentation Percentage of patients with counseling for nutrition Percentage of patients with counseling for physical activity Title Preventive Care and Screening Tobacco Use Screening and Cessation Intervention Description Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user Title Breast Cancer Screening Description Percentage of women 40 69 years of age who had a mammogram to screen for breast cancer Title Cervical Cancer Screening Description Percentage of women 21 64 years o
38. edema during one or more office wisits within 12 months Tithe Diabetic Retinopathy Communication with the Physician Managing Ongoing Diabetes Care Description Percentage of patients aged 15 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months Tithe Falls Screening for Future Fall Risk Description Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period Tithe Adult Major Depressive Disorder MDD Suicide Risk Assessment Description Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder DE with a suicide risk assessment completed during the wert in which anew diagnosis or recurrent episode was identified Tithe Anti depressant Medication Mlanagerment Description Percentage of patients 18 years of age and older who were diagnosed with major depression and treated with antidepressant medication and who remained on antidepressant medication treatment Two rates are reported a Percentage of patients who remained on an antidepressant medication for at least 54 days 012 weeks b Percentage of patients whe remained on an antidepressant medication for at least 180 days 6 months
39. exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS Attestation Selection Identify the desired attestation and select the Action you would like to perform Please note only one Action can be performed at a time on this page National Tax Identifier Provider Program Y ear Payment Year Status Action Identifier MPT CY2014 L 1 2014 12 31 2014 Provider Name Figure 28 Attestation Tab Attestation Selection DRAFT Page 51 USVI Electronic Health Record Provider Incentive Program 2 Review the attestation status displayed on the Attestation Topics Page If the EP is not listed please select the Status tab The Status tab will display attestations that are not actionable Locate the EP in the list to see the error that prevented the EP from executing the attestation process 3 The topics available on this page are as follows Topics for this Attestation Registration ID 1000001694 Reason for Attestation You are a Medicaid Eligible Professional completing an attestation for the EHR Incentive Program You are completing an attestation for the EHR Incentive Program on behalf of a Medicaid Eligible Professional Topics The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics Select the START ATTESTATION button to modify any previously entered
40. for MU YES OR NO demonstration during the full attestation period required by the regulations NOT APPLICABLE until the provider has attested for YEAR 2 incentive payment If no the provider is not eligible for provider incentive payment for this calendar year Question Response Instructions to Complete Please note that providers should designate their pay to provider as a provider that amp an active Medicaid Provider with a current Pay to Affiliation within the Providers who are not set up as pay to provider within the system wil not be able to receive a payment from the system Showd the provider wish to add themselves as a possible pay to provider within the MMIS solution they will need to contact Medicaid Provider Services 855 246 7536 Is your designated Pay to Provider in your Attestation worksheet an active Medicaid Provider with DHS YES OR NO Figure 2 Eligible Provider Workbook Provider Information USVI Electronic Health Record Provider Incentive Program 2 3 Eligible Provider Attestation Workbook Medicaid Volume Information and Questions The third tab of the workbook requests from the professional provider the Medicaid Volume requirements for the USVI Medicaid EHR Incentive payment program attestation DRAFT Page 19 USVI Electronic Health Record Provider Incentive Program MEAT Electronic Health Record Prowider Imcentivwe Progr Professional Provider Attestation Worksh
41. for colorectal cancer Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to ga back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 8 Colorectal Cancer Screening DRAFT Page 147 USVI Electronic Health Record Provider Incentive Program Questionnaire 9 of 38 Red asterisk indicates a required field 0067 Title Coronary Artery Disease CAD Oral Antiplatelet Therapy Prescribed for Patients with CAD Description Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed oral antiplatelet therapy Numerator Denaminatar Exclusians Please select the PREVIOLIS PAGE button to qo back or the SAVE amp CONTINUE button to proceed 4 PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 9 CAD Oral Antiplatelet Therapy Questionnaire 10 of 38 Red asterisk indicates a required field 0083 8 Title Heart Failure Beta Blocker Therapy for Left Ventricular Systolic Dysfunction Lv SD Description Percentage of patients aged 18 years and older with a diagnosis of heart failure who also have LYSD LVvEF lt 4096 and who were prescribed beta blocker therapy Wumerator Denominatar Exclusians Please select the PREVIOUS PAGE button to go back the SAVE CONTINUE button to pr
42. have smoking status recorded as structured data Implement one clinical decision support rule More than 50 of all patients of the EP or the inpatient or emergency departments of the eligible hospital or CAH POS 21 or 23 who request an electronic copy of their health information are provided tt within 3 business days Clinical summaries provided to patients for more than 50 of all office visits within 3 business days Conduct or review a security risk analysis per 45 CFR 164 308 a 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk management process Please select the PREVIOUS PAGE button to go back or the CONTINUE button to proceed with attestation PREVIOUS PAGE Figure 43 2013 Meaningful Use Core Measures List DRAFT Page 77 USVI Electronic Health Record Provider Incentive Program 11 1 2 2014 Meaningful Use Core Measures Meaningful Use Core Measures Attezstationz gt Attest gt Meaningful Use Core Measures Questionnaire Instructions For eligible professionals there are a total of 22 meaningful use objectives To qualify for an incentive payment eligible professionals must report on 18 of these 27 meaningful use objectives e There are 13 required core objectives The remaining 5 objectives may be chosen from the list of 9 menu set objectives In addition eligible professionals must report on of the approved 64 clinical quality measures
43. information The system will show checks for each item when completed Completed Topics Topic Meaningful Use Menu Measures listing Core Clinical Quality Measures Alternate Core Clinical Quality Measures Required only if any Core COM has a denominator of zero Additional Clinical Quality Measures Note When all topics are marked as completed or N A please select the SUBMIT amp ATTEST button to complete the attestation process PREVIOUS PAGE START ATTESTATION SUBMIT amp ATTEST amp Figure 29 Attestation Tab Attestation Topic Listing The topic listing identifies the completed topic by placing an indicator next to the topic a topic is completed when the required answers are entered and saved Page 52 USVI Electronic Health Record Provider Incentive Program Topics become available as prerequisite topics are completed Select the Start Attestation button to start the attestation process or to continue to add and modify data already entered Select the Submit amp Attest button when satisfied with the data that is entered This submits the responses to determine eligibility for payment processing This submits the data to the State for review The Submit amp Attest button is disabled on the initial selection of a registration ID The Submit amp Attest button is disabled if the eligibility check was set to Ineligible Select the Previous Page button to displa
44. it pertains to meeting the regulations If the practicing provider meets the appropriate provider type and Medicaid volume requirements and is not actively enrolled as a USVI Medicaid provider then the provider must enroll with Medicaid to proceed with USVI Medicaid EHR Provider Incentive payment application Please contact the USVI Medicaid Provider Services Help Desk at 855 248 7536 option between the hours of 8am and 5pm Eastern Standard Time New providers that enroll in Medicaid will not be immediately eligible under the regulations and must wait the appropriate time to meet both the meaningful usage timeframes and Medicaid patient volume timeframes Providers who have questions concerning the current enrollment status enrollment dates and enrolled type and specialty may also contact this number for assistance with enrollment Page 26 USVI Electronic Health Record Provider Incentive Program 6 Determine If Intend to Use Group Clinic Medicaid Volume to meet Medicaid Volume Requirements Eligible Providers EPs may elect to use group practice or clinic locations encounter to achieve the Medicaid patient volume required to receive a USVI incentive payment If the EP elects to use the group or clinic total as a proxy for their individual count all EPs attesting from the practice or location must follow suit and use the group proxy volume as well EPs may use a clinic or group practice s patient volume as a proxy under three condi
45. must maintain records in accordance with Federal regulations for a period of 5 years or 3 wears after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS Select any tab to continue Registration Tab Please select the Registration tab abowe to perform any of the following actions ssociate one or more Incentive Program Registrations with your user account the content of an associated registration waerity the content of an associated registration Adjust the payment calculation data for a paid hospital registration Attestation Tab Please select the Attestation tab abowe to perform any of the following actions Attest for the Incentive Program Continue Incomplete Attestation Modify Existing Attestation Discontinue Attestation Note You can attest for any registration associated with your user account Status Tab Please select the Status tab abowe to perform any of the following actions Wiew current status of your Attestation and Payments s for the Incentive Program Note You can wiew the status of any registration associated with your user account Figure 18 Home Page DRAFT Page 43 USVI Electronic Health Record Provider Incentive Program 10 3 Registering a Provider within USVI Medicaid EHR Incentive Program A registration number is a key component to the process It is used along with
46. not meet the volume percentages listed above the provider 1s ineligible and will not be allowed to continue Attestation status will state Attestation Not Allowed Contact USVI Medicaid Provider Services Help Desk at 855 248 7536 option 2 for questions and assistance 10 4 2 Attestation Payment The payment schedule is a proposed schedule based on the answers provided in the Eligibility section Once a completed attestation is submitted to the USVI Medicaid EHR Incentive Program Attestation Application it will execute USVI MMIS reports to validate the Medicaid patient encounter counts entered during the attestation process If the entered Medicaid patient volume is not within a specified range of the USVI MMIS reported data the application will not approve the attestation for payment and will refer the EP to the USVI Medicaid Provider Services Help Desk Page 70 USVI Electronic Health Record Provider Incentive Program Pediatrician EHR Incentive Payments Between 20 29 Percent E CY 2011 CY 2012 CY 2013 CY 2014 CY 2015 CY 2016 CY 2011 14 167 CY 2012 5 667 14 167 CY 2013 5 667 5 667 14 167 CY 2014 5 667 5 667 5 667 14 167 CY 2015 5 667 5 667 5 667 5 667 14 167 5 665 5 667 5 667 5 667 5 667 14 167 STEM 5 605 5 667 5 667 5 667 5 667 RZ 5 667 5 667 5 667 _ RU TOTAL 42 500 42 500 42 500 42 500 42 500 42 500 Figure 39 Pediatrician 2096 volume payment calendar Calendar of Pa
47. numbers obtained were derived from the State s MMIS and are accurate Report generated by the other state Medicaid agency or agencies with the total Fee for Service count and reporting period DRAFT Page 59 USVI Electronic Health Record Provider Incentive Program Eligibility Attestations gt Attest gt Eligibility Questionnaire 2 of 4 Red asterisk indicates a required field To be eligible to participate in the Medicaid EHR Incentive Program EP must either 1 Meet certain Medicaid patient volume thresholds with in state Medicaid patients or visiting out of state Medicaid patients or 2 practice predominantly in an FQHC or RHC where 30 percent of the patient volume is derived from needy individuals Medicaid Patient Volume Enter your Medicaid patient volume figures in the section below for the patients you see within the current Medicaid State If you see Medicaid patients from an out of state Medicaid payer please reflect those numbers in the Out of State Medicaid Patient Volume section below Select any 90 day period in the previous calendar year for your patient volume figures Start Date 10 3 2013 E End Date 12 31 2013 Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patient encounters in which care was delivered under Medicaid fee for service FFS paid encounters managed car
48. proceed a PREVIOLIS PAGE SAVE AND CONTINUE S Clinical Quality Measure Question 5 CAD Beta blocker Therapy for CAD patients with MI Questionnaire 6 of 38 Red asterisk indicates a required field 0043 PORI 111 Title Prnieumania Vaccination Status for Older Adults Description The percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine Wumerator t Denominator Please select the PREVIOLIS PAGE button to ga back or the SAVE amp CONTINUE button to proceed a PREVIOUS PAGE SAVE AND CONTINUE p Clinical Quality Measure Question 6 Pneumonia Vaccination Status for Older Adults Page 146 USVI Electronic Health Record Provider Incentive Program Questionnaire 7 of 38 Red asterisk indicates a required field 0031 112 Title Breast Cancer Screening Description The percentage of women 40 69 years of age who had a mammogram to screen for breast cancer Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 7 Breast Cancer Screening Questionnaire 8 of 38 Red asterisk indicates a required field 0034 113 Title Colorectal Cancer Screening Description The percentage of adults 50 75 years of age who had appropriate screening
49. questions as needed on the Provider Information Tab Medicaid Volume Tab and EHR Certification Number Tab USVI Medicaid Eligible Provider An eligible Provide must be Physician Nurse Practitioner Certified Nurse Midwife Dentist Physician Assistant where led is defined as I is the primary provider in a clinic 2 PA is a clinical or medical director at a clinical site of practice or 3 is an owner of an RAC USVI Medicaid Additional Requirements USVI Provider Web portal ID and Password eRegistration 10 receive from CMS after registering CMS Certification Number for your EHR EMR system Access http onc chpl farce com ehrcert website to find the number Have a reliable internet connection Web browser Microsoft Internet Explorer version 7 or higher is recommended It is highly recommended all documentation used is retained in case of audit Figure 1 Eligible Provider Workbook Worksheet Instructions Page 16 USVI Electronic Health Record Provider Incentive Program 2 2 Eligible Provider Attestation Workbook Provider Information The second tab of the workbook requests from the professional provider the identification requirements provider type specialty requirements and enrollment requirements for the USVI Medicaid EHR Incentive payment program attestation There are nine questions in the Provider Information section DRAFT Page 17 Page 18 H Lic EM B USVI Electronic
50. registry used Was the test successful Yes C If the test was successful then complete the follawing information Date MM DD YY Time HH MM Example 09 25 PM Was a follow up submission done C Yes C No Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp Meaningful Use Menu Measures Question 1 Immunization Registries answered No to exclusion Page 130 USVI Electronic Health Record Provider Incentive Program Questionnaire 2 of 10 Red asterisk indicates a required field Syndromic Surveillance Data Submission Objective Capability to submit electronic syndramic surveillance data to public health agencies except where prahibited and in accordance with applicable law and practice Measure Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless of the public health agencies to which an EP eligible hospital ar submits such information have the capacity to receive the information electronically EXCLUSION Based on ALL patient records If an EP does not collect any reportable syndramic information on their patients during the EHR reporting period or if no public health agency has the capacity to receive the information electronically then the
51. section but are repeated below The following are the error messages if the minimum requirements are not meet MESSAGE The error message displays the number of questions that need to be selected to meet the minimum requirement You must resolve the following error s to continue Please select 3 Additional Clinical Quality Measures You must resolve the following error s to continue Please select 2 more Additional Clinical Quality Measures You must resolve the following error s to continue Please select 1 more Additional Clinical Quality Measure Link to CMS definition Each clinical quality measure screen has a link to the CMS definition for the applicable requirements and detail of each measure for the EP to access and review the specific requirements for completing the numerator denominator for each measure and if applicable the criteria for being exempt from the particular clinical quality measure DRAFT Page 89 USVI Electronic Health Record Provider Incentive Program Save and Continue Button When selected a check is executed to determine if all required fields have information entered o If required fields are not completed the page will continue to display until required fields are corrected o If required fields are completed the next screen displays Previous Button Displays the previous screen Page 90 USVI Electronic Health Record Provider Incentive Program 12 Submit Atte
52. system will access the provider s Medicaid Enrollment records that are stored within the databases to determine if the provider is actively enrolled in the Medicaid program Enrollment Check The solution will check if the provider was actively enrolled in Medicaid for the attestation period The attestation period is 90 days for AIU 90 days for the first year of MU and the entire calendar for all other MU years Provider Type Specialty Check Actively enrolled as Medicaid Providers with USVI Medicaid with one of the below provider types specialties Physicians primarily doctors of medicine and doctors of osteopathy Nurse practitioner Certified nurse midwife Dentist Physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant 06099 The provider must meet the system s preliminary eligibility checks to be eligible to continue with attestation for Incentive Payment If these checks are not met the provider 1s considered to be ineligible The USVI Medicaid EHR Incentive Payment Solution will send the CMS NLR an update file with the preliminary determined eligibility status of the provider for the Incentive Program under Medicaid It will also send an email indicating the status of the USVI Provider s Medicaid registration eligibility check to the email address that was entered during registration This email will indicate eligibility status from these
53. with diabetes itype 1 or 2 who had a foot exam wisual inspection sensory exam with monofilament or pulse exami Per FORI 163 Tithe Coronar artery Disease CADO Drag Therapy for Lowrering LOL h holesterol Description Percentade of patients aged 1 S years and older writh a diagnosis of CAD who wrere prescribed lipid lovwrering therapy Chased on current ACT GAHA guidelines Fer OOF 4 tar Tithe Heart Failure EHE Therapy Patients with trial Fibrillation Mor ps4 z Description Percentage of all patients aged 18 and olderwith a diagnosis of heart failure and 200 B F A m 8 Or Chronic atrial fibrillation who wrere prescribed wrartarin therapy Tithe Ischemic Disease IO Blood Pressure bhdanagement Description The percentage of patients 168 years of age and older wrere discharged alive for acute Moar nos myocardial infarction AMi coronary artery bypass graft CAB Gi or percutaneous transluminal coronary Piel 20141 angioplasty PT GAl from January 1 Movember 1 of the wear prior toa the measurement year arwyrho had diagnosis of ischemic vascular disease Ch during the measurement year and the year prior to the measurement year and whose most recent blood pressure is in contral s1 40790 5 Page 84 USVI Electronic Health Record Provider Incentive Program Tithe ischemic Wascular Dis
54. 4 Karla Battle odified to apply the Stage and 2014 rules DRAFT USVI Electronic Health Record Provider Incentive Program Table of Contents L i ie Ia EE RE CARR PIDE 12 1 1 Eligible Protesstonals t 8 12 1 2 BS 14 Z2 JmEormidtl6oH INCCO CO 2295574592421 5346 00040200020 0319 9 00 9 0200 000 0800 000 0 0200 0000000 15 2 Eligible Provider Attestation Workbook Overview sese 15 2 2 Eligible Provider Attestation Workbook Provider Information 17 2 3 Eligible Provider Attestation Workbook Medicaid Volume Information and Questions 19 2 4 Eligible Provider Attestation Workbook EHR Certification Information 21 2 Eligible Provider Attestation Workbook Out of State Volume Entries 23 2 6 Eligible Provider Attestation Workbook Meaningful Use 23 3 Required Supporting Documentation ccce eee e eee e e eee eee eese eee eee e eee e tees eese 24 4 Obtaining an United States Virgin Islands USVI Medicaid Management Information System VIMMIS 25 s Forolhne in USVI Medicaid EU EVER PRU
55. CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Page 124 USVI Electronic Health Record Provider Incentive Program Questionnaire 11 of 13 Red asterisk indicates a required field Electronic Copy of Heaith Information Objective Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists medication allergies upon request Measure More than 5095 of all patients of the EP or the inpatient or emergency departments of the eligible hospital or POS 21 or 23 who request an electronic copy of their health information are provided it within 3 business days Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who receive an electronic copy of their electronic health information within three business days Denominator Number of patients of the EP who request an electronic copy af their electronic health information four business days prior the end of the EHR reporting period Numerator Denominator Please select the PREYIOUS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp Meaningful Use Core Question 11 Electronic Copy of Health Information and answer No to exclusion DRAFT Page 125 USVI Electronic Health Record Provider In
56. DRAFT Enter the number of encounters performed at an FOHC or RHC that received Medicaid reimbursement This amount includes the unique provider patient date of service and place of service combinations where Medicaid Title XIX fee for service or Medicaid demonstration project under section 1115 of the Social Security Act paid for part or all of the service or paid all or part of the premiums co payments and or cost sharing Do not add commas The application will insert commas as needed after entry Enter the number of encounters performed at an FQHC or RHC that received CHIP reimbursement Do not add commas The application will insert commas as needed after entry CHIP is a required field and CHIP programs are not available in USVI Enter 0 Enter the number of FQHC or RHC patients provided uncompensated care at an FQHC or RHC This amount includes the unique provider patient date of service and place of service combinations for which the EP received no compensation Do not add commas The application will insert commas as needed after entry Enter the number of FQHC or RHC patient encounters provided at either no cost or reduced cost based on the sliding scale determined by the individual s ability to pay This amount includes the unique provider patient date of service and place of service combinations that meet the required criteria Do not add commas System will format with commas after entry Th
57. Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed 8 PREVIOUS PAGE SAVE AND CONTINUE 3 Meaningful Use Core Question 12 Clinical Summaries and answer No to exclusion DRAFT Page 127 USVI Electronic Health Record Provider Incentive Program Questionnaire 13 of 13 Red asterisk indicates a required field Protect Electronic Health Information Objective Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities Measure Conduct or review a security risk analysis per 45 CFR 164 308 a 1 and implement security Updates as necessary and correct identified security deficiencies as part of its risk management process Complete the following information must attest YES to having conducted or reviewed a security risk analysis in accordance with the requirements under 45 CFR 154 308 a3 1 and implemented security updates as necessary and corrected identified security deficiencies prior ta or during the EHR reporting period to meet this measure C Yes C No Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 3 Meaningful Use Core Question 13 Protect Electronic Health Information Page 128 USVI Electronic Health Record Provider Incentive Program 29 Meaningful Use
58. E amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 26 Heart Failure Warfarin Therapy Patients with Atrial Fibrillation Page 156 USVI Electronic Health Record Provider Incentive Program Questionnaire 27 of 38 Red asterisk indicates a required field NOF 0073 PORI 201 Title Ischemic vascular Disease IYD Blood Pressure Management Description The percentage of patients 19 years of age and older who were discharged alive for acute myocardial infarction AMIS coronary artery bypass graft CABG or percutaneous transluminal coronary angioplasty PTCA from January 1 November 1 of the year prior to the measurement year who had a diagnosis of ischemic vascular disease 105 during the measurement year and the year prior ta the measurement year and whose most recent blood pressure is in control lt 140 90 mmHg Numerator t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 3 Clinical Quality Measure Question 27 IVD Blood Pressure Management Questionnaire 28 of 38 Red asterisk indicates a required field 0068 204 Title Ischemic vascular Disease Use af Aspirin ar another Antithrombotic Description The percentage of patients 18 years of age and older who were discharged alive for acute myocardia
59. EP is excluded from this requirement Does this exclusion apply to you Yes C No Please select the PREYIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE DRAFT Meaningful Use Menu Measures Question 2 Syndromic Surveillance Data Submission Page 131 USVI Electronic Health Record Provider Incentive Program Questionnaire 3 of 10 Red asterisk indicates a required field Drug Formulary Checks Objective Implement drug formulary checks Measure The EP eligible hospital CAH has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period EXCLUSION Based on ALL patient records An EP who writes fewer than 100 prescriptions during the EHR reporting period can be excluded from this obiectiva and accsnriated measure lt must enter O in the Exclusion box to attest to exclusion fror Questionnaire 3 of 10 Red asterisk indicates a required field C Yes C No Exclusion Box Drug Formulary Checks Does this exclusion apply ta you EE N O e Objective Implement drug formulary checks Measure The EP eligible hospital CAH has enabled this functionality and has access to at least one Please select the PREVIOUS PAGE button to go back or the SAVE amp internal or external drug formulary for the entire EHR reporting period PREVIOUS PAGE SAVE AND CONT
60. Email Cannot validate Medicaid Claims 103 Figure 67 Emal Us ACO 104 Figure 68 Email Attestation payment 105 Figure 69 Email Attestation Payment denied payhold 106 Figure 70 Email Attestattion payment denied Duplicate payment found 107 Fiure 71 5 Email Attestation Te 108 Figure 72 Email Attestation pended for validation of out of state 109 Figure 73 Email Attestation failed meaningful 110 Meaningful Use Core Question 1 CPOE for Medication Orders 111 Meaningful Use Core Question 1 CPOE for Medication Orders if exclusion does not apply 112 Meaningful Use Core Measure Question 2 Drug Interaction Checks 113 Page 8 USVI Electronic Health Record Provider Incentive Program Meaningful Use Core Question 3 Maintain Problem 4 6 cee ecccccccceeceesseseeeeeeeeeeeaeeeees 114 Meaningful Use Core Question 4 e Prescribing nene 115 Meaningful Use Core Question 4 answered No to exclusions 116 Meaningful Use Core Question 5 Active Medication 117 M
61. For more than 50 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period have blood pressure for patients age 3 and over only and height and weight for all ages recorded as structured data More than 50 of all unique patients 13 years old or older seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have smoking status recorded as structured data Implement one clinical decision support rule More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely available to the patient within 4 business days after the information is available to the EP online access to their health information Clinical summaries provided to patients for more than 5058 of all office visits within 3 business days Conduct or reviev a security risk analysis per 45 CFR 164 308 a 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk management process Please select the PREVIOUS PAGE button to go back or the CONTINUE button to proceed with attestation Kg PREVIOUS PAGE Page 78 CONTINUE Figure 44 Meaningful Use Core Measures List USVI Electronic Health Record Provider Incentive Program EPs please note that each MU question is required The application will validate that all q
62. Health Record Provider Incentive Program USVI Electronic Health Record Provider Incentive Program Professional Provider Attestation Worksheet Attesting Provider Information Question Response Instructions to Complete Your CMS Registration number is used to identify your registration with CMS This should CMS NLR Registration Number match your user id and NPI in the application Question Response Instructions to Complete MMIS Provider Enrollment Are you currently enrolled as a DHS Medicaid provider with the following provider type and have you been enrolled as this provider The provider must be enrolled as one of the type during the current calendar year as well as a 90 day period in specified provider types in order to proceed with the previous calendar year attestation with USVI Medicaid Physicians primarily doctors of medicine and doctors 0f osteopathy indicate Yes or No Nurse practitioner indicate Yes or No Certified nurse midwife Indicate Yes or No Dentist indicate Yes or No Physician Assistant in FQHC or RHC led by Physician Assistant where led is defined as 1 PA is the primary provider in a clinic 2 PA is clinical or medical director at a clinical site of practice or 3 PA is an owner of an RHC indicate Yes or No Question Response Instructions to Complete Please use the NPI from your NLR Registration NPI of provider from CMS registration for the attesting provider Question Response Instruct
63. I ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name Submitted Date 9 30 2014 12 52 41 PM Medicaid Encounter volume is not able to be validated by the state s EHR Provider Incentive Payment solution s encounter count for the provider or their proxy within the MMIS system CY2013 Reason for rejection For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Figure 65 Email Cannot validate Medicaid Claims DRAFT Page 103 USVI Electronic Health Record Provider Incentive Program Al Attestation Paid Email If final eligibility checks pass and no payment issues occurred an email 1s sent indicating that payment is approved and being processed The payment will continue with additional processing so payment arrival will take a few days PIP Administrator VI pip admin amp vi mmis qov gt Sent Mon12 22 2014 11 29 Michael Masterton amp MolinaHealthcare com Subject Your VI EHR Incentive payment has been created Attestation Paid The attestation whose details are listed below has been paid NPI ID 1902003502 Provider Name
64. INUE Complete the following information Eligible professionals EPs must attest YES to having enabled this functionality and having had access to at least one intemal or extemal formulary for the entire EHR reporting penod to meet this measure C yes Please select the PREVIOUS PAGE button to go hack or the SAVE amp CONTINUE button to proceed GPREVIOUSPAGE AND CONTINUE Meaningful Use Menu Measure Question 3 Drug Formulary Checks and answer No to exclusion Page 132 Questionnaire 4 of 10 Red asterisk indicates a required field Clinical Lab Test Results excluded from this requirement Does this exclusion apply to you C Yes C No Please select the PREVIOUS PAGE button to go back or tl PREVIOUS PAGE SAVE AND CONTINUE 2 Objective Incorporate clinical lab test results into certified EHR technology as structured data Measure More than 4096 of all clinical lab tests results ordered by the EP or by an authorized provider of the eligible hospital or CAH for patients admitted to its inpatient or emergency department POS 21 or 23 dunng the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data EXCLUSION Based on ALL patient records If an EP orders no lab tests whose results are either in a postive negative or numeric format during the EHR reporting period they would be
65. INUE button to proceed 43 PREVIOLIS PAGE SAVE AND CONTINUE B Clinical Quality Measure Question 12 POAG Optic Nerve Evaluation DRAFT Page 149 USVI Electronic Health Record Provider Incentive Program Questionnaire 13 of 38 Red asterisk indicates a required field NOF 0086 PORI 18 Title Diabetic Retinopathy Documentation of Presence or 4bsence of Macular Edema and Level of Severity of Retinopathy Description Percentage af patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level af severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months Wumerator Denominatar Exclusions Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 13 Diabetic Retinopathy Documentation Questionnaire 14 of 38 Red asterisk indicates a required field 0089 19 Title Diabetic Retinopathy Communication with the Physician Managing Ongoing Diabetes Care Description Percentage af patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the on going care of the patient with
66. If one of your rendering providers is not available please contact provider enrollment to check the status of the rendering provider s enrollment or for instructions to enroll the provider Figure 16 USVI Welcome Screen Tue Jan 6 2015 Page 41 USVI Electronic Health Record Provider Incentive Program Welcome to the Provider Incentive Payment System for the Medicaid EHR Incentive Program About This Site The U S Virgin Islands Medicaed Electronic Health Records Incentive Program provides incentive payments to ebgble professionals and ebgible hospitals that can demonstrate they have adopted mplemented upgraded or are meaningfully using certified EHR technology The Incentive Program ts designed to support providers in this period of Health IT transition and instil the use of EHRs in meaningful ways to help our nation improve the quality safety and efficiency of patient health care This system will allow ebgible professionals and hospitals to provide the necessary mformation to begin receiving U S Virgm Islands Medicaid EHR Incentive Program payments Additional Resources U S Virgin Island providers should refer to the VI Ekg Hospstal Provider Attestabon Workbook and Provider Incentive Payment User manuals for mstructons on completing ther local registration and attestation These manuals can be found by returning to the yimmis portal For mformaton on the EHR Provider Incentive Program nationwide provider eli
67. LIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE B Clinical Quality Measure Question 3 Diabetes Blood Pressure Management Questionnaire 4 of 38 Red asterisk indicates a required field NOF 0081 PORI 5 Title Heart Failure HF amp ngiatensin Canverting Enzyme ACE Inhibitor or Angiotensin Receptor Blocker Therapy for Left Ventricular Systolic Dysfunction Lv SD Description Percentage of patients aged 18 years and older with a diagnasis of heart failure and LYSD 4096 who were prescribed ACE inhibitor or ARB therapy Wumerator Denominatar Exclusions Please select the PREVIOUS PAGE button to go back the SAVE amp CONTINUE button to proceed B PREVIOUS PAGE SAVE AND CONTINUE S Clinical Quality Measure Question 4 HF ACE Inhibitor ARB for LVSD DRAFT Page 145 USVI Electronic Health Record Provider Incentive Program Questionnaire 5 of 38 Red asterisk indicates a required field 0020 Title Coronary Artery Disease CAD Beta Blocker Therapy for CAD Patients with Prior Myocardial Infarction MI Description Percentage af patients aged 18 years and older with a diagnosis af CAD and prior MI who were prescribed beta blocker therapy Wumerator Denominator Exclusians Please select the PREYIOUS PAGE button to go back or the SAVE amp CONTINUE button to
68. OF STATE DOCUMENTATION If the EP plans to include encounter counts from another state this is optional the following documentation is required in an electronic format pdf Microsoft Word or Excel or jpeg and will need to be included with the electronic attestation Certification on official letterhead from the other state Medicaid agency or agencies declaring the numbers obtained were derived from the State s MMIS and are accurate Report generated by the other state Medicaid agency or agencies with the total fee for service and managed care encounter count and reporting period Page 24 USVI Electronic Health Record Provider Incentive Program 4 Obtaining an United States Virgin Islands USVI Medicaid Management Information System VIMMIS Login USVI Medicaid providers must first have an account in USVI Provider Web portal www vimmis com in order to gain access to the USVI Provider Incentive payment system To sign up for a login and password to the USVI Health PAS Online Provider portal a Medicaid enrolled provider must visit https www vimmis com or contact USVI Medicaid Provider Services staff at 855 248 7536 option 2 DRAFT Page 25 USVI Electronic Health Record Provider Incentive Program Enrolling in USVI Medicaid Healthcare providers supporting USVI Medicaid patients must be actively enrolled providers for the timeframe that they will attest to their Medicaid patient volume and Electronic Health Record usage as
69. ONLY Meaningful Use Core Measures Screen Shots Questionnaire 1 of 13 Red asterisk indicates required field for Medication Orders Objective Use CPOE for medicaton orders directly entered by any bcensed healthcare professional who can enter orders the medical record per state local and professional guidelines MEASURE Please select which measure you would like to use for your attestation More than 30 of unique patents with at least ome medicabon list seen by the EP or admitted to the ebgibie hospital s or CAW s inpatient oc emergency department POS 21 or 23 have at least one medicabon order entered using CPOE More than 30 percent of orders created by the EP or authorized providers of the ehgbie hospitals oc CAH 5 patent or emergency department POS 21 or 23 during the reporting penod are recorded using CPOE PATIENT RECORDS Please select whether data was extracted from ALL patent records or ony from patent records mamtamed using certified EHR technology This data was extracted from ALL patient records not just those maintained using certified tecnology This data was extracted only from patient records maintained using certified technology EXCLUSION Based on ALL patient records EPs who wnte fewer than 100 prescrptions during the EHR reporting penod would be excluded from this requirement EPs must enter the number of prescnpti
70. Prowider Services Help Desk at 88588 483 0793 option 8 for the Provider Service CMS and your state s Medicaid office recommends documentation are retained in case of audit Please rewiew your state s Medicaid requirements and applicable provider manuals for the specific service requirements retention periods and lists Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 wears after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS The prowider must make all records and documentation available upon request to your state s Medicaid office and or DHHS Such records and documentation must include but not be limited to Financial Records Practicing Prowider Information credentials Identification of Service Sites Dates of Service for Each Service Component by Patient Patient Records Invoices lease agreement supporting Adopt Implementation Utlzaton AIU EMR Reports supporting Meaningful Use attestation FOR AIW evidence CMS and State recommends that a least one or more of the following documentation is retained signed contract user agreement purchase order purchase receipt or license agreement CMS and your state s Medicaid office recommends documentation are retained in case of audit Prowiders
71. R reporting period Please select the PREVIOUS PAGE button to go back the SAVE amp CONTINUE button to proceed 9 PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Menu Measures Question 1 Immunization Registries Data Submission DRAFT Page 129 USVI Electronic Health Record Provider Incentive Program Questionnaire 1 of 10 Red asterisk indicates a required field Immunization Registries Data Submission Objective Capability to submit electronic data to immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice Measure Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless of the Immunization registries to which the EP eligible hospital or CAH submits such information have Complete the following information EPs must attest YES to having performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follaw up submission if the test was successful unless non of the immunization registries to which the EP submits such information has the capacity to recelve the information electronically ta meet this measure Yes C Nn If you performed at least one test then complete the following information Enter the name of the immunization
72. Red asterisk indicates a required field Patient Reminders Please select the PREVIOUS PAGE button to qo 3 PREVIOUS PAGE SAVE AND CONTINUE Objective Send reminders to patients per patient preference for preventive follow up Measure More than 20 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting penod Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who were sent the appropriate reminder Denominator Number of unique patients 65 years old or older ar 5 years old or younger Numerator Denominator lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 3 Meaningful Use Menu Measures Question 6 Patient Reminders and answer No to exclusion DRAFT Page 135 USVI Electronic Health Record Provider Incentive Program Questionnaire 7 of 10 Red asterisk indicates a required field Patient Electronic Access Objective Provide patients with timely electronic access to their health information including lab results problem list medication lists medication allergies within four business days of the information being available to the EP Measure More than 1096 of all unique patients seen by the EP are provided ti
73. S PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp Meaningful Use Menu Measure Question 8 Patient specific Education Resources DRAFT Page 137 USVI Electronic Health Record Provider Incentive Program Questionnaire 9 of 10 Red asterisk indicates a required field Medication Reconciliation Objective The EP eligible hospital or C4H who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconcilation Measure The EP eligible hospital or performs medication reconciliation for more than 5096 of transitions of care in which the patient is transitioned into the care of the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 EXCLUSION Based on ALL patient records If an EP was not on the receiving end of any transition of care during the EHR reporting period they would be excluded from this requirement Does this exclusion apply to yout Questionnaire 9 of 10 Red asterisk indicates a required field C Yes Medication Reconciliation Objective The EP eligible hospital or CAH who receives a patient from another setting of care or provider Please select the PREVIOUS PAGE button to go back c af care or believes an encounter is relevant should perfarm reacanchatian PREVIOUS PAGE SAVE
74. SUTES 86 Figure 52 2014 Clinical Measures continued 87 Figure 53 2014 Clinical Measures zen rho Rua 88 Er5ure 54 2014 Chimical Meas 89 Figure 55 Attestation Tab Submit Attestation Check Email Address 02 Figure 56 Submit Attestation Supporting Documentation Add Screen 93 Figure 57 Submit Attesttion Submission Receipt Page esee 94 Figure 58 Attestation Status Grid 96 Fisuie o9 bmau Ieaub 97 Figure 60 Email Submitted 98 Figure 61 Email Error Processing 1 99 Figure 62 Email Accepted Attestation 100 Figure 65 Email Enrolment 101 Figure 64 Email Volume indicates practice in 102 Figure 65 Email Medicaid Claims not found cccccccccccccccccceeeeeeeeeeeseeeeeeeeeeeeeeeeeeeeeeaaaaaas 103 Figure 66
75. Submit Attestation Submission Receipt Page Upon the successful submission of the uploaded documents the attestation entry process is completed The USVI Medicaid EHR Incentive Program provides 48 hours to make changes If Page 94 USVI Electronic Health Record Provider Incentive Program changes are made during the initial 48 hour period a new 48 hour period will begin Once no changes are made to an attestation for 48 hours the USVI Medicaid EHR Incentive Program Attestation Application will execute its final eligibility checks These include validating that the Medicaid counts entered by the EP are within a reasonable range of the fee for service stored in the USVI MMIS and querying the CMS NLR to determine if the attesting EP has already received an EHR Incentive Program payment from the Medicare EHR Incentive Program or another state s Medicaid EHR Incentive Program This processing will take some time to complete and payments will not be sent immediately after submitting a completed attestation After the eligibility and payment checks are executed the USVI Medicaid EHR Incentive Program will send the EP an e mail with their current attestation status If an eligibility or payment error has occurred during the initial data verification process and assistance is needed please contact the USVI Medicaid Provider Services Help Desk at 855 248 7536 option 2 The USVI Medicaid EHR Incentive Program Attestation Application will describe the at
76. USVI Electronic Health Record Provider Incentive Program ALT United States Virgin Island Eligible Provider EHR Incentive Program Application Manual Date of Publication 02 03 2015 Document Version 1 1 DRAFT Page 1 USVI Electronic Health Record Provider Incentive Program Privacy Rules The Health Insurance Portability and Accountability Act of 1996 HIPAA Public Law 104 191 and the HIPAA Privacy Final Rule and the American Recovery and Reinvestment Act ARRA of 2009 provides protection for personal health information Protected health information PHI includes any health information and confidential information whether verbal written or electronic created received or maintained by Molina Healthcare It is health care data plus identifying information that would allow the data to tie the medical information to a particular person PHI relates to the past present and future physical or mental health of any individual or recipient the provision of health care to an individual or the past present or future payment for the provision of health care to an individual Claims data prior authorization information and attachments such as medical records and consent forms are all PHI 45 CFR Parts 160 and 164 Standards for Privacy of Individually Identifiable Health Information Final Rule Page 2 USVI Electronic Health Record Provider Incentive Program Revision History Modifi ly the Stage 1 2013 1 0 12 31 1
77. Use of Imaging Studies 163 Ischemic Vascular Disease IVD Complete Lipid Panel 163 Diabetes Ic Control lt 896 164 Page 11 USVI Electronic Health Record Provider Incentive Program 1 Introduction The Electronic Health Records EHR Incentive Payment is a federal program offering financial support to assist eligible providers to adopt implement upgrade certified EHR technology or meaningful use of an EHR system The federal program defines the options as follows Adopt to acquire and install a certified EHR technology Implement to train staff deploy tools exchange data Upgrade to expand functionality or interoperability Meaningful Use to display that the EHR 1 being used to positively affect the care of the patient The program goals to improve outcomes facilitate access simplify care and reduce costs of healthcare nationwide by Enhancing care coordination and patient safety Reducing paperwork and improving efficiencies Facilitating information sharing across providers payers and state lines Enabling communication of health information to authorized users through state Health Information Exchange HIE and the National Health Information Network NHIN Incentives will be available through both Medicaid and Medicare Eligible healthcare professionals will be required to choose between Med
78. a The clinic or practice must use the entire practice s patient volume and not limit it in any way EPs may attest to patient volume under the individual calculation or the group clinic proxy in any participation year Furthermore if the EP works both in the clinic and outside the clinic or with and outside a group practice the clinic practice level determination includes only those encounters associated with the clinic practice 1 Select Yes or No 2 If Yes is selected enter organization s NPI 3 Select the Save and Continue button 10 4 1 Attestation Eligibility The purpose of the Attestation Eligibility section 1s to determine if the practice setting and Medicaid patient volume thresholds are met In order to be eligible for the Medicaid EHR DRAFT Page 55 USVI Electronic Health Record Provider Incentive Program Incentive Program eligible professionals EPs must meet a Medicaid patient volume threshold For most professionals this means a 3046 eligible patient volume based on total patient encounters For most EPs eligible patient volume only includes Medicaid encounters however EPs that practice predominantly at a Federally Qualified Health Center FQHC or a Rural Health Clinic RHC have different criteria as described in the details below Pediatricians have special rules and are allowed to participate with a reduced eligible patient volume threshold 20 instead of 30 If a pediatrician s Medicaid patient
79. adjuvant chermotherap or hawe previoush recerbred adjuvant chemotherapy writhim the 12 rmonth reporting period Tithe Breast Cancern Hormonal Therapy for Stage IC Estrogen Receptor Progesterone Receptor ERYPR Positive Breast Cancer Dheesoriptionm Percentage of fernale patients aged 18 years and older with Stage Il through Ti ER oer PRA positive breast cancer who weere prescribed tarnoxifen or aromatase inhibitor DAT during the 12 rmeonth reporting period Tithe Prostate Cancer wvoidance of Overuse of Bone Scan for Staging Lowr Risk Prostate Cancer Patients Deescription Percentage of patients regardless of age with a diagnosis of prostate cancer at lows risk cf recurrence receiving imterstitial prostate brachytherapy CH external bear radiotherapy to the prostate OR radical prostatectomy OR cryotherapy who dic mot have a bene scan performed at any time since diagnosis of prostate cancer Tithe Medical visit Description Percentage of patients regardless of age with a diagnosis of HIV SIDS with at least tero poedical visite during the measurement year vrith am minimum cf SO days between each ist Tithe HMW AIDS Pmeurmcecystis jiroweci preurmraonia PLP Prophylaxis Description Percentage of patients aged 6 weeks and older with a diagnosis of HIPs who were prescribed P reurmococywstis jircveci prmeuroenia PCE prophylaxis Tithe Hive AIDS RALA Centre fer Patients with HIE Description Perc
80. aged 18 years and older identified as tobacco users within the past 24 months and have been seen for at least 2 office visits who recerved cessation intervention Numerator Denominator ease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed Ky PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 3 Preventive Care and Screening Measure Pair If the denominator of the questions above is zero then the following questions will require response Below are the screen shots for the questions Questionnaire 1 of 3 Red asterisk indicates a required field 0041 110 Title Preventive Care and Screening Influenza Immunization for Patients gt 50 Years Old Description Percentage of patients aged 50 years and older who received an influenza immunization during the flu season September through February Wumerator Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE DRAFT Page 141 USVI Electronic Health Record Provider Incentive Program Clinical Quality Measure Question 1 if denominator is 0 Preventive Care and Screening Influenza Immunization for Patients gt 50 years old q J Hardt arat ariak b suada PE Ce sA basum 11 MB Pe pee w
81. alify for a Medicaid EHR Incentive Program payment using Medicaid Title XIX only patient volume calculations and thresholds discussed earlier 1n this section but are not eligible to use the Needy Individual patient volume measure described in this section Needy Individual Encounters Defined The USVI Medicaid EHR Incentive Program defines a qualified patient encounter as a unique provider patient date of service and place of service combination including inpatient outpatient and emergency room services Needy Individual patient encounters include services rendered to an individual on any one day where any of the following are met Medicaid Title XIX or a Medicaid demonstration project approved under section 1115 of the Social Security Act paid for part or all of the service Medicaid or a Medicaid demonstration project approved under section 1115 of the Social Security Act paid all or part of the individual s premiums co payments or cost sharing The services were furnished at no cost The services were paid for at a reduced cost based on a sliding scale determined by the individual s ability to pay DRAFT Page 65 USVI Electronic Health Record Provider Incentive Program The USVI Medicaid EHR Incentive Program Attestation Application will run a report from the USVI MMIS to validate the Medicaid fee for service counts included in the numerator of the Needy Individual patient volume calculation At th
82. asterisk indicates a required field All three Core Clinical Quality Measures must be submitted For each Core Clinical Quality Measure that has a denominator of zero an Alternate Core Clinical Quality Measure must also be submitted 0013 Title Hypertension Blood Pressure Measurement Description Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits with blood pressure BP recorded Numerator Denominator Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS SAVE AND CONTINUE Clinical Quality Measure Question 2 Hypertension Blood Pressure Measurement Page 140 USVI Electronic Health Record Provider Incentive Program Questionnaire 3 of 3 Red asterisk indicates a required field All three Core Clinical Quality Measures must be submitted For each Core Clinical Quality Measure that has a denominator of zero an Alternate Core Clinical Quality Measure must also be submitted NQF 0028 Title Preventive Care and Screening Measure Pair a Tobacco Use Assessment Description Percentage of patents aged 18 years or older who have been seen for at least 2 office visits who were quened about tobacco use one or more times within 24 months Numerator Denominator b Tobacco Cessation Intervention Description Percentage of patients
83. ation Paid 104 22 Attestation Payment Denied Fa 105 23 Attestation Payment Denied Pay Hold c ccce ee eee eere eene 106 24 Attestation excluded from Payment Email 107 25 Attestation Rejected Fall sscccssnscesccesexisocsceceseasvastocssuscsascecestassanccescanveutecuswassestetesssssenace 108 26 Attestation Pended for Out of State Entries ecce eee eee eee eee eee eee eene 109 27 Attestation Failed Meaningful Use eee Lecce eee eee eee eee teet eee eessssssssoe 110 28 2013 ONLY Meaningful Use Core Measures Screen Shots 111 29 Meaningful Use Menu Measures Screen Shots eee e eee eee eee eee eee eee eoe 129 30 2013 ONLY Clinical Quality Measures Screen Shots 140 DRAFT Page 5 USVI Electronic Health Record Provider Incentive Program Page 6 USVI Electronic Health Record Provider Incentive Program Table of Figures and Tables Figure 1 Eligible Provider Workbook Worksheet 16 Figure 2 Eligible Provider Workbook Provider Information
84. below is not allowed to participate in the payment incentive program at the current time for the reason listed below NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Reason for rejection X Provider not found to participate in the state s Medicaid system For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 M Figure 60 Email Error Processing Registration DRAFT Page 99 USVI Electronic Health Record Provider Incentive Program 17 Attestation Accepted Email This email is sent when the 48 hours allowed for attestation changes have expired The attestation is no longer accessible for changes within the application The attestation details will be sent to the NLR to check if any other EHR Incentive Program payments have been made for the attesting EP for the given payment year From PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 22 To Michael Masterton amp MolinaHealthcare com Cc Subject PIP Attestation accepted The attestation whose details are listed below has now been accepted by
85. centive Program Questionnaire 12 of 13 Red asterisk indicates a required field Clinical Summaries Objective Provide clinical summaries for patients for each office visit Measure Clinical summaries provided to patients for more than 5095 of all office visits within 3 business days EXCLUSION Based on ALL patient records EPs who have no visits during the EHR reporting period would be excluded fram this requirement EPs must enter D in the Exclusion box to attest to exclusion from this requirement Daes this exclusion apply to C Yes C No Exclusion Box fs Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed 9 PREVIOUS PAGE SAVE AND CONTINUE Page 126 USVI Electronic Health Record Provider Incentive Program Questionnaire 12 of 13 Red asterisk indicates a required field Clinical Summaries Objective Provide clinical summaries for patients for each office visit Measure Clinical summaries provided to patients for more than 5096 of all office visits within 3 business days Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who are provided a clinical summary of their visit within three business days Denominator Number of patients seen by the EP for an office visit during the EHR reporting periad t Numerator
86. cessing If it was found that the provider practiced predominately in a hospital the attestation 1s ineligible and the email 1s sent PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 26 Michael Masterton amp MolinaHealthcare com Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for rejection Attesting provider s claims data shows more than 90 of services performed in an hospital setting For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 iM Figure 63 Email Volume indicates practice in Hospital Page 102 USVI Electronic Health Record Provider Incentive Program 20 Attestation Error Medicaid Claims count failed Email The solution will check the provider s Medicaid claims that were submitted during the attestation period If there were no claims found for the atte
87. click mouse to select O Select Payee Medicaid ID Select the Medicaid provider ID that will be used for payment An EP may have one to many Medicaid provider IDs on file matching to the provider s single NPI on record The designated NPI for payee should be matched to the corresponding Medicaid provider ID that the provider wished to have the payment sent to ensure the appropriate match to the USVI Medicaid payee affiliation records Dropdown box displays the Medicaid provider IDs Select drop down box to display the Medicaid providers IDs that were found to be associated with the payee NPI Select election to use group practice patient volume values Please enter the election to use the group practice s patient volume as a proxy for the individual EP s patient volume Please remember that the following criteria must be met to use this proxy value The clinic or group practice s patient volume is appropriate as a patient volume methodology calculation for the EP for example if an EP only sees Medicare commercial or self pay patients this is not an appropriate calculation There is an auditable data source to support the clinic s or group practice s patient volume determination So long as the practice and EPs decide to use one methodology in each year in other Words clinics could not have some of the EPs using their individual patient volume for patients seen at the clinic while others use the clinic level dat
88. ct bb inir EX Dub Ld ecd 48 10 3 3 Registration Remove Option cccsssssssssssseeeeeccccececsesaeceeesssseseeeeeecececeesessueeeeeeesseees 48 OUS MEE Ur CUIRE m 49 10 4 1 PATS statronT des Uno raai Naane Eain 55 Page 4 USVI Electronic Health Record Provider Incentive Program I0 1T Pocounter CAC WAI OI 56 10 4 1 2 Eligibility Screen 1 Service 56 10 4 1 3 Eligibility Screen 2 Volume Check sees 58 10 4 1 3 1 of State Encounters ee ceccccceseecccesseccceesecccceescccseesecceeeeccseuneeceseueeceeeenees 59 10 4 1 3 2 Volume Screen 3 If initial Eligibility volume is not met 63 10 4 1 3 3 Volume Screen 4 Needy Patient Volume essen 65 10 4 2 PAY dI EE 70 10 4 3 Certified EHR Technology d 71 i Memnoni E EE ENA EEEE 76 11 1 Meaningful Use Core Measures iascsisiceesseseosnainereenbedahensscuesiiesducaeacauiesteandsdascocucsaseesdesasiaaatestoandates 76 11 1 1 2013 Meaningful Use Core Measufes cccccccccccceccccceeceaseeessseseeeeeececeeeeeeeeeaaaaaessesees 77 11 1 2 2014 Meaningful Use Core 78 11 1 3 Meaningful Use Core Question General Workflow Functionality
89. ct the PREVIOUS PAGE button too beck or the SAVE E CONTINUE Burtt PREVIOUS PAGE SAWE AND CONTINUE ED Figure 36 Attestation Tab Patient Volume 1 Enter the start date or end date by typing in the date or selecting the calendar icon to the right of either box The system will automatically calculate the six month patient volume calculation period 2 Enter the number of patient encounters performed by the EP at an FQHC or RHC in the selected six month period A patient encounter is defined as a unique provider patient date of service and place of service combination This count must belong to the EP alone no proxy entity measure such as for a group practice or clinic may be utilized when counting FQHC patient encounters This will be the numerator used to determine if the EP practices predominantly in an FQHC Do not add commas The application will insert commas as needed after entry 3 Enter the total number of patient encounters performed by the EP regardless of setting over the selected six month period This count must belong to the EP alone no proxy entity measure such as a group practice or clinic may be utilized when counting the total number of encounters This will be the denominator used to determine if the EP practiced predominantly in an FQHC Do not add commas The application will insert commas as needed after entry 4 Select Save and Continue The application wil
90. der Portal User IF Medicaid volume Registration Select not met display Screen attestation Attestation Status Add Registration MA SNR Screen Screen 8 4 Question Presented with Attestation Topics Screen with list of Payment P h Attestation history View Screen Verifies components to Details Screen Registration complete Association Y Provider Certified EHR_ Confirmation Screen creen Attestation Questionnaire MU Respond to 2013 st 2013 1 Question Selected MU questions No 2014 Attestation Questionnaire d 2 Question Respond to 2014 MU questions If Volume not met display Attestation Questionnaire 3 Question Attestation Submit Page 1 Submission Confirmation Screen Figure 14 Attestation Flowchart DRAFT Page 37 USVI Electronic Health Record Provider Incentive Program 10 1 Pre eligibility check on receipt of CMS registration ID When a registration is completed on the CMS NLR site the registration information is sent to the USVI Medicaid EHR Incentive Program application The system will receive the registration and execute the following checks The end result is that the pre eligibility checks will determine if the provider 1s eligible or not The
91. der Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Figure 68 Email Attestation Payment denied pay hold found Page 106 USVI Electronic Health Record Provider Incentive Program 24 Attestation excluded from Payment Email This email indicates that CMS has already has a payment on record from this provider Please contact the CMS NLR for questions and concerns From PIP Administrator VI lt pip admin vi mmis gov gt To Michael Master ton MolinaHealthcare com Cc Subject PIP Attestation excluded from payment Sent Mon 12 22 2014 11 31 The attestation whose details are listed below has been excluded from payment by CMS due to a record of duplicate payment for Medicaid attestation in this State or another State during the current attestation period If you think your payment is not duplicated at the national level please work with the NLR to resolve NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Attestation Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 o
92. der to attest 10 2 Login to the USVI Medicaid EHR Incentive Solution This section provides instructions on how to start the USVI Medicaid EHR Incentive Solution application and logging into the system to use the application Please obtain authorization from the registering provider to enter the data on their behalf 10 2 1 Starting USVI Medicaid EHR Incentive Program application The application runs on the Internet Execute the following steps to start the application 1 Access the VIMMIS com main page As shown in the figure below DRAFT Page 39 USVI Electronic Health Record Provider Incentive Program Vi Is Ants OF Tue UntEDO STATES rtment of Human Services Working Together to Make Difference dical Assistance Program User Marne Password Welcome to the USVI Medicaid Program state of the art HIPAA compheant MeScaxd Masagemeret nformebon System that wil process Medica Carns when fully implemented 2013 Program has been developed with Noina Medced gt serves the hscal agect Ths new web portal wel serwe a6 your or prowder enrolment updates to provider wformaton dems submission her wformabon regardeg Medicad bong We bebeve you wa find the web ort oc to be user Inendiy and streamlined If you are short on ime end n ts cannet complete the e ore appbcabo you wil be able to save you work and return convemernt ine Ctoetact Us DOD 10 Transition Provider Director
93. diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months Wumerator Denoaminator Exclusions Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 14 Diabetic Retinopathy Communication Page 150 USVI Electronic Health Record Provider Incentive Program Questionnaire 15 of 38 Red asterisk indicates a required field 0047 53 Title Asthma Pharmacologic Therapy Description Percentage of patients aged 5 through 40 years with a diagnosis of mild moderate or severe persistent asthma who were prescribed either the preferred long term control medication inhaled corticosteroid or an acceptable alternative treatment Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed a PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 15 Asthma Pharmacologic Therapy Questionnaire 16 of 38 Red asterisk indicates a required field NOF 0001 PORI 64 Title Asthma Assessment Description Percentage of patients aged 5 through 40 years with a diagnosis of asthma and who have been seen for at least 2 office visits who were evaluated during at least one office visit within 12 months for the frequency numeric of daytime
94. dren 2 years of age who hed four diphtheria and pertussis three polo IPY one meoosioes mumps ond rubella MMF M mMhuenrnrte type Crit three hepatitis chicken POM v2 v5 four Conjugate two hepatitis A Hep two or three rotavirus CFV and two Nfluanza CTI vaccines by thei second birthday T hve measure gt rate for each vacoine and two separate combination rates Nureratear 1 igsesr rn Y n3 1 Nureratar Pisas res or or Nurnerator DonNnomiinoator f NIA YS TOT or 5 petri rrr ext e n Numerator 7 Derromimotar Numerator 8 Denominator 9 Dernonminaoator Numerator 10 Denominator Numerator 11 Denorminater Numerator 17 Denominator Please select the PREVIOUS PAGE button to go back or the BAVE fv CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 3 if denominator is 0 Childhood Immunization Status DRAFT Page 143 USVI Electronic Health Record Provider Incentive Program The following 3 screen shots are available for selection To meet CMS requirements three questions must be selected Questionnaire 1 of 38 Red asterisk indicate
95. e EP s attestation that they practice predominately outside a hospital by checking the place of service for the attesting EP s Medicaid fee for service for the period specified within the system to validate Medicaid volume If the EP is performing more than 90 of his encounters in an inpatient or emergency room setting the solution will PEND the attestation for further review The EP may then contact the Medicaid Provider Services Helpdesk to review their attestation and work through the issues causing the PEND status The user will not be able to continue entering attestation data 10 4 1 3 Eligibility Screen 2 Volume Check The purpose of this screen is to determine if the EP s or group practice s Medicaid patient volume meets the Medicaid patient volume required to be eligible for the Medicaid EHR Incentive Program In order to be eligible for the Medicaid EHR Incentive Program the following conditions must be met Eligible professionals EPs must meet eligible patient volume thresholds For most EPs this means a 30 Medicaid patient volume based on total patient encounters for a selected 90 day patient volume period O If the EP is registered as a pediatrician with a Medicaid patient volume greater than 20 but less than a 30 eligible patient volume he is eligible for a 2 3 payment for the given Medicaid EHR Incentive Program payment year Pediatricians with a Medicaid patient volume greater than 30 are eligible t
96. e EP s option out of state patient encounters meeting the four Needy Individual criteria above may be used to establish USVI Medicaid EHR Incentive Program eligibility All information entered into the USVI Medicaid EHR Incentive Program Attestation Application is subject to post payment audit that could result in payment recoupment An example of the screen used to enter Needy Individual patient volume information 1s shown below in Figure 37 followed by instructions on how to complete the screen Questionnaire 4 of 4 CS Red asterisk indicates a required field Meedy Patient Volume at FONC RHC EPs who practice predominantly at an FQHO or RHO must meet a certain needy patient volume threshold to be eligible for incentive payment Select any 90 day period in the prewious calendar year for your patient volume figures Start Date 10 3 2010 End Date 12 51 2010 E Complete the following information Mune rator Mumber of patient encounters at an or RHO in which the patient received medical assistance fram Medicaid the patient received medical assistance from CHIP patient was furnished uncompensated care the patient was furnished services at either no cast or reduced cost based on a sliding scale determined by the individual s ability ta pay Mumber of patient encounters at an FOHC or RHO in which the patient is a needy individual Denominator All patient encou
97. e and Continue The system validates if all fields have data entered Error message displays if the user did not Supply EHR Certification number select an option supply a 90 day start and end date enter the appropriate data f no errors occur the Attestation Topic page displays If all topics have been answered the Submit button will be available If Meaningful Use 2013 or Meaningful Use 2014 is selected then 5 Using the EHR Certification number the system will validate if the EHR system is O 2011 Edition Select Meaningful Use 2013 Stage 1 in dropdown Combination of 2011 and 2014 Editions Select either Meaningful Use 2013 Stage 1 or Meaningful Use 2014 Stage 1 in dropdown 2014 Edition Select Meaningful Use 2014 Stage 1 in dropdown 6 Answer questions as shown in figure below DRAFT Page 73 USVI Electronic Health Record Provider Incentive Program Certified EHR Technology Attestations gt Attest gt Certified EHR Technology EHR Meaningful Use Red asterisk indicates a required field Your Certified EHR Technology CEHRT is certified to a combination of 2011 and 2014 Edition Do you attest that you are unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability C No A brief description of the reason s for the delay goes here Do at least 80 of unique patients have their data in the certified EHR during the
98. e application will generate the total number of Needy Individual encounters using the information entered in steps 1 5 Enter the denominator This amount 1 the total number of patient encounters rendered by the EP for the selected 90 day period based on reports generated from an auditable source such as practice management or EHR systems Do not add commas System will format with commas after entry Page 67 USVI Electronic Health Record Provider Incentive Program Out of State Entry Optional The screen allows for entry of out of state entries The following is a sample of a screen to display the different options available to the user Each option s instructions are bulleted sections following this screen shot Out of State Needy Patient Volume at FQHC RHC If you or your proxy provider saw patients who belong ta another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You will be asked to upload your supporting documents at the godaf this attestation on the Submit Attestation page Add State Total Needy Fatient Encounters Total FOHCIRHC Patient Encounters 100 310 R
99. e denominator who have timely available to the patient within four business days of being updated in the certified EHR technology electronic access to their health information online Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator Denominator lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Menu Measures Question 7 Patient Electronic Access and answer No to exclusion Page 136 USVI Electronic Health Record Provider Incentive Program Questionnaire 8 of 10 Red asterisk indicates a required field Patient specific Education Resources Objective Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate Measure More than 10 of all unique patients seen by the EP or admitted ta the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 are provided patient specific education resources Complete the folowing information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who are provided patient specific education resources Denominator Number of unique patients seen by the EP during the EHR reporting period Numeratar Denominator lease select the PREYIOU
100. e discharged alive for acute myocardial infarction eI coronary artery bypass CARB Gi or percutaneous transluminal coronary Moar OOF 5 angioplasty PT Al from January 1 Movember 1 ofthe wear prior ta the measurement year hada diagnosis of ischemic vascular disease DS during the measurement year and the year prior to the measurement year and who had cormplete lipid profile pertormed during the measurement year and whose LOL was 100 mar Title Diabetes Control 8 Description The percentage of patients 18 75 years of age with diabetes 1 ortype 2 wha had HbAdc n n Please elect the PREWIOUS PAGE button to go back or the SAWE amp CORBITINUE button to proceed ES PREVIOUS PAGE SAVE AND CONTINUE Figure 49 2013 Clinical Quality Measures remaining of the 38 CQMs 11 3 2 2014 MU Stage 1 Clinical Quality Measure Entry CMS requires that EPS report on 9 of the 64 CQMs and selected CQMs are from at least 3 of the National Quality Strategy NQS domains The Domain column in the selection list indicates the NQS DRAFT Page 85 USVI Electronic Health Record Provider Incentive Program Clinical Quality Measures Attestations gt Attest gt Clinical Quality Measures Questionnaire Instructions EPs must report on 9 of the 64 approved Clinical Quality Measures The selected CQMs must cover at least 3 of the National Quality Strategy domains You must submit 9 Cli
101. e from the drop down list 3 Enter encounters counts for the selected state 4 Enter in denominator which 1s the total patient encounters for the selected state 5 Select Add button To enter patient encounter information for additional states repeat Steps 1 5 To modify an out of state entry 1 Select Edit Page 62 USVI Electronic Health Record Provider Incentive Program 2 The screen will display the selected out of state entry 3 Select Update button To delete an out of state entry 1 Select Remove 2 Verify the entry being deleted by responding to the question presented If the EP does not meet an applicable Medicaid patient volume threshold then Volume Screen 3 will display If the eligible EP meets or exceeds the Medicaid patient volume required to receive a USVI Medicaid EHR Incentive Program payment the application will display the Payment Calculation page Once the EP has completed and submitted his attestation for process his Medicaid patient volume information will be verified against the fee for service claims in USVI information entered into the application is subject to post payment audit If the EP does not meet the required Medicaid patient threshold after entering in all of his patient volume information additional screens will appear presenting a possible alternative patient volume calculation 10 4 1 3 2 Volume Screen 3 If initial Eligibility volume is not met The pur
102. e measures are outlined below 2013 Meaningful Use CMS requires that EPs answer thirteen questions 2014 Meaningful use CMS requires that EPs answer thirteen questions Page 76 USVI Electronic Health Record Provider Incentive Program 11 1 1 2013 Meaningful Use Core Measures Meanindgful Use Core Measures 4Atbestations gt Attest gt Meaningful Use Core Measures Questionnaire Instructions For eligible professionals there are a total of 23 meaningful use objectives To qualify for an incentive payment eligible professionals must report on 18 of these 2 3 meaningful use objectives There are 13 required core objectives The remaining 5 objectives may be chosen from the list of 10 menu set objectives In addition eligible professionals must report on 6 total clinical quality measures 3 required core measures substituting alternate core measures where necessary and 3 additional measures selected from a set of 38 clinical quality measures This attestation will begin with the 13 required core objectives listed below Objective Use CPOE for medication orders directhy entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Implement drug drug and drug allergy interaction checks Maintain an up to date problem list of current and active diagnoses Generate and transmit permissible prescriptions electronically Maintain
103. e paid encounters Number of Medicaid patient encounters treated during the 90 day period Denominator All patient encounters over the same 90 day period Mote An encounter should be reflected in the count as one or more claims for the same patient for the same rendering physician for the same Date of service DOS This should be a count of unduplicated per patient per date of service Medicaid Claim Based Encounters in the 90 day period This includes all Medicaid encounters including inpatient outpatient and emergency room services The EHR Incentive Payment solution will run a report from the MMIS system to validate the FFS paid encounter count within the numerator Out of State Medicaid Patient Volume If you or your proxy provider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You will be asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Add State Total Medicaid Encounters Total Patient Encounters Mo Medicaid patient volume records Please select the PREVIOUS PAGE button t
104. e payment on behalf of the attesting provider USVI Eligible Providers attestation timeline is below DRAFT EPs will have until 5 2 15 to attest for 2014 Claims Volume check will be 90 days in 2013 EHR Certification check will be 90 days in 2014 EPs may choose to wait to attest for 2015 Claims Volume check will be 90 days in 2014 O EHR Certification check will be 90 days in 2015 Regardless of Attestation Year Must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years Page 13 USVI Electronic Health Record Provider Incentive Program 1 2 Registering with CMS Prior to participating in the USVI Medicaid EHR Incentive program the provider first must register for the EHR Incentive Program within the National Level Repository NLR system to sign up for the program at the national level and must select Medicaid as its desired payment path and USVI as its assigned state for attestation This will enable the National Level Repository NLR solution to notify the USVI Medicaid EHR Incentive Payment solution of the provider s intent to attest for incentive payment Visit the National Level Repository NLR solution at https ehrincentives cms gov hitech login action to register Once the provider has successfully registered with the NLR for the USVI Medicaid EHR Incentive Program the provider must complete the attestation for the year with the USVI Medicaid EHR Ince
105. eaningful Use Core Question 6 Medication Allergy 156 118 Meaningful Use Core Question 7 Record 119 Meaningful Use Core Question 8 Record 1 1 120 Meaningful Use Core Record Vitals exclusion ccccccccccccccccsssseeececeeceeeeeseseccceeeeeaaaaaeeeeees 121 Meaningful Use Core Question 9 Record Smoking Status and answer No to exclusion 123 Meaningful Use Core Question 10 Clinical Decision Support Rule 124 Meaningful Use Core Question 11 Electronic Copy of Health Information and answer No to qium 125 Meaningful Use Core Question 12 Clinical Summaries and answer No to exclusion 127 Meaningful Use Core Question 13 Protect Electronic Health Information 128 Meaningful Use Menu Measures Question 1 Immunization Registries Data Submission 129 Meaningful Use Menu Measures Question 1 Immunization Registries answered No to cel qM 130 Meaningful Use Menu Measures Question 2 Syndromic Surveillance Data Submission 131 Meaningful Use Menu Measure Question 3 Drug Formulary Checks and answer No to Ue EMT
106. ease op Lise of ASpirin or another Antithrombotic Description The percentage of patients 18 years of age and older wrho were discharged alive for acute myocardial infarction MI coronary artery bypass graft oC Or percutaneous transluminal caranar HGF 006g s 2 angioplasty PT Al from January 1 P owernkber of tlie wear prior ta the measurement year orwho had a Porm 204 7 P x diagnosis of ischemic disease MWO during the measurement year and the wear prior to the measurement year and wrhoa had documentation of use of aspirin or another antithrombotic during the measurement year Tithe Initiation and Engagement of Alcohol and Other Orug Dependence Treatment 95 Initiation H Engagement Description The percentage of adolescent and adult patients with anew episode of alcohol and other drug CC dependence who initiate treatment through an inpatient OD admission outpatient visit intensive outpatient encounter or partial hospitalization vithin 14 days ofthe diagnosis and weha initiated treatment exc who had tera or more additional services with an AGO diagnosis within 30 days of the initiation wisit Tithe Prenatal Care Screening tor Human Immunodeficiency wirus CH Description Percentage aof patients regardless af age wrha gave birth during a 1 2 rmonth period who were screened for HY infection during the first or second prenatal vixit Tithe Prenatal Care 4nti O Immune Globulin Description Percen
107. ease select 5 menu measures Questionnaire Instructions EPs must report on 3 required core Clinical Quality Measures and if the denominator of one or more of the required core measures is zero then EPs are required to report results for up to 3 alternate core measures You must report on the required core 5 listed below identifiers Clinical Quality Measure Title amp Description Title Adult Weight Screening and Follow Up MOF 0421 Description Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the PORI128 current visit documented in the medical record AND if the most recent BMI is outside parameters a follow up plan ts documented Title Hypertension Blood Pressure Measurement 0013 Description Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits with blood pressure BP recorded Title Preventive Care and Screening Measure Pair MOF 0028 Descripti Figure 46 2013 Clinical Quality Measure Core List If the provider responds with a zero in the denominator in the above questions the following questions requires a response Questionnaire Sreet mes You hove anten rero for the qdeneeceeotee of 3 Core therefore you musi reegeoct on D Core Quality Woe musi At ecreet Core Q
108. east one entry or an Indication that no problems are known for the patient recorded as structured data Complete the folowing information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who have at least one entry or an Indication that no problems are known for the patient recorded as structured data In their problem list Denominator Number of unique patients seen by the EP during the EHR reporting period Mumeratar t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Core Question 3 Maintain Problem List Page 114 USVI Electronic Health Record Provider Incentive Program Meaningful Use Core Measures Eitestanecs gt Anges gt Cove Measures gt Core Measure Questionnaire 4 of 13 Red asterisk indicates required field e Prescribing eRx Obdpective Generate and transmit permissible prescriptons electrorucally eRx Measure More than 40 of permissible prescnptions written by the EP are transmitted electronically using certified EHR technology EXCLUSION Based on ALL patient records Any EP who 1 Wntes fewer than 100 permessible prescnptbons dunng the EHR reporting penod or 2 does not have a pharmacy thes orgaruzation and there are pharmaces that accept electro
109. ecords in accordance with Federal regulations for a period of S years ar 3 wears after audits with any and all exceptions having been declared resolved bw your state s Medicaid office or the U S Department af Health and Human Services OHHS The provider must make all records and documentation available upon request to your state s Medicaid office andeor DHHS Such records and documentation must include but not be limited to gt Financial Records Practicing Provider Information credentials Identification of Service Sites Dates of Service for Each Service Component by Patient Patient Records Invoices lease agreement supporting 4doptyYImplementation Utilizationg EMR Reports supporting Meaningful Use attestation FOR AIU evidence CMS and State recommends that least ane or more of the following documentation iz retained signed comtract gt User agreement purchase order purchase receipt or gt license agreement CMS and your state s Medicaid office recommends documentation are retained in case of audit Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the 1 5 Department of Health and Human Services DHHS Provider must maintain record In accordance with Federal regulation Tor a peri
110. ectronic Health Record Provider Incentive Program 12 1 Supporting Documentation Documents supporting any of the information entered into the Attestation Application may be uploaded here Documents may be in the form of PDF Jpeg Microsoft Excel and Microsoft Word files and must be 4 megabytes or smaller Section 3 of this document lists required documentation If you have entered out of state encounters you are required to upload two documents which are a certification letter that patient volumes entered are from the other state s MMIS and the report from the state s MMIS To Add Document 1 Select Add Document to display the following screen Add Document File Hame Title Description Please select the ADD button to add your document to the list Figure 55 Submit Attestation Supporting Documentation Add Screen UO Select File to upload the supporting document from your computer OSelect the Select button OOn Files window navigate through your computer and select the file to upload OSelect OK UDocument name displays in the File Name box 2 Entera title for the document required 3 Enter a description of the file required 4 Select Add To add more files repeat steps 1 4 DRAFT Page 93 USVI Electronic Health Record Provider Incentive Program To edit a document Select Edit next to the desired document 2 The Supporting Documentation Add screen fie
111. ed to this attestation You will be asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Add State Total Medicaid Encounters Total Patient Encounters Complete the following information All information entered may be subject to audit that could result in payment recoupment Supporting documentation of Qut of State encounters claimed are required to be uploaded for validation Any registration claiming Qut of State encounters will suspend until supporting documentation has been uploaded and validated Supporting documentation is defined as Certification on official letter head from the state Medicaid agency to the provider declaring the information provided was derived from their MMIS and is accurate naccompanying report generated by the state Medicaid agency which identifies the total encounters and the reporting period used in the development of the repart Mote The reporting period for QOS encounters must match the reporting period indicated during registration Numerator Number of Medicaid patient encounters treated during the 90 day period Denominator AJ patient encounters over the same 90 day period Please select the ADD button to add out of state patient volume to the list ADD Figure 35 Attestation Tab Out of State Entry Add Edit Screen To Add Out of State entry 1 Select Add State to display the screen above 2 Select a Stat
112. edy individuals The provider must also not practice predominately in a hospital setting Providers who see more than 90 of their Medicaid patients in a hospital inpatient or emergency room setting are considered to be practicing predominately in a hospital setting Providers must indicate if they are adopting upgrading or implementing a certified EHR solution during their attestation process to proceed with submittal For Year 1 providers do not have to demonstrate meaningful use The USVI Medicaid EHR Incentive Payment Solution will verify providers meet the above requirements by validating the provider s claims based data within the MMIS upon receiving the EHR incentive payment solution s registration and attestation from the NLR In addition to validating the above criteria electronically the system will perform the following validations Providers must pass a systematic check of claims volume and place of service relative to the amount of Medicaid patient volume they claim to have seen during the attestation process they complete online Claims for providers for patients within a hospital setting will not be considered for their Medicaid patient volume since providers are supposed to by predominately office based Providers will not be paid if currently under review with USVI or not actively enrolled with Medicaid The provider s Pay To Providers indicated within the NLR registration must also be an active Medicaid provider to receiv
113. eed 9 PREVIOUS PAGE SAVE AND CONTINUE 8 Page 122 USVI Electronic Health Record Provider Incentive Program Questionnaire 9 of 13 Red asterisk indicates a required field Record Smoking Status Objective Record smoking status for patients 13 years old or older Measure More than 5095 of all unique patients 13 years old or older seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have smoking status recorded as structured data Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator with smoking status recorded as structured data Denominator Number of unique patients age 13 or older seen by the EP during the EHR reporting period t Numerator 1 Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Core Question 9 Record Smoking Status and answer No to exclusion Questionnaire 10 of 13 Red asterisk indicates a required field Clinical Decision Support Rule Objective Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with rule Measure Implement one clinical decision support rule Complete the following information
114. eet INSTRUCTIONS The Provider mM ust Select O ee ee ee Prior eo pear Please rote taot Oe Provider rrarsmgt Ee CIE wa SSG provider a tine Selected Tim Fro 2 oe Poe oes ee ee MIRTIS So Pu ee Oe Seo eee er ites Tire he een mot fet rE previder select O Got moe Deo Precedes Cre Prior anblerrePRcrr poor Use gurecrher Group Preciice of Clinic as Proy for Patient Volume Ermeocounter gt Prowiders may edbect tO use Wwour group Practice or clinic bocations enoounter to achiewe the 302 Medicaid woburme requirement for Trecerntbwe payment IF the prowider ebeces to whe their group or Clinic total as their promy for ermoounter wohume all prowiders within that Practice oF bocatibon folbows Sait tf they rote wed bo attest for Weenie pay meent armed report their wobonve wuss the practice or Chimbo MPO coer imge hy EPs may ue a clinic or group practice patient wolurnre 25 2 prosy for their own under three conditions ZO The Or eo ee ent eo 45 ooo os ee eee oe ooo ooo er te EP For ee oS ao EP ani sees SoG oe ncn Or oy peers Cs reCBR GIFT oa ocho iter There fo oo eS oho Soe Yu eee re eS eee OEE eae er eer oe SoS Ais lorng as tire proactice oard EPs decide toO use orne metitrodology inm each year inm other words clinics ret have sorme of tire EPs using reir Go Aone Volum eE Jor patients seer tre ciini ee ers use tre Oe ee doat Tire acd dac a practice Tas ee Srnie prac
115. elect the Remove acbon next to the registration m the bst to disassociate the registration from your EHR Incentive Program user account The registration and attestabon information will not be lost You can re associate the regsstrabon by selecting the ADD REGISTRATION button Registration Selection Identify the desired regestrabon and select the Action you would ike to parlenn Hare Identifier Mabona Provider Identifier HPT Plaase select the ADD REGISTRATION button to add a registrabon to the list ADO REGISTRATION Figure 20 Registration Tab Registration Home Page 3 The Registration Home Page lists all registrations that you have added If you have not added any the Registration Selection section will display No records to display as shown in the figure below DRAFT Page 45 USVI Electronic Health Record Provider Incentive Program Registration Selection Identify the desired and select the Acton you would kke to perform Action Mame Identifier Feeder Identifier HPI NLR Status Ho recordi to display Please select the ADD REGISTRATION button to add a regsstrabon to the list ADO REGISTRATION Figure 21 Registration Tab No records to display The sections below explains the options that are available on the Registration Home Page which are Add Registration Select and Remove 10 3 1 Registration Add option Registration
116. eligibility checks If the status shows the provider 1s ineligible the email will contain the eligibility checks that were not met and information on contacting the USVI Provider Services Help Desk if the provider feels this is in error If the USVI Medicaid EHR Incentive Payment solution finds the provider ineligible a user attempting to add the provider s registration to the user account to continue the application process for EHR Incentive payment will not be able to add the registration for the ineligible provider The system prevents the provider from continuing with the attestation process unless the status 1s found to be eligible Page 38 USVI Electronic Health Record Provider Incentive Program At this point USVI Provider Services representatives will have the ability to review and determine if the systematic eligibility status is valid or invalid for the provider Providers may contact the USVI Provider Services Help Desk to assist with the denial of the registration USVI Medicaid Provider Services Help Desk may be contacted at 855 248 7536 option 2 between the hours of 8am and 5pm EST The provider will then work with the representative via phone email regarding the registration eligibility status and may be asked to resubmit registration with the NLR to proceed Depending on the situation the provider services representatives may also be able to override the system and manually approve the provider s eligibility and allow the provi
117. emi vascular disease VD during the measurement period and who had documentation of use of aspirin or another antithrombotic during the measurement period Title Appropriate Treatment for Children with Upper Respiratory Infection URI Description Percentage of children 3 months 18 years of age who were diagnosed with upper respiratory infection URI and were not dispensed an antibiotic prescription on or three days after the episode Tithe Coronary Artery Disease CAD Beta Blocker TherapyPrior Myocardial Infarction MI or Left Ventricular Systolic Dysfunction LWEF 406 Description Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also hawe a prior MI or a current or prior 40575 who were prescribed beta blocker therapy Tithe Ischemic vascular Disease IVD Complete Lipid Panel and LDL Control Description Percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction AMD coronary artery bypass graft CABG or percutaneous coronary interventions PCI in the 12 months prior to the measurement period or who had an active diagnosis of ischemic vascular disease IVD during the measurement period and who had a complete lipid profile performed during the measurement period and whose LDL C was adequately controlled 100 rmagr dL Tithe Heart Failure HF Angiotensin Conwerting Enzyme ACE Inhibitor or Angio
118. emove Page 68 USVI Electronic Health Record Provider Incentive Program O To Add 1 Select Add State to display the following screen Out of State Needy Patient Volume at If you or your proxy provider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that vou add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You willbe asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Add State State Total Needy Patient Encounters Total FaHC RHEC Patient Enc counters Complete the following information All information entered maybe subjectto audit that could result in payment recoupment Supporting documentation of Gut of State encounters claimed are required to be Uploaded for validation Any registration claiming Gut of State encounters will suspend until supporting documentation has been Uploaded and validated Supporting documentation is defined as e Certification on official letter head from the state Medicaid agency to the provider declaring the information provided was derived from their MMIS and is accurate An accompanying ge
119. entage of patients aged 13 years and older with a diagnosis of HIV AIDS w ibsbES wehose nest recent HIW RM level is 200 copies rml Title Preventive Care and Screening Screening for Clinical Depression and Follow Up Plan Description Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an aqe appropriate standardized depression Screening too ANO if positive a follows up plan is decurmented on the date of the positive sereen Title Decumentsation of Current PAedications in the hledical Recerd Description Percentage of visits for patients aged D years and older for which the ligible professional attests to documenting list of current medications using all immediate resources available om the date of the encounter T his list must include ALL bremen prescriptions coeer the counmters herbals and witarnin srmineral dietary C outritionals supplerments ARO must contain the medications marme dosage frequency and route oF administration Title Preventive Care and Screening Body Miass Index BEMI Screening and Follos lip Dee criptiom Percentage of patients aged 15 years and older with a documented Bh I during the encounter or during the previous sim months AMO when the BRIT is outside of mcr oh parameters a follows up plan is docurmented curing the encounter or durig the prewious sim months of the encounter Piornal Pararmeters Age 65 years and older BRAT
120. entry or an indication that no problems are known for the patient recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 8095 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data More than 80535 of all unique patients seen by the EP or admitted to the eligible hospital s or inpatient or emergency department POS 21 or 23 have at least one entry or an indication that the patient is not currently prescribed any medication allergies recorded as structured data More than 50 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have demographics recorded as structured data For more than 50 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period have blood pressure for patients age 3 and over only and height and weight for all ages recorded as structured data More than 50 of all unique patients 13 years old or older seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23
121. epared for answering all related questions prior to beginning the attestation process The Attestation Workflow consists of the following topics The application will guide the user through the topics A topic does not become active until the prerequisite topic 1s completed Each topic will be addressed O Verify Registration Information Verify the provider information 15 the correct provider Ability to indicate proxy usage Eligibility Screens These screens walk the EP through the attestation specific eligibility questions that he must complete to be validated as an EP for the Incentive Program These screens include Questions on EP practice location Questions on EP Medicaid patient volume Q Payment Screens These screens walk the EP through the expected payment schedule and questions related Certified EHR Technology Screen Adopt Implement Upgrade or Meaningfully Use Certified EHR Technology Screen This screen validates that the EP is indeed using a valid EHR solution If meaningful use selected entry of meaningful use objectives and clinical quality measures information is required O Submit Attestation To access the Attestation process select the Attestation Tab DRAFT Page 49 USVI Electronic Health Record Provider Incentive Program Figure 27 Attestation Tab When selected the Attestation Instructions Page displays This page displays the registration IDs that are assigned to t
122. er And AA GOLCSC CNIS eers 142 Clinical Quality Measure Question 3 if denominator is 0 Childhood Immunization Status 143 DRAFT Page 9 USVI Electronic Health Record Provider Incentive Program Clinical Quality Measure Question 1 Diabetes Poor Control 144 Clinical Quality Measure Question 2 Diabetes LDL Management amp Control 144 Clinical Quality Measure Question 3 Diabetes Blood Pressure Management 145 Clinical Quality Measure Question 4 HF ACE Inhibitor or ARB for LVSD 145 Clinical Quality Measure Question 5 CAD Beta blocker Therapy for CAD patients with MI 146 Clinical Quality Measure Question 6 Pneumonia Vaccination Status for Older Adults 146 Clinical Quality Measure Question 7 Breast Cancer Screening 147 Clinical Quality Measure Question 8 Colorectal Cancer Screening eeeeeeussss 147 Clinical Quality Measure Question 9 CAD Oral Antiplatelet 148 Clinical Quality Measure Question 10 HF Beta blocker Therapy for LVSD 148 Clinical Quality Measure Question 11 Anti depressant medication management 149 Clinical
123. eria 1 Pmnominator Population criteria 2 dRIuskuru TE kt i dea crim Ew e En n Population criteria 2 NUM trator 2 an Population criteria 3 Nume rator 1 Donominator Population criteria 3 Riga cargada pr gt ru CORO E a n Please select the PREVIOUS PAGE button to go back or the SAVE P CONTINUE butten te proceed PREVIOUS PAGE SAWE AND CONTINUE Clinical Quality Measure Question 29 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Questionnaire 30 of 38 Red asterisk indicates a required field 0012 Title Prenatal Care Screening far Human Immunodeficiency Virus Description Percentage of patients regardless of age wha gave birth during a 12 month period who were screened for HIY infection during the first ar second prenatal visit Wumerator Denominator Exclusians Please select the PREVIOLIS PAGE button to ga back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 83 Page 158 USVI Electronic Health Record Provider Incentive Program Clinical Quality Measure Question 30 Prenatal Care Screening for HIV Questionnaire 31 of 38 Red asterisk indicates a required field NOF 0014 Title Prenatal Care amp nti D Immune Globulin Description Percentage of D Rh negative unsensitized patients regardles
124. estation Tab FOHC RHC Patient 64 DRAFT Page 7 USVI Electronic Health Record Provider Incentive Program Figure 37 Attestation Tab Needy Patient Volume at FQHC RHC eeeeeeeeees 66 Figure 38 Attestation Needy Out of State Patient Volume Entry Edit Screen 69 Figure 39 Pediatrician 20 volume payment 71 Figure 40 Eligible Providers payment calendar 71 Figure 41 Certified EHR Technology Page sees 42 Figure 42 Certified EHR Questions if EHR not certified 2014 Edition 74 Figure 44 2013 Meaningful Use Core Measures 5 FE Figure 45 Meaningful Use Core Measures 48 78 Figure 46 Meaningful Use Menu Measures 1 essen 80 Figure 47 2013 Clinical Quality Measure Core 18 83 Figure 48 2013 Clinical Quality Measures if zero in denominator eene 84 Figure 49 2013 Clinical Quality Measures Beginning of 38 CQMS eeeeeeeeeeeees 84 Figure 50 2013 Clinical Quality Measures remaining of the 38 85 Figure 51 2014 Clinical Quality NMCA
125. exam by an eye care professional during the measurement period or a negate retinal exam no evidence of retinopathy in the 12 months prior to the measurement period Tithe Diabetes Foot Exam Description Percentage of patients aged 18 75 years of age with diabetes who had a foot exam during the measurement period Tithe Diabetes Hemoglobin Alc Poor Control Description Percentage of patients 18 75 years of age with diabetes who had hemoglobin Ale gt 9 0 during the measurement period Tithe Hemoglobin Alc Test for Pediatric Patients Description Percentage of patients 5 17 years of age with diabetes with an HbAlLe test during the measurement period Tithe Diabetes Urine Protein Screening Description The percentage of patients 18 75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period Tithe Diabetes Low Density Lipoprotein LDL Mlanagement Description Percentage of patients 18 75 years of age with diabetes whose LDL C was adequately controlled 100 mg dL j during the measurement period Tithe Ischemic vascular Disease IVD Use of Aspirin or Another Antithrombotic Description Percentage of patients 15 years of age and older who were discharged alive for acute myocardial infarction AMT coronary artery bypass graft CABG or percutaneous coronary interventions PCT in the 12 months prior to the measurement or who had an active diagnosis of ch
126. f age who received one or more Pap tests to screen for cervical cancer Title Chlamydia Screening for Women Description Percentage of women 16 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period Title Colorectal Cancer Screening Description Percentage of adults 50 75 years of age who had appropriate screening for colorectal cancer Title Use of Appropriate Medications for Asthma Description Percentage of patients 5 64 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement period Title Childhood Immunization Status Description Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR three H influenza type B HiB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV one hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday Figure 50 2014 Clinical Quality Measures Domain Efficient Use of Healthcare Resources Clinical Process Effectiveness Clinical Process Effectiveness Patient Safety Population Public Health Population Public Health Clinical Process Effectiveness Clinical Process Effectiveness Population Public Health Clinical Process Effectiveness Clinica
127. ffectiveness Clinical Process Effectiveness Page 87 CRoSE1690 2 MOF 0110 TISI Jv MOF 03854 CMS MOF asas CMS1 4002 Mor 0387F CRISI 25 3 Por 0389 CC Pede BaF 0403 Cham mo MOF 0405 CMS Far CMS 2S Mor O41 28 t m rn 0421 32x Mor CMIS S332 Por 0565 CMS1 Bev MOF 060S Mor 1 ecc MOF Oz 12 CMS 7 Sa oc CMS Fras NOF 1365 CINES Zl PIF 1401 ChTS que CMSs wv gt EPIS H9 3 CMSss0w2 CC Pese CM SaaS CMIS SV Page 88 USVI Electronic Health Record Provider Incentive Program Tithe Bipolar Disorder and hAajor Depression Appraisal for alcohol or chermical substance DURE Description Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol cr clerical substance use Tithe Oncology Pe becdical and Radiation Pain Intensity Cluarntifiec Description Percentage of patient wisits regardless of patient age with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pair intensity is quantified Tithe Colon Cancer Chemotherapy for AJTO Stage I Colon Cancer Patients Description Percentage of patients aged 18 through years wrth ic c Stage III color camo weh are referred for adjuvant chemotherapy prescribed
128. g the EHR reporting period whose results are either in a or numerical format are incorporated in certified EHR technology as structured data Generate at least one report listing patients of the EP eligible hospital ar CAH with a specific condition More than 2055 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period More than 1095 of all unique patients seen by the EP are provided timely available to the patient within four business days of being updated in the certified EHR technology electronic access to their health information subject to the EP s discretion to withheld certain information More than 1056 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 are provided patient specific education resources The EP eligible hospital or performs medication reconciliation for more than 50586 of transitions of care in which the patient ts transitioned into the care of the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 The EP eligible hospital or CAH who transitions or refers their patient to another setting of care or provider of care provides a sumrnary of care record for more than 50 of transitions of care and referrals Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to p
129. gibdity and registration rules kst of EHR technology that s certified for this program specification sheets with additional information on each Meaningful Use objective and other general resources that wi help you complete state level regstrabon and attestation please visit CMS website Eligible to Participate There are two types of groups who can participate in the program For detailed information visit CMS website Figure 17 Provider Incentive About this Site Page 4 On the Provider Incentive About This Site page select the Continue button to display the Provider Incentive Program Notifications page Refer to Figure 18 Page 42 USVI Electronic Health Record Provider Incentive Program Welcome test prov Last Successful Login 1 6 7015 Unsuccessful Login Attempts 0 Notifications Welcome to the Provider Incentive Payment System Medicaid EHR incentive program participants can complete their attestation and receive incentive payments using this system You will need to demonstrate adoption implementation upgrading or meaningful use of certified EHR technology in your first year and demonstrate meaningful use for the remaining years in the program Instructions Please follow along using the WI Provider Incentive Payment Hospital Provider Workbook as a companion guide as complete the attestation process Questions on the application or the program overall can be directed to the WI
130. he user The user does not need to complete the attestation process in one sitting ach screen in the attestation workflow has a Save and Continue button This will save changes and allow the user to stop at any time without the loss of data that was entered on that page The attestation process does not allow the user to skip forward to screens or jump past a screen without entering data The user may edit answers until the attestation is submitted To start the attestation process 1 Select the Attest option on the row showing the EP s registration information Page 50 USVI Electronic Health Record Provider Incentive Program Attestations Attestation Instructions Welcome to the Attestation Page Depending on the current status of your attestation please select one of the following actions Attest Please select the Attest link to start attestation Attest for an incentive programs payment year Continue an incomplete attestation Rescind Please select the Rescind link to Cancel processing of a submitted attestation Resubmit Please select the Resubmit link to Resubmit an attestation that was previously deemed ineligible Please follow along using the VI Provider Incentive Payment Hospital Provider Workbook as a companion quide as you complete the attestation process Questions on the application or the program overall can be directed to the VI Provider Services Help Desk at 888 483 0793 option amp for the Pro
131. ia el eo parla ff ore et Pe ach dba LE gt kN DI Po gt Ree dra Td Fra joanda ee Le A A ergsarforf rcrrg ca IB K ecrgsatsrfaowf Pcrrr AJH hd che Ec APER EHan dai Lr Pao aan d a lace na ca had uk Y dad IN ila thm FE i piers dhe Bee ae rickets vin prur3ag Ehem rl Pars uw eue dur Paw o L cr Ear t eb url uw p F Doo iC FF Aad dE ase Pee gees oF E Endo Damn base eden aes REG GE peers nan GER I button te go beck or the AWE Ge CATERED Esau SAVE AR Goer Tee Clinical Quality Measure Question 2 if denominator is 0 Weight Assessment and Counseling for Children and Adolescents Page 142 USVI Electronic Health Record Provider Incentive Program Questionnaire 3 of 3 5 Rod aesteriak indicates raquired Hald NOF Titles Childhood Doscription The percentage of chil
132. icaid and Medicare The Department of Human Services DHS will administer the Medicaid EHR Incentive Payment program for USVI I 1 Eligible Professionals EP The Center for Medicare amp Medicaid Services CMS has defined eligible professionals for the Electronic Health Record Incentive program for Medicaid as follows e Anactively enrolled Medicaid Provider with the State Medicaid program with one of the below provider types Physicians primarily doctors of medicine and doctors of osteopathy Nurse practitioner Certified nurse midwife Dentist A Physician Assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that 1s led by a physician assistant where 1 is the primary provider in a clinic 06099 2 is a clinical or medical director at a clinical site of practice 3 PA is an owner of an RHC Page 12 USVI Electronic Health Record Provider Incentive Program To be eligible for the incentive payment professional providers meeting the provider type requirement above must also meet one of the following Medicaid patient volume criteria d d Have a minimum 30 Medicaid patient volume Have a minimum 20 Medicaid patient volume and also be enrolled as a practicing physician with a specialty of pediatrician with US VI Medicaid Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30 patient volume attributable to ne
133. ients with at least one medication list seen by the EP of admitted to the eligible hospital s or inpatient or emergency department POS 21 of 23 have at least one medication order entered using CPOE The EP eligible hospital C has enabled this functionality for the entire EHR reporting penod More than S055 of all unique patients seen by the EP or admitted to the eligible hospital s or inpatient or emergency department POS 21 or 23 have at least one entry or an indication that no problems are known for the patient recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 80 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one entry or an indication that the patient is not currenthy prescribed any medication recorded as structured data More than 80 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one entry or an indication that the patient is not currently prescribed any medication allergies recorded as structured data More than 503 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have demographics recorded as structured data
134. ined in case of audit Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits with any and all exceptions having been declared resolved by DHS or the U S Department of Health and Human Services DHHS The provider must make all records and documentation available upon request to DHS and or DHHS Such records and documentation must include but not be limited to Financial Records Practicing Provider Information credentials Identification of Service Sites Dates of Service for Each Service Component by Patient Patient Records Invoices lease agreement supporting Adopt Implementation Utilization AIU EMR Reports supporting Meaningful Use attestation If the provider plans to include encounter counts from another payer s state the following documentation is required in an electronic format pdf Microsoft Word or Excel or jpeg and will need to be included with the electronic attestation Certification on official letterhead from the state Medicaid agency declaring the numbers obtained were derived from the state s MMIS and are accurate Report generated by the State Medicaid agency with the total Fee for Service Medicaid Managed Care and or Managed Care Organization encounter count and reporting period Please review DHS requirements and applicable provider manuals for the specific service requirements retention periods and lists OUT
135. ions to Complete NPI of Pay to Provider from CMS registration for your attestation Piease use the NPI from your NLR Registration Question Response Instructions to Complete Are you an active Medicaid Provider with DHS YES OR NO Question Response Instructions to Complete If the provider answers NO to both questions they wil not be able to able to demonstrate that they were Medicaid providers to the USVI EHR Incentive system and wil not be eligible for payment for the current year MMIS Provider Enrollment If you are no longer currently enrolled as a DHS provider with the above provider types were you enrolled in Medicaid with one of these provider types during the time period you intend to specify YES OR NO your Medicaid Volume previous calendar year If the provider answers YES to the first question but no to the below question the provider may need to wait until they have been actively enrolled for more than 90 days during this calendar year prior to attesting Question Response Instructions to Complete YEAR 1 Have you been an active Medicaid Provider with DHS for YES OR NO If no the provider is not eligible for provider any 90 day period over the last calendar year Question Response Instructions to Complete incentive payment for this calendar year YEARS 2 6 Were you an active Medicaid Provider with DHS during the entire calendar year last year in order to be eligible
136. ior s Selectors Identify the desired jitte ctatinri 1 rcl elect the Action you would like to perform Please note only one amp ction can be performed at a time oan this Plat Mame Tax Identitier Program i arme Em ldentifier CHP 2 F rzu11l1 Provider Mame 1 Ori r201 Figure 12 Attestation Instruction Page Page 34 USVI Electronic Health Record Provider Incentive Program 9 2 7 The Standard Buttons There are certain buttons found below the fields of each functional window that enables certain actions The available actions depend on the purpose of the window The most common buttons associated with USVI Medicaid EHR Incentive Payment Program are the Previous Page and the Save and Continue buttons The Previous Page button displays the previous page in page sequence The Save and Continue button must be selected If not any entries in the window are lost and must be reentered The Submit button is also an option and is used when the user is ready to submit the answers for review and possible payment Refer to Figure 13 elect the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed f PREVIOUS PAGE SAVE CONTINUE 8 Figure 13 Standard Buttons DRAFT Page 35 USVI Electronic Health Record Provider Incentive Program 10 U
137. is gov gt Sent Mon 12 22 2014 11 20 Michael giHealthcare com Subject PIP Attestation submitted Your PIP attestation has been successfully submitted you have two more days to change the attestation details before it will be processed NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Mm Figure 59 Email Submitted Attestation Page 98 USVI Electronic Health Record Provider Incentive Program 16 Error occurred when processing registration Email When the Attestation Application receives a registration from the National Level Repository NLR it must validate the EP s Medicaid EHR Incentive Program eligibility The email below is sent 1f the EP does not exist in the MMIS PIP Administrator VI pip admin amp vi mmis gov gt Sent Mon 12 22 2014 11 Michael Masterton amp MolinaHealthcare com Subject PIP Registration Medicaid Eligibility Check Failed Attestation not allowed The provider whose details are listed
138. k indicates a required field Record Demographics Objective Record demographics preferred language gender ethnicity date of birth Measure More than 5095 of all unique patients seen by the EP or admitted to the eligible hospital s CAH s inpatient or emergency department POS 21 23 have demographics recorded as structured data Complete the folowing information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who have all the elements of demographics tar a specific exclusion if the patient declined to provide one or more elements or If recording an element is contrary to state law recorded as structured data Denominator Number of unique patients seen by the EP during the EHR reporting period Numeratnr Denominatnr Please select the PREVIOLIS PAGE button to go back the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Core Question 7 Record Demographics DRAFT Page 119 USVI Electronic Health Record Provider Incentive Program Questionnaire 8 of 13 Red asterisk indicates a required field Record Vital Signs Objective Record and chart changes in vital signs Height length Weight Blood pressure age 3 and over Calculate and display BMI Plot and display growth charts for patients 0 20 years including BMI
139. l Process Effectiveness Population Public Health DRAFT CISLA v BOF OOA1 C gt 272 MOF 0043 C NISIO 3 MOF 005 2 CMTS S31 w2 MOF 0055 CMTS 2S MOF 0056 CCNTSO 222 MOF OO59 452 MOF 0060 SAT wv BOF 0062 CNSI63v2 MOF OO64 C NTSTOMu2 MOF 0068 CRISL Sb MOF 0065 CRISL SwA MOF CNISIGS3 MOF OOF 5 CNTSI 352 MOF 0081 CNMISI dd4 v2 0083 CNISIS3 MOF 0086 CNISIOJZ MOF 0088 CISA Aw 0089 C NTSI3SR ZA MOF 0101 C NTSITOIJvwv2 MOF O104 CINTST 2a MOF 0105 MOF 0108 a USVI Electronic Health Record Provider Incentive Program Tithe Prewentive Care and Screening Influenza Immunization Description Percentage of patients aged 6 months and older seen for wisrtt between October and March 31 who receted an influenza immunization OR who reported prewious receipt of an influenza immunization Title Pneumonia Vaccination Status for Older Adults Description Percentage of patients 65 years of age and older who hawe ewer received a pneumococcal vaccine Tithe Use of Imaging Studies for Low Back Pain Description Percentage of patients 18 50 years of age with a diagnosis of low back pain who did mot hawe an imaging study plain X ray MIRI CT scan within 28 days of the diagnosis Tithe Diabetes Eye Exarn Description Percentage of patients 18 75 years of age with diabetes who had a retinal er dilated eye
140. l infarction AMIS coronary artery bypass graft CABG or percutaneous transluminal coronary angioplasty PTCA from January 1 November 1 of the year prior to the measurement year or who had a diagnosis of ischemic vascular disease IVD during the measurement year and the year prior to the measurement year and who had documentation of use of aspirin or another antithrombotic during the measurement year Numeratar Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 28 IVD Use of Aspirin or another Antithrombotic DRAFT Page 157 USVI Electronic Health Record Provider Incentive Program Questionnaire 29 of 38 Red asterisk indicates ec required field MOF Of Title Initiation and Engagement of Alcohol and Other Drug Dependence Treatme nt gay Initiation Ere eerie at Description The percentage of adolescent and adult patients with a new episode of alcohol and other drug AOD dependence who initiate treatment through an inpatient AOD admission outpatient visit intensive encounter or partial hespitslizatian within 14 days of the disgnosis snd whe initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit Population criteria i dc Population crit
141. l validate if all fields have data entered Page 64 USVI Electronic Health Record Provider Incentive Program If any field does not contain an entry an error message will display Please enter the appropriate data If all fields contain responses the next action depends on the data entered O If the EP meets the 50 patient volume threshold needed to be considered to be practicing predominantly in an or RHC the EP will proceed to Volume Screen 4 If the EP does not meet the 50 patient volume threshold needed to be considered to be practicing predominantly in an FOHC or RHC then the EP will not be allowed to continue their attestation If the EP has questions or needs assistance they should call the USVI Medicaid Provider Services Help Desk at 855 248 7536 option 2 to speak with a USVI Medicaid EHR Incentive Program representative 10 4 1 3 3 Volume Screen 4 Needy Patient Volume EPs that practice predominantly in an FQHC or RHC are allowed to use a more inclusive Needy Individual patient volume measure to establish their eligibility for the USVI Medicaid EHR Incentive Program An EP practices predominantly at an FOHC or an RHC when the clinical location for over 50 of his her total patient encounters over a period of 6 months in the calendar year prior to the attestation year occur at an FQHC or RHC EPs who practice in an FQHC or RHC but do not meet the predominantly practicing threshold can still qu
142. lds displays with Update and Cancel buttons instead 3 Modify the information 4 Select Update To delete a document 1 Select Remove next to the desired document 2 Answer Are you sure question appropriately 3 Select Submit button This displays the Successful Submission screen An example is below Submission Receipt gt Abtest gt Submission Recent Successful Submission You have successfully attested for the Medicaid EHR Incentve Program IMPORT ANT Please Note This attestation has been submitted you have 48 hours to retum bo this attestahon amd make amy needed edits if necessary After 48 hours you will not be able to make changes unless the system or a Provider Services representative unlocks your attestation for edit The system will not process and validate your attestabo n until 46 hours have passed The zeluton will tend update messages to the e mal address provided dunn attestabon and NER registration regarding the status of processing and validating the attestation and attestation payment Attestation Tracking Information Registration ID 1000001693 Program Year 2014 Payment Year 1 Mame ALFREDO A RIVERA FRETTES Submitted Date 12 16 2014 Reason s for submission a You an Elgible Professsonal attesting for payment year in th incentrye program You have decided to resubmit your attestati n mndormmatio n Figure 56
143. lication 9 1 Breadcrumbs When a hyperlink is clicked the appropriate web page is displayed to the right of the navigation bar The breadcrumbs indicate the current position within the site Breadcrumbs are a visual representation of pages and sub pages followed to reach this page Select the underlined name to return to the specific page For the example screen the breadcrumb translates to the following e The gray text that is not underlined in the breadcrumb indicates the current section In this case it is the Meaningful Core Measures questions e The underlined text will display the page that it is assigned For example o displays the Attestation Topics Page o 4Sttestetions displays the Attestation Selection Page Attestation Meaningful Use Core Measures Art amp itationg gt Arrest gt Meaningful Use Core Measures Figure 7 Breadcrumbs 9 2 Use of the Navigation Features Every window of the USVI Medicaid EHR Incentive Program has a set of standard navigation features The features are located on the upper right hand corner of the application Refer to Figure 8 Back To VI MMIS Portal PIP Account Attestation Figure 8 Feature Description 9 2 1 Help Hyperlink Displays an electronic form of this document in a separate Internet Explorer window Page 30 USVI Electronic Health Record Provider Incentive Program 9 2 2 USVI Medicaid EHR Incentive Program Account Hyperlink
144. look up your certified EHR technologies CEHRT add them to the cart and then check out to obtain an EHR Certification Number for your CEHRT Certified Health IT Product List The Office of the National Coordinator for Health Information Technology HealthlT HHS Gov The Certified HIT Product List CHPL provides the authoritative comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT ONC Each Complete EHR and EHR Module listed below has been certified by an ONC Authorized Testing and Certification Body ONC ATCB and reported to ONC Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program Please send suggestions and comments regarding the Certified Health IT Product List CHPL to ONC certification hhs gov with CHPL in the subject line Vendors or developers with questions about their product s listing should contact the ONC Authorized Testing and Certification Body ONC ATCB that certified their product USING THE CHPL WEBSITE To browse the CHPL and review the comprehensive listing of certified products follow the steps outlined below 1 Select your practice type by selecting the Ambulatory or Inpatient buttons below 2 Select the Browse button to view the list of CHPL products To obtain a CMS EHR Certification ID
145. m esses 155 Clinical Quality Measure Question 25 CAD Drug Therapy for Lowering LDL Cholesterol 156 Clinical Quality Measure Question 26 Heart Failure Warfarin Therapy Patients with Atrial IO Rm 156 Clinical Quality Measure Question 27 IVD Blood Pressure Management 157 Clinical Quality Measure Question 28 IVD Use of Aspirin or another Antithrombotic 157 Clinical Quality Measure Question 29 Initiation and Engagement of Alcohol and Other Drug IS O 158 Clinical Quality Measure Question 30 Prenatal Care Screening for HIV 159 Clinical Quality Measure Question 31 Prenatal Care Anti D Immune Globulin 159 Clinical Quality Measure Question 32 Controlling High Blood Pressure 159 Clinical Quality Measure Question 33 Cervical Cancer Screening eeeeeeesssss 160 Page 10 Clinical Quality Measure Question 34 Clinical Quality Measure Question 35 Clinical Quality Measure Question 36 Clinical Quality Measure Question 37 and LDL Control Clinical Quality Measure Question 38 DRAFT USVI Electronic Health Record Provider Incentive Program Chlamydia Screening for Women 161 Use of Appropriate Medications for Asthma 162 Low Back Pain
146. m Status Requests 270 Eligibility Requests etc you are required to upload at least three test files indicated by a T the element ISA15 Usage Indicator with at minimum 15 transactions per file that receive no validation errors Upon passing the testing requirements you will automatically be certified to submit production transactions View your EDI transaction certification status by selecting Trading Partner Status under Account Maintenance Please note your Trading Partner ID was assigned at the time of registration and is displayed at the top of this page Interchange Acknowledgement TA1 responses are displayed at the time you upload your transactions Please be sure to check your EDI Responses SNIP levels 1 2 edits are returned on a 997 for 4010A1 transactions and on a 999 for 5010 transactions Levels 3 7 are returned on 824 for most transaction types The responses may be accessed by selecting Responses under File Exchange Response email alerts may be scheduled by using the amp Alerts feature Web Form Entry You may use web forms to submit claims referrals and authorizations and verify eligibility claim status and payment status Billing providers must be associated to this trading partner account to use these features see Provider Associations above These features are available under Form Entry Rendering providers affiliated with your billing provider will automatically be populated on web forms
147. mation that was entered Refer to Figure 23 5 The Previous Page button returns to the Registration Home Page Registration Status Registrations Registration Information Please review the registration summary below to ensure this is the correct registration information If any information is incorrect please update the information at the CMS Website Registration ID Business Address Name TIN MPI Payee NPI Payee TIN Incentive Program Medicaid G PREVIOUS Figure 23 Registration Tab Registration Information Page If invalid an error message displays The Add Registration page continues to display until the information is entered correctly or a navigation option 1 selected Registrations Add Registration Registration 0495idk not found Red asterisk indicates a required field Add a registration to your registrations list so that you can attest for the associated provider or simply view the attestation status and payment status of the registration account The registration must have been completed at the CMS website and received by the State Please allow at least 24 hours for the State to receive and process new or updated registration Enter the Registration ID you received in the submission receipt at the end of the CMS EHR incentive program registration process amp lso enter the NPI of the provider associated with the registration WARNING If the
148. mber of menu measure objectives that are relewant to their scope of practice and for which they are able to meet the measures You must submit at least one Meaningful Use Menu Measure from the public health list below even Exclusion applies to both Objective Measure Capability to submit electronic data to Immunization registries or immunization Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP eligible hospital or submits such information have the capacity to receive the information electronically information systems except where prohibited and in accordance with applicable law and practice Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an EP eligible hospital or CAH submits such information have the capacity to receive the information electronically Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited and in accordance with applicable law and practice You must submit additional Meaningful Use Menu Measures from the list below Objective Implement drug formulary checks Incorporate cli
149. mely available to the patient within four business days of being updated in the certified EHR technology electronic access to their health information subject to the EP s discretion to withhold certain information EXCLUSION Based on ALL patient records If an EP neither orders nor creates lab tests or information that would be contained in the problem list medication list medication allergy list or other information as listed at 45 CFR 170 304 9 during the EHR reporting period they would be excluded from this requirement tefie to yow Questionnaire 7 of 10 C Yes C No Red asterisk indicates a required field Patient Electronic Access Please select the PREVIOUS PAGE button to go Objective Provide patients with timely electronic access to their health information including lab results problem list medication lists medication allergies within four business days of the information PREVIOUS PAGE SAVE AND CONTINUE 9 being available to the EP Measure More than 1056 of all unique patients seen by the EP are provided timely available to the patient within four business days of being updated in the certified EHR technology electronic access to their health information subject to the EP s discretion to withhold certain information Complete the follawing information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in th
150. n sensory exam with monofilament ar pulse exam Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 83 Clinical Quality Measure Question 24 Diabetes Foot Exam DRAFT Page 155 USVI Electronic Health Record Provider Incentive Program Questionnaire 25 of 38 Red asterisk indicates a required field NOF 0074 PORI 197 Title Coronary Artery Disease CAD Drug Therapy for Lowering LOL Cholesterol Description Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed a lipid lowering therapy based on current ACC AHA guidelines Wumerator Denominator Exclusions Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 25 CAD Drug Therapy for Lowering LDL Cholesterol Questionnaire 26 of 38 Red asterisk indicates a required field NOF 0064 PQRI 200 Title Heart Failure HF Warfarin Therapy Patients with Atrial Fibrillation Description Percentage of all patients aged 18 and older with a diagnosis of heart failure and paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy Numeratar Denaminatar Exclusions Please select the PREVIOLIS PAGE button to go back or the SAV
151. n Selection Identify the desired regestraton and select the Achon you would ike to perform Achon Mame IT National Provider Identifier NET HLA Status Action Sepe ALFREDO XX 5399 554 135 Artie D ence Please select the ADD REGISTRATION button to add a registration to the list ADO REGISTRATION Figure 26 Registration Tab Remove Option The Remove hyperlink next to a registration ID removes the registration ID from the user ID The registration ID no longer displays in the registration and in the Attestation page Refer to Figure 26 The registration ID 1 still available for the user to reassign by executing the add registration steps as described in Section 10 3 1 The data that was entered is saved NOTE If someone else also registered the EP the data that was entered by this user will display Page 48 USVI Electronic Health Record Provider Incentive Program 10 4 Attestation The EP selects a registration and continues with populating the EP s attestation for that year The solution will walk the EP through a series of Attestation screens that directly relate to the provider workbook the state has provided to assist the provider with completing attestation The provider must complete these questions in order to proceed with submitting the attestation and potentially receiving payment The workbook provides the answers that will be entered in the appropriate screen so that the provider is pr
152. n the denominator generated and transmitted electronically Denominator Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the EHR reporting period Wumerator Denaminatar Please select the PREYIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Core Question 4 answered No to exclusions Page 116 USVI Electronic Health Record Provider Incentive Program Questionnaire 5 of 13 Red asterisk indicates a required field Active Medication List Objective Maintain active medication list Measure More than 8096 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient ar emergency department POS 21 23 have at least ane entry or an indication that the patient is not currently prescribed any medication recorded as structured data Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who have a medication or an indication that the patient is not currently prescribed any medication recorded as structured data Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE
153. ndividual question screen shot is displayed in the Clinical Quality Measures 38 questions Screen Shots section Pa aerate hearse Ss Atte stations Attest gt Additional Clinical Quality Pleasures Instructions Eligible Professionals are required to report on 1 additional Clinical Quality Measures 3 additional Clinical Quality Measures From the list below Tithe Diabetes Foor corntral Des crigpsetiom The percentage of patients 1 5 75 years of age writh diabetes 1 aer type zi Ho had 9 0 5 Mor 1 Diabetes LOL Management amp antral Des cripeptiom The percentage of patients 158 75 years of age writh diabetes trpe 1 aer type 23a who had 100rmardL Mor 4 FORI THe Diabetes Blood Pressure Management Des crigpetiom The percentage of patients 1 83 75 years of age writh diabetes itype 1 nr trpe 20 wrha had BF 140F90 mmHg Mor 006d FORI Heart Failure nagiaternzin t ornrvertirca Enzyme LA CEI Inhibitor or Angiotensin Receptor Blocker DODc1 LAR BAI Therapy for Letit entricular Systolic DOystumection LSD Pam Des cripetiom Percentage of patients aged 158 years and olderwith a diagnosis of heart failure and LSD EF 4 who were prescribed AL CE inhibitor or ARB therapy THe Coronary ren Disease CAD Beta Bl
154. nerated by the state Medicaid agency which identifies the total encounters and the reporting period used in the development of the report Mate The reporting period for O05 encounters must match the reporting period indicated during registration State Select Numerator Number of patient encounters at an or RHG in which the patientis a needy individual Denominator All patient encounters at an or RHE over the 90 day period Please selectthe ADD button to add out of state patient volume to the list Figure 38 Attestation Needy Out of State Patient Volume Entry Edit Screen DRAFT Page 69 USVI Electronic Health Record Provider Incentive Program 2 Enterin each value Definitions of each field may be found in the Needy Patient volume section above 3 Select Add To Edit Select Edit next to the state The Out of State Patient Volume Entry screen displays with your entries Modify the entries Select Update To Delete Select Remove on the desired state Respond appropriately to the Are you sure question 3 Select Save and Continue to save all changes 4 The system validates if all fields have data entered An error message displays if the user did not supply dates numerator and a denominator Please enter the appropriate data fall fields have been answered AND THE PATIENT IS ELIGIBLE the Incentive Payment schedule screen displays Ifthe provider does
155. nic prescnpbons witless 10 miles of the EP s practice location at the start of ts her EHR reporbng period Please select the exclusion opbon that appbes to you EPs who write fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement EPs must enter the number of prescriptions written during the EHR reporting period in the Exclusion box to attest to exclusion from this requirement Any EP who does not have pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP s practice location at the start of his her EHR reporting period None of the above exclusions apply to me Exclusion Box Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed 3 PREVIOUS PAGE SAVE AND CONTINUE E Meaningful Use Core Question 4 e Prescribing DRAFT Page 115 USVI Electronic Health Record Provider Incentive Program Questionnaire 4 of 13 Red asterisk indicates a required field e Prescribing eRx Objective Generate and transmit permissible prescriptions electronically Measure More than 4095 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of prescriptions i
156. nical Quality Measures from the list below You have selected 64 CQMs from 6 NQS domains Recommended core CQM for adult population Recommended core CQM for pediatric population Identifier s CMS146v2 NQF 0002 CMS137v2 NQF 0004 CMS165v2 NQF 0018 CMS156v2 NQF 0022 CMS155v2 NQF 0024 CMS138v2 NQF 0028 CMS125v2 NQF 0031 CMS124v2 NQF 0032 CMS153v2 NQF 0033 CMS130v2 NQF 0034 CMS126v2 NQF 0036 CMS117v2 NQF 0038 Clinical Quality Measure Title amp Description Title Appropriate Testing for Children with Pharyngitis Description Percentage of children 2 18 years of age who were diagnosed with pharyngitis ordered an antibiotic and received a group A streptococcus strep test for the episode Title Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Description Percentage of patients 13 years of age and older with a new episode of alcohol and other drug AOD dependence who received the following Two rates are reported a Percentage of patients who initiated treatment within 14 days of the diagnosis b Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit Title Controlling High Blood Pressure Description Percentage of patients 18 85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled 140 90mmHg
157. nical lab test results inte certified EHR technology as structured data Generate lists of patients by specific conditions to use for quality improvernent reduction of disparities research or outreach Send reminders to patients per patient preference for preventive follow up care Provide patients with timely electronic access to their health information including lab results problern list medication lists medication allergies within four business days of the information being available to the EP Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate The EP eligible hospital or CAH who receives a patient from another setting of care or provider of care or beliewes an encounter ts relevant should perform medication reconciliation The EP eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral Measure The EP Yeligible hospita CAH has enabled this functionality and has access te at least one internal or external drug formulary for the entire EHR reporting period More than 40 of all clinical lab tests results ordered by the EP or by an authorized provider of the eligible hospital or CAH for patients admitted ta its inpatient or emergency department POS 21 or 23 durin
158. nnaire 22 of 38 Red asterisk indicates a required field 0055 117 Title Diabetes Eye Exam Description The percentage of patients 18 75 years af age with diabetes type 1 ar type 2 who had a retinal dilated eye exam a negative retinal exam no evidence of retinopathy by an eye care professional Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE 8 CONTINUE button to proceed amp PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measures Question 22 Diabetes Eye Exam Page 154 USVI Electronic Health Record Provider Incentive Program Questionnaire 23 of 38 Red asterisk indicates a required field NOF 0062 PORT 119 Title Diabetes Urine Screening Description The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had a nephropathy screening test or evidence of nephropathy Numeratar Denominator Exclusions Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 83 Clinical Quality Measure Question 23 Diabetes Urine Screening Questionnaire 24 of 38 Red asterisk indicates a required field 0056 163 Title Diabetes Foot Exam Description The percentage af patients aged 18 75 years with diabetes type 1 or type 2 who had a foot exam visual inspectio
159. ns following this screen shot Out of State Medicaid Patient Volume If vou or your proxy provider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You will be asked to upload your supporting documents at the estation on the Submit Attestation page I A FA c d E AR R3 E OU A HERE a 3 Slate ee al Medicaid Encounters Total Patient Encounters sat 201 300 Remove Figure 34 Attestation Tab Out of State Medicaid Patient Volume DRAFT Page 61 USVI Electronic Health Record Provider Incentive Program Out of State Medicaid Patient Volume If you or your proxy provider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attach
160. nters at an POHO or RHO over the 90 day period Out of State Needy Patient Volfurive at FONC If you or your proxy provider saw patients who belong to another Medicaid payer aut of State and wish ta count these patients towards your tatal Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that wou add must be verified by a report from Medicaid State payer identified showing claims volume far the time frame specified and attached to this attestation You will be asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Mo needy patient volume records Please select the PREVIOUS PAGE button to go back the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Figure 37 Attestation Tab Needy Patient Volume at FQHC RHC 1 Enter the start date or end date of the EP s patient volume attestation period by typing in the date or selecting the calendar icon to the right of either box The application will then Page 66 USVI Electronic Health Record Provider Incentive Program automatically calculate the appropriate 90 day window for the EP s chosen patient volume period 2 Forthe selected 90 day patient volume period enter the number of patient encounters that meet the criteria for each question 2
161. ntive Payment solution by logging into the secure Medicaid provider online portal https www vimmis com USVI Health PAS Online Provider portal after waiting at minimum 48 hours for the Incentive registration to be processed and received by USVI Medicaid EHR Incentive program application from the NLR Providers who do not have access to the USVI Provider Web portal can request access via an online form at https www vimmis com NOTE If the provider wishes to receive any of the attestation update e mails from the USVI Medicaid EHR Incentive Program application the provider must add the email address to the CMS registration information The USVI Medicaid EHR Incentive Program solution will send emails to this address as the attestation status changes during the attestation process Page 14 USVI Electronic Health Record Provider Incentive Program 2 Information Needed Before a provider can begin to complete the EHR Incentive Program attestation process the provider or clinic practice will need to gather all of the information necessary to complete the attestation correctly The USVI Medicaid EHR Incentive Payment program has created a workbook to guide the provider or representative user through obtaining the appropriate data needed to complete an attestation successfully The workbook is available in PDF format This workbook is embedded within this User Manual in the immediate pages below as well as available on the vimmis com portal The P
162. o go back or the SAVE amp CONTINUE button to proceed EJ PREVIOUS PAGE SAVE AND CONTINUE E3 Figure 33 Attestation Tab Medicaid Patient Volume Page 60 USVI Electronic Health Record Provider Incentive Program Enter the start date or end date of the EP s patient volume period by typing in the date or selecting the calendar icon to the right of either box The application will then automatically calculate the appropriate 90 day window for the EP s chosen volume measurement period Enter the number of Medicaid Title XIX only fee for service and Medicaid managed care patient encounters for EP or proxy entity being used by the EP for the 90 day patient volume measurement period calculated at the top of the screen The sum of these two numbers will be the numerator for the patient volume calculation Do not add commas The application will insert commas as needed after entry Enter the total number of patient encounters for the EP or proxy entity being used by the EP for the 90 day patient volume measurement period calculated at the top of the screen This amount will be the denominator for the EP s patient volume calculation Do not add commas The application will insert commas as needed after entry Out of State Encounters Optional The screen allows for entry of out of state entries The following is a sample of a screen to display the different options available to the user Each option s instructions are bulleted sectio
163. o penr taot pee OS O eee ne no ne oe Jen ran SOSS OF pee eee ere Bee Services ee ea Orn Ony Orre Or eo eee Ae ood or Ae ees ee eee ec oer section 1115 oF ARRA poo Jor part or ON Or eo ar parit OF Oe ne os ees ed oe ees 5 Pore DEFINITION Services rendered on orny Onge doy to orm eo wiere CONF or COP derm es cron project section ITI of ARRA poid For port of three service Or ol or port of their premiums CO OP Fr OO Or COSE swearing oO DEFINITION The spsterm OUTO Tas ou er Peo E SLM Cee g DRrTGgeEPR TES bo ro eer OF reco y federal ne Period DEFINITION Tes pe re non oe Of oe ees re Oa Ae Pod fua te spec ed Gime Soom based oo eos Sime reir nacho Toran ant ses tas Figure 3 Eligible Provider Workbook Medicaid Volume Page 20 USVI Electronic Health Record Provider Incentive Program 2 4 Eligible Provider Attestation Workbook EHR Certification Information The workbook requests from the professional provider the EHR Certification information requirements for the USVI Medicaid EHR Incentive payment program attestation and informs the user where to find the EHR Certification number for the EHR system DRAFT Page 21 USVI Electronic Health Record Provider Incentive Program USWI Electronic Health Record Prowider Incentive Program _ it Profe
164. o receive the full incentive amount they qualify for EPs that practice predominantly at a Federally Qualified Health Center FQHC or a Rural Health Clinic RHC and do not meet their applicable Medicaid patient volume threshold will be able to use an alternate patient volume methodology which is discussed in sections 10 4 1 3 2 and 10 4 1 3 3 Page 58 USVI Electronic Health Record Provider Incentive Program 10 4 1 3 1 Out of State Encounters If the EP has significant Medicaid encounters from another Medicaid agency then this EP may add the encounters from the other state or states to his or her in state encounter count to meet the application Medicaid patient volume threshold Entering out of state patient volume is optional at the discretion of the EP The Volume page provides functionality to add and maintain out of state OOS volume counts When an attestation with OOS entries 1s submitted the attestation will be placed in a Pend status once the in state Medicaid patient encounter counts are validated USVI Medicaid department will review the attestation to ensure the appropriate documentation was provided and also to review the documentation to determine if the attestation will be accepted or rejected The EP must obtain the encounter counts from the other status s MMIS and be prepared to submit the following documentation Certification on official letterhead from the state Medicaid agency or agencies declaring the
165. oceed PREVIOUS PAGE SAVE AND CONTINUE 8 Clinical Quality Measure Question 10 HF Beta blocker Therapy for LVSD Page 148 USVI Electronic Health Record Provider Incentive Program Questionnaire 11 of 38 Red asterisk indicates a required field 0105 9 Title Anti depressant medication management a Effective Acute Phase Treatment bjEffective Continuation Phase Treatment Description The percentage af patients 18 years of age and older who were diagnosed with a new episode of major depression treated with antidepressant medication and who remained on an antidepressant medication treatment Numeratar 1 Denominatar NMumeratar 2 t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 11 Anti depressant medication management Questionnaire 12 of 38 Red asterisk indicates a required field 0086 12 Title Primary Open Angle Glaucoma POAG Optic Nerve Evaluation Description Percentage of patients aged 18 years and older with a diagnosis of POAG who have been seen for at least 2 office visits who have an optic nerve head evaluation during one or more office visits within 12 months Wumerator Denominator Exclusions Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONT
166. ocker Therapy for GADO Patients with Prior Infarction Por xh Furl Des cripetiom Percentage of patients aged 158 wears and older ith a diagnosis of GAD and prior MI Io were prescribed beta blocker therapy Figure 48 2013 Clinical Quality Measures Beginning of 38 CQMs Title Diabetic Retinopathy loarm rmniunication Sith the F ngeiciarnm Managing Ongoing Diabetes are g of pati nts aged 1 S ars and olderwrith grao cis e diabetic retinopathy bo Moco FORIS hada dilated macular or Tundus exam performed with documented communication to the Physician whoa Manages the Orn Ging care of the patient sith diabetes mellitus regarding the Tindinas of the macular OFr TMs ecarra at e a st once within TS ra Orth Tithe Asthma Pharmacologic Therapy Pep OF 7 Des Percentage of patients aged through 40 ye are with a diagno sis of mild moderate or severe Pomel So persistent a stara sow Pre seribed ither thie preferred dbcrii terrr central roecdicatioan circle d Corticosteroics or acceptable alternative treatment Title Asthma amp SSeS 8 Pc rcentagae of patients aged S 40 wyk ara with ca diagnosis of and who Mave been Seen Tor atleast office visits who were evraluated during atleast one office visit writhin d man
167. od af years or d wear after audits with any and al exceptionr having been declared resolved bw YoUr tate Medicaid office or the U S Department of Health and Human Service The provider must make all record and documentation available upon request to your tate Medicaid office and or DHHS Such record and documentation must include but not be limited toa c Financial Record Practicing Provider Information Ceoredentialss Identification of Service Site Date of Service for Each Service Component by Patient Patient Records oo 0 0 Invoices lease agreement upporting amp AdoptYImplementation WUtilization c Ils gt EMR Report Upporting Meaningful Wse attestatiam FOR AIU evidence CMS and State recommend that least one or more of the following documentation i retained x 1 iqned contract user agreement c o gt Purchase order ca Purchase receipt or gt license agreement TDMS and your state s Medicaid office recommend documentation are retained in case of audit Prowiders most maintain record In accordance with Federal regulation for a period of 5 years or 3 year after audits with any and all e xceptiam having been declared resolved by your state s Medicaid office or the WS Department of Health amd Human Service Mf estat
168. of care or provider of care provides a summary of care record for more than 5096 of transitions of care and referrals EXCLUSION Based on ALL patient records If an EP does not transfer a patient to another setting or refer a patient to another provider during the EHR reporting penod then they would be excluded from this requirement Questionnaire 10 of 10 Does this exclusion apply to you Red asterisk indicates a required field C Yes C No Transition of Care Summary Objective The EP ehgible hospital who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or roferral Measure The EP eligible hospital or CAH who transitions or refers their patient to another setting of care Please select the PREVIOUS PAGE button to go back or the or provider of care provides a summary of care record for more than 5096 of transitions of care and referrals 0 PREVIOUS PAGE SAVE AND CONTINUE 3 Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator Number of transitions of care and referrals in the denominator where a summary of care record was provided Denominator Number of transitions of care and referrals dunng the EHR reporting period for which the EP was the transfernng or referring provider Numerat
169. onic Health Record Provider Incentive Program Meaningful Use Menu Measures Atbestations gt Attest gt Meaningful Use Menu Measures Questionnaire Instructions When selecting five objectives from the Meaningful Use Menu Measure Objectives an EP may choose either one public health objective and four 4 additional objectives or both public health objectives and three 3 additional objectives Should the EP be able to meet the measure for one of these public health menu measure objectives and can attest that an exclusion applies for the other the EP is required to select and report on the public health menu measure objectives they are able to meet If the EP can attest to an exclusion from both public health menu measure objectives the EP must choose one of the two public health menu measure objectives and attest to the exclusion After completing the public health menu measure objectives the EP must report on additional menu measure objectives from outside the public health menu measures The EP should first select the menu measure objectives that are relewant to their scope of practice If the EP is unable to choose the required number of menu measure objectives that are relevant to their scope of practice then the EP can choose menu measure objective s with an exclusion until the required number of menu measure objectives is chosen However an EP should not claim an exclusion for a menu measure objective if there are the required nu
170. ons e Associate one or more Incentive Program Registrations with your user account e Venfy the content of an associated registration Attestation Tab Please select the Attestation tab above to perform any of the following actions e Attest for the Incentive Program e Continue Incomplete Attestation e Modify Existing Attestation e Discontinue Attestation Note You can attest for any registration associated with your user account Status Tab Please select the Status tab above to perform any of the following actions e View current status of your Attestation and Payments s for the Incentive Program Note You can view the status of any registration associated with your user account Department of Health amp Human Services ce Bureau for Medical Services ce rey Web Policies amp Important Links Accessibility e WV Medicaid Provider Services Box 2002 Charleston WV 25327 2002 b Figure 10 Home Page 9 2 5 Registration Tab The Registration tab displays the Registration Instruction page Refer to Figure 11 Page 32 USVI Electronic Health Record Provider Incentive Program Registrations Registration Instructions Welcome to the Registrabon Page Ekgible Professionals EP and Eagible Hospitals can register for the Medicaid EHR Incentive Program at the CMS Website Please allow at least 24 hours for the State to recerve and process your registration Once the State has received and processed you
171. ons wntten during the reporting penod m the Exclusion box to attest to exclusion from this requirement Does this exchusson apply to you C Yes No Exclusion Box lease select th PREVIOUS OUS PAGE button to go back or the SAVE amp CONTINUE button to proceed SAVE AND CONTINUE Meaningful Use Core Question 1 CPOE for Medication Orders DRAFT Page 111 USVI Electronic Health Record Provider Incentive Program Meaningful Use Core Measures Attestations gt Attest gt Meaningful Use Core Measures gt Core Measure Questionnaire 1 of 13 Red asterisk indicates a required field CPOE for Medication Orders Objective Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure More than 30 percent of medication orders created by the EP or authorized providers of the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period are recorded using CPOE Complete the following information All information entered may be subject to audit that could result in payment recoupment Numerator The number of patients in the denominator that have at least one medication order entered using CPOE Denominator Number of medication orders created by the EP during the EHR reporting period Numerator Denominator Fo
172. or Denominator lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE D Meaningful Use Menu Measure Question 10 Transition of Care Summary and answer No to exclusion DRAFT Page 139 USVI Electronic Health Record Provider Incentive Program 30 2013 ONLY Clinical Quality Measures Screen Shots Below are three questions screen shots that are required for response Questionnaire 1 of 3 Red asterisk indicates a required field All three Core Clinical Quality Measures must be submitted For each Core Clinical Quality Measure that has a denominator of zero an Alternate Core Clinical Quality Measure must also be submitted NQF 0421 PORI 128 Title Adult Weight Screening and Follow Up Description Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current visit documented in the medical record AND if the most recent 15 outside parameters a follow up plan is documented Population criteria 1 Numerator 1 Denominator Exclusions Population criteria 2 Numerator 2 Denominator Exclusions Flease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 9 Clinical Quality Measures Question 1 Adult Weight Screening and Follow up Questionnaire 2 of 3 Red
173. or more information on payment or eligibility for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding payment or eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 M Figure 67 Email Attestation payment denied DRAFT Page 105 USVI Electronic Health Record Provider Incentive Program 23 Attestation Payment Denied Pay Hold found Payment is denied if the provider is on pay hold and this email is sent 1f it is found PIP Administrator VI lt pip admin vi mmis gov gt Sent Mon 12 22 2014 11 30 To Michael Masterton MolinaHealthcare com Cc Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for rejection Provider is on a pay hold and not eligible for payment at this time For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provi
174. ore less than 5 This messure applies to beth patients with reve diagnosed and existir cy depression whese current PH 9 score indicates a need for treatment Tithe Depression Utilization of the PHO Tool Description Adult patients age LS and elder with the diagnosis of major depression oF dysthymia who hawe PMS S tool administered oat least once during a4 month period im wehich there was a qualifying wisrt Tithe Children fro Mave Dental Decay or Cavities Description Percentage of children age 0 20 years whe have had tooth decay or cavities during the measurement period Title Child and Adolescent iajor Depressive Disorder Suicide Risk Ossessrment Description Percentage of patient wisits for those patients aged 6 through L7 years with m diaqnmeosis of major depressive disorder with an assessment for suicide risk Tithe hAaternal Depression Screening Bee criptianm The percentage of children who turned 6 months of age during the rreasuirenmaemtyear who head a face te face wisit between the clinician and the child during child s first G months and who had a maternal depression screening for the at least once beterecn Uu and G months of life Tithe Primary Caries Prevention Intervention as Offered by Primary Care Proevwiders including Dentists Description Percentage of children age 0 20 years who recered a fTluicride warnish application curing the measurement period Tithe Preventive Care and Screening
175. ose 2013 MU Stage 1 If the provider chooses 2014 MU Stage 1 the provider must choose 9 out of 64 available CQMs 11 3 1 2013 MU Stage 1 Clinical Quality Measure Entry CMS instructions for 2013 MU Stage 1 Clinical Quality Measure entry follows e Select of at least one public health measure from the list e Ifthe denominator of any of the core measures is zero the provider will be required to answer three additional clinical quality measures e Select the remaining number of the required count from thirty eight questions The following are the error messages if the minimum requirements are not meant MESSAGE 1 User receives the following error and cannot continue attestation process until error is fixed e If user does not select any questions hears Lise MCNL ELLE E Attest gt Meaningful Use Menu Measures Torr react resofwe tise fofo error s fo contine Please select at least one public health measure MESSAGE 2 User receives the following error and cannot continue attestation process until error is fixed Page 82 USVI Electronic Health Record Provider Incentive Program e If the user selects less than 5 items which includes a public health question the following error message displays PFqdenrnbprjgfrf Use Menu Measures GAtbestations gt Attest gt meaningful Use Menu Measures Questionnaire You must resolve the following error s to continue Pl
176. p desk Thank you for using the PIP system Version 1 0 0 1 Figure 71 Email Attestation pended for validation of out of state entries DRAFT Page 109 USVI Electronic Health Record Provider Incentive Program 27 Attestation Failed Meaningful Use If a submitted attestation did not pass the meaningful use questions the email 1 sent to inform the EP PIP Administrator VI pip admin amp vi mmis gov gt Sent Mon 12 22 2014 11 36 A To Michael Masterton MolinaHealthcare com Cc Subject PIP Registration Medicaid Eligibility Check Failed Attestation not allowed The provider whose details are listed below is not allowed to participate in the payment incentive program at the current time for the reason listed below NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Reason for rejection Failed Meaningful Use For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Figure 72 Email Attestation failed meaningful use Page 110 USVI Electronic Health Record Provider Incentive Program 28 2013
177. pose of this screen is to provide an EP practicing predominantly in an FQHC an alternative Needy Individual patient volume measurement methodology to establish Medicaid EHR Incentive Program eligibility The EP must have performed 5046 of more of their overall patient encounters over a six month period in the calendar year prior to the attestation year in an FQHC or RHC in order to be eligible to use this alternative Needy Individual patient volume calculation Volume Screen 3 shown below in Figure 36 asks the EP to provide the necessary information to determine if they meet these criteria DRAFT Page 63 USVI Electronic Health Record Provider Incentive Program Hens Registration AT Gas Ti Status Fihglbilityw pt pion Atta Elu gesbslet Questionnaire 3 of 4 Red asterisk indicates a required field FOCA QHO Patient Volume SIT pu ge Pee Poet that petant welurmam you may be foe mars ee rr IE 4 gp BE aiam j Serres ape A federally YLi BI rf oem e haali ae E asm PoP amp B Pur el haaha elie Select SFr month peng j m The Breet i mlemdaer Leer Start Date End Date Complete the Fallowing uifaerrmatien Ama riu esr hiurnber patient encount Bun wh i t e lene ie t e ourred at an Por mI cla a ZA patent oen Hummari Ee EET a E Fisemze sele
178. ption 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Figure 69 Email Attestation payment denied Duplicate payment found DRAFT Page 107 USVI Electronic Health Record Provider Incentive Program 25 Attestation Rejected Email USVI Medicaid and USVI Medicaid Provider Services staff has the ability to review attestation and reject a submitted attestation When the attestation 1s rejected an email 1s sent to notify the user of the status change To find out more information please contact the USVI Medicaid Provider Services staff at 855 248 7536 option 2 From PIP Administrator VI lt pip admin vi mmis gov gt Sent Mon 12 22 2014 11 32 To Michael Masterton MolinaHealthcare com Subject PIP Attestation rejected The attestation whose details are listed below has been rejected during an internal audit NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP s
179. r additional email Email Address m nealthcare com Supporting Documentation Please upload supporting documentation PDF Word Excel or JPG related to out of state numbers if provided and or EHR documentation Supporting documentation of Out of State encounters claimed are required to be uploaded for validation Any registration claiming Out of State encounters will suspend until supporting documentation has been uploaded and validated Supporting documentation is defined as Certification on official letter head from the state Medicaid agency to the provider declaring the information provided was derived from their MMIS and is accurate An accompanying report generated by the state Medicaid agency which identifies the total encounters and the reporting period used in the development of the report Note The reporting period for OOS encounters must match the reporting period indicated during registration Add Document Date and Time Description Edit 01 20 2015 9 54 AM Test Document This is a test document Reason s You are an Eligible Professional attesting for a payment year in the incentive program You have decided to resubmit your attestation information PREVIOUS PAGE SUBMIT Figure 54 Attestation Tab Submit Attestation Check Email Address Page 92 USVI El
180. r additional information CMS 5 Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed 9 PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Core Question 1 CPOE for Medication Orders if exclusion does not apply Page 112 USVI Electronic Health Record Provider Incentive Program Questionnaire 2 of 13 Red asterisk indicates a required field Drug Interaction Checks Objective Implement drug drug and drug allergy interaction checks Measure The EP eligible haspital ZAH has enabled this functionality for the entire EHR reporting period Complete the following information Eligible professionals EPs must attest YES to having enabled drug drug and drug allergy Interaction checks for the length of the reporting period ta meet this measure C Yes C Nn Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Meaningful Use Core Measure Question 2 Drug Interaction Checks DRAFT Page 113 USVI Electronic Health Record Provider Incentive Program Questionnaire 3 of 13 Red asterisk indicates a required field Maintain Problem List Objective Maintain an up to date problem list of current and active diagnoses Measure More than 80 of all unique patients seen by the EP or admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at l
181. r registrabon you can add the regstration to the list below Registrations im thes kst will appear on the Attestation tab and the Status tab Select one of the following acbons to manage the regstrabons associated with your Incentive Program user account Add Registration Please select the ADD REGISTRATION button to associate a regstrabon with your EHR Incentive Program user account for any of the following reasons You are an EP or ebgible hospital and have completed the Medicaid EHR Incentive Program registration at the CMS Website You want to associate the registrabon with your EHR Incentive Program account to begn attestabon You are working on behalf of an EP or ekgible hospital and want to view the provider s EHR Incentrve Program records and or attest on behalf of the provider Select Registration Please select the Select action next to the registrabon in the list to view the registration informaton that was entered at the CMS Website and manage hospital payment calculation adjustments Remove Registration Please select the Remove action next to the registration m the kst to disassociate the registrab n from your EHR Incentrve Program user account The registration and attestation information will not be lost You re associate the regestration by selecting the ADD REGISTRATION button Registration Selection Identify the desired registrabon and select the Action you would Eke to perform
182. registration is for a provider other than yourself you must receive authorization from the provider associated with the registration before adding the registration to your list Registration ID passidk NPI B93940304 Figure 24 Add Registration Error Message The most common reasons why an error occurs Information entered incorrectly If necessary access the CMS NLR website at ehrincentives cms gov_to check the information or add a registration DRAFT Page 47 USVI Electronic Health Record Provider Incentive Program The registration ID will not be found if 48 hours has not expired after registering on the CMS web site The Cancel button is an additional option that is available Selecting the Cancel button does not add the registration ID and the Registration Home Page displays No additional registration ID displays 10 3 2 Registre ect Option Rede Jlection Ldent the desired regestraban and select the Acton you would ike to perform E Hame Tax bentii National Provider Identifier HFT HER Status Action jeher ALFREDO SSA 1385 Actret enc Please select the ADD REGISTRATION button to add a regestratb on to the list ADO REGISTRATION Figure 25 Registration Tab Registration Information Section Select the Select hyperlink and the registration details displays for the registration ID selected Refer to Figure 25 10 3 3 Registration Remove Option Registratio
183. relevant to their scope of C practice but height and weight are not is excluded from recording height and weight C None of the above exclusions apply to me Please select the PREYIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 83 Meaningful Use Core Question 8 Record vitals If provider selects exclusions 2 illustrated in the screenshot then the next question displays This means that the exclusion is claimed and the provider will not enter a numerator and denominator Page 120 USVI Electronic Health Record Provider Incentive Program If the provider selects exclusions 1 3 4 or 5 illustrated in the screenshot then the provider will enter in the numerator and denominator for this MU question using the existing numerator and denominator entry screen shown below Questionnaire 8 of 13 Red asterisk indicates a required field Record Vital Signs Objective Record and chart changes in vital signs Height length Weight Blood pressure tage 3 and over Calculate and display BMI Plat and display growth charts for patients 0 20 years including BMI Measure For more than 50 of all unique patients seen by the EP admitted to the eligible hospital s CAH s inpatient or emergency department POS 21 or 235 during the EHR reporting period have blood pressure for patients age 3 and over only and height and weight for all ages recorded
184. roceed PREVIOUS PAGE SAVE AND CONTINUE Figure 45 Meaningful Use Menu Measures List Page 80 USVI Electronic Health Record Provider Incentive Program e User must select at least one public health question and remaining questions to respond to by clicking in the box under the SELECT column for each question e Acheckmark indicates that you have selected that question The application will allow you to select more than the minimum 5 questions The following are the error messages if the minimum requirements are not meant MESSAGE 1 User receives the following error and cannot continue attestation process until error is fixed e If user does not select any questions e If user does not select any public health question Shear Lise RIEN stations gt Attest gt Meaningful Use Menu M Wo rprE amp S EK reso vre the error s fo contine Please select at least one public health measure MESSAGE 2 User receives the following error and cannot continue attestation process until error is fixed e If the user selects less than 5 items which includes a public health question the following error message displays Use Men Measures Gtbestations gt Attest gt meaningful Use Menu Measures Questionnaire You must resolve the following error s o continue Please select 5 menu measures The application will only display the questions that were
185. rovider Workbook provides the questions CMS requires and can be used to gather answers before logging into the USVI Medicaid EHR Incentive Payment program online application The items below are a sample of the topics needed to use the USVI Medicaid EHR Provider Incentive Program application in addition to the workbook 2 1 Eligible Provider Attestation Workbook Overview The first tab of the workbook describes the eligibility requirements for the professional provider and web requirements for utilizing the USVI Medicaid EHR Incentive payment program application DRAFT Page 15 USVI Electronic Health Record Provider Incentive Program USVI Electronic Health Record Provider Professional Provider Attestation Eligible Provider EP worksheet for Eligibility for USVI Provider Incentive Payment Program Eligibility and Attestation components of the USVI EHR Incentive Solution STATE LEVEL REGISTRY It is designed to gather detailed information regarding your practice and create summarized data for entry into the SLR This workbook can be used to help the provider calculate their patient volumes prior to completing their attestation online at vimmis com General instructions for completing this workbook The provider should complete the questions contained in the workbook ahead of time and have it on hand while they complete their online attestation within the USVI EHR Incentive Payment Solution accessible from vimmis com Please complete the
186. rposes of the Medicaid EHR Incentive Program if the EP 15 performing 90 or more of his encounters in an inpatient or emergency room setting the solution will PEND the attestation for further review The following section aids in determining whether a provider meets the threshold for being hospital based Page 56 USVI Electronic Health Record Provider Incentive Program Attestation Eligibility Atiestations gt Aitest gt Eligibility Questionnaire 1 of 4 Red asterisk indicates a required field Service Setting Hospital based eligible professionals are not eligible for incentive payments An ebgible professsonal i consxdered hospital based if 90 or more of his or her services are performed in a hospital inpatient Place Of Service cade 21 or emergency room Place Of Senate code 23 setting Complete the following information Did you perform 90 of your services in an inpatient hospital or emergency room hospital sating C wes C Please select the PREVIOUS PAGE button te go back of the SAVE amp CONTINUE button t proceed PREVIOUS PAGE SAVE AND CONTINUE 3 Figure 31 Attestation Tab Service Setting 1 Select YES if hospital based then select the Save and Continue button Eligibility Attestations Attest Eligibility Questionnaire I of 4 You are MOT currently eligible to receive an incentive payment under the Medicaid EHE Incentive Program
187. s a required field 0059 1 Title Diabetes Hb amp ic Poor Control Description The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had HbAi1c 239 096 t Numerator Denominator Exclusions Please select the PREVIOLIS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 1 Diabetes HbA1c Poor Control Questionnaire 2 of 38 Red asterisk indicates a required field NOF 0064 PORI 2 Title Diabetes LOL Management amp Control Description The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had LDL ec1 0mg dL Mumeratar 1 Denoaminatar Exclusions Mumeratar 2 Denoaminatar Exclusions Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp Clinical Quality Measure Question 2 Diabetes LDL Management amp Control Page 144 USVI Electronic Health Record Provider Incentive Program Questionnaire 3 of 38 Red asterisk indicates a required field 0061 Title Diabetes Blood Pressure Management Description The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had BP lt 140 90 mmHg Wumerator Denominator Exclusions Please select the PREVIO
188. s group practice s patient volume as a proxy for meeting the volume requirements Organization NPT Note The solution will validate all the claims wolume for the NPI of the organization you have identified where the organization is the pay to provider on the claim vs the claims submitted by the attesting provider as the attendina rendering provider Please make sure you are supplying the correct NPI for your organization Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed EB PREVIOUS PAGE SAVE AND CONTINUE E Figure 30 Attestation Tab Verify Registration Select Medicaid ID Purpose if an EP s NPI matches on more than one USVI Medicaid provider ID the EP may select which Medicaid provider ID they wish to use for his attestation or for receiving payments Displays the NLR submitted NPI number s matching Medicaid IDs for the payee that was registered for along with their active Medicaid ID enrollment dates Please note that the EP doesn t have to be an actively enrolled in Medicaid to be paid The EP needs to have a pay to affiliation active with USVI MMIS at the time of the attestation period submitted for volume and meaningful use Page 54 USVI Electronic Health Record Provider Incentive Program Dropdown box displays the Medicaid IDs Select drop down box option to display the Medicaid IDs that were found Highlight the desired ID and
189. s of age who gave birth during a 12 month period who received anti D immune globulin at 26 30 weeks gestation Numeratar Denominator Exclusians Please select the PREVIOLIS PAGE button to ga back or the SAVE CONTINUE button to proceed PREVIOUS PAGE Clinical Quality Measure Question 31 Prenatal Care Anti D Immune Globulin Questionnaire 32 of 38 Red asterisk indicates a required field NOF 0018 Title Controlling High Blood Pressure Description The percentage of patients 18 85 years of age who had a diagnosis of hypertension and whose BP was adequately controlled during the measurement year Wumerator t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed p PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 32 Controlling High Blood Pressure DRAFT Page 159 USVI Electronic Health Record Provider Incentive Program Questionnaire 33 of 38 Red asterisk indicates a required field 0032 Title Cervical Cancer Screening Description The percentage of women 21 64 years of age who received one or more Pap tests to screen for cervical cancer Wumerator Denominatar Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed a PREVIOLIS PAGE SAVE AND CONTINUE 5 Clinical Quality Measure Question 33 Cervical Cancer Screening
190. s recurrence receiving interstitial prostate brachvtherapy OF eternal bearn radiotherapy to the prostate re radical pre statectorny OR did met Fes za bone Sean Peerrerrcne d at ary tira Sines cdicuacpre i OT prostate cancer Tithe Srmoking and Tobacco Lis Ces sation Medical assistance a Advising Smokers and sers to Guit b Discussing Smoking and Tobacco Use Cessation Medications c Discussing Smoking and Tabacco Use Ges Strategies Description The percentage of patients 18 years of age and older web weere current smokers or tobacco users who weere seen by a practitioner during the measurement year and who received advice to quit smaking or tabacca ause or practitioner recommended or discussed smaking or tabacca use cessation medications methods or strategies OOS S THe Diabetes Eye rna Description The percentage of patients 1 S 75 years of age with diabetes 1 ur type 23 eho had a retinal or dilated ewe exam ora negative retinal exam no evidence of retinopathy bw an ewe care professional Mor Dom Diabetes Urine Screening DODGescription The percentage of patients 158 F5 years of age writh diabetes itype 1 or trpe 2a who had a nephropathy screening test or evidence of nephropathy Fer 0g Tithe Diabetes Foot Era Description The percentage of patients aged 1 S 75 years
191. selected The navigation is the same as was outlined in the Meaningful Use Core Measures section as shown again below The application will not validate if the required score has been met at the time of entry it will only tell the user if the appropriate questions have been completed or not The validation of meaningful use measures percentages is done after the attestation is submitted 11 2 1 Meaningful Use Question General Workflow Functionality Link to CMS definition DRAFT Page 81 USVI Electronic Health Record Provider Incentive Program Each meaningful use measure screen has a link to the CMS definition for the applicable requirements and detail of each measure for the EP to access and review the specific requirements for completing the numerator denominator for each measure and if applicable the criteria for being exempt from the particular meaningful use measure Save and Continue Button When selected a check is executed to determine if all required fields have information entered o If required fields are not completed the page will continue to display until required fields are corrected o If required fields are completed the next screen displays Previous Button Displays the previous screen 11 3 Clinical Quality Measures CMS instructions for Clinical Quality Measure CQMs are for 2013 CQMs which the provider can select if they are using 2011 CEHRT or a combination of 2011 and 2014 CEHRT and they cho
192. selected EHR period C Yes No Did you practice at multiple pra period C Yes C No 50 or more of your patient encounters the EHR reporting period must be at a ery ae or practices locations equipped with certified EHR technology Add Location Total Encounters Technology at this location Practice Name Location Address There are no practices locations entered Total Encounters All Practices Locations Percentage with Certified EHR Technology PREVIOUS PAGE SAVE AND CONTINUE amp Figure 42 Certified EHR Questions if EHR not certified 2014 Edition 7 Select Save and Continue The system validates if all fields have data entered Page 74 USVI Electronic Health Record Provider Incentive Program A Error message displays if the user did not supply EHR Certification number select an option supply a 90 day start and end date enter the appropriate data selected incorrect Meaningful use option for the certified EHR 8 If no errors occur the Core Meaningful use questionnaire displays DRAFT 75 USVI Electronic Health Record Provider Incentive Program 11 Meaningful Use Selected If the EP selected Meaningful Use in the EHR Certified Technology page the EP will need to provide responses to the meaningful use sections as outlined in the sections below 11 1 Meaningful Use Core Measures The requirements for entry of meaningful use cor
193. sians Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE Clinical Quality Measure Question 18 Oncology Breast Cancer Hormonal Therapy for Stage IC IIIC Page 152 USVI Electronic Health Record Provider Incentive Program Questionnaire 19 of 38 Red asterisk indicates a required field NOF 0385 PORI 72 Title Oncology Colon Cancer Chemotherapy for Stage III Colon Cancer Patients Description Percentage of patients aged 18 years and older with Stage IIIA through colon cancer who are referred for adjuvant chemotherapy prescribed adjuvant chemotherapy or have previously received adjuvant chemotherapy within the 12 month reporting period Numerator Denominatar Exclusians Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE Clinical Quality Measure Question 19 Oncology Colon Cancer Chemotherapy for Stage Questionnaire 20 of 38 Red asterisk indicates a required field 0389 102 Title Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Description Percentage of patients regardless of age with a diagnosis of prostate cancer at low risk of recurrence receiving Interstitial prostate brachytherapy OR external beam radiotherapy to the prostate OR radical prostatectomy
194. sing the USVI Medicaid EHR Incentive Program Application The USVI Medicaid EHR Incentive Program application guides the user through the CMS required questions to determine if a provider is eligible to receive provider incentive payments A workbook that contains the questions and the rules outlined by CMS 15 available and provides areas where answers may be recorded An eligible provider may enter the information or assign someone to enter the information on their behalf The list below contains the different sections Each section 1s discussed 1n detail Pre eligibility Checks which is done on the receipt of a registration ID from CMS Login instructions O How to Register an EP Entry of Eligibility responses Respond to practice setting Respond with Medicaid volume and determine if the amount is accurate If not then determine if certain criteria are met Payment Schedule Entry of CMS EHR information If meaningful use selected entry of meaningful use objectives and clinical quality measures information O Submit Attestation Page 36 USVI Electronic Health Record Provider Incentive Program The figure below is a pictorial view of the USVI Medicaid EHR Incentive Program application steps Logs into Accesses link Transferred to PIP Transferred to PIP VIMMIS com A solution on Provider gt m Hone Paz Provider Portal Portal 8 PIP Provi
195. ssional Prowider Attestation Worksheet EHR Solution for Meaningful Use Please select a 90 day period in the current year if you meet at least one of the following AIU 2013 Meaningful use 2014 Meaningful use CMS EHR Certification Number INSTRUCTIONS This fs the ONC Certified Health IT Product List ID for your EHR system Please review the web site below etpionc chpl force com enhrcert to obtain your ENR Certification number The solution wen check the ONC site to make sure this volid solution prior te glicewuing You to ubmityourdgtrtestutiorn rtified Health IT Preduct Lis eof the Patio ra rrriiraizwstcor for Hemsmith information Technr HHS Gow Ex ano eee aum product warm bor T ee as Ere ee c bm Oa Thee ecified Kiewit PT Product Lisi OHAL to DODRO certification hin oo ith OCHEL in the sie ct Birne Shoes aout SB oS oot ie C c IT ad Testing and CearsSication Gots COMSAT Enc cerned their LISP THE Coe TES STE TO eee Ee I ce ee Pe ee ee ee eee Ar Prage te te ge Eo ae Ense uk sy taria ma E Request ETEF 1 HELET YOHU AFLA e TY ee j l BOL ee ee eS T 1 ee l Ear 2 7 Leet e cm do ow Soe ie SUES Adopt inphenvent Uperade amp Meaningful Use
196. station and payment status The Submit amp Attest button remains disabled if the eligibility checks failed or not all required questions have been answered If the eligibility checks passed and all required questions are answered then the Submit amp Attest button 1s available On selection of the Submit amp Attest button the following screen displays DRAFT Page 91 USVI Electronic Health Record Provider Incentive Program Submit Attestation Attestations gt Attest gt Submit Attestation Attestation Information Red asterisk indicates a required field Please review the summary below to ensure this is the correct attestation information and reason you wish to submit If the summary below is correct select the SUBMIT button at the bottom of this page For changes to the Registration Data you need to please return to the CMS website IG to edit the information To make changes to your Attestation Details click the PREVIOUS button Registration Data Registration ID 1000 Business Address Name J 91 ESTATE TIN XXX XX 81000 55N St Thomas VI 00802 0 NPI 17000100010 Phone 3 3406430000 Payee NPI 1150001000 E Mail m oealthcare com Payee TIN 3000010002 Registration Status Active Incentive Program Medicaid Verify Email Address If you would like to add an additional notification email address to the original address you registered with please clear the email address field and reenter you
197. station period the following email will be sent PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 27 To Michael Masterton amp MolinaHealthcare com Cc Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for rejection Provider has no Medicaid claims in the State s Medicaid system For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 d Figure 64 Email Medicaid Claims not found If the solution found that claims counts could not be validated then the following email is sent PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 29 To Michael Masterton amp MolinaHealthcare com Cc Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NP
198. status assessments Tithe Furmctional Status Assessrment for Hip Replacernent Description Percentage of patients aged LP years and older with primary total hip arthroplasty THA who completed baseline and follows up patient reported functional status assessments Titler Furnctional Status Assessment for Complex C hronic Conditions Desocriptiom Percentage of patients aged 65 years and older with heart failure vlc cqornopleted initial and follow up patient reported functional status assessments Tith ADE Prevention and Pomnmiterimcg farfarim Time in Therapeutic Range Description secrage percentage of time in which patients aged L and older with atrial Fibrillation who are cr chronic warfarin therapy hawe International Mormalized Ratio IMRI test results within the therapeutic range Cre TTR during the messurement period Figure 52 2014 Clinical Measures continued Clinical Process Effectieress Patient and Fari Engagement Clinical Process Eff ectireness linical Process E ectihreness Efficient Lise of Healthcare Resources Clinical ProcessEffectiveness clinical FP recescsEffectiere ce Clinical Process Effectiveness Population Public Health Patient Safety Population Public Heslth Patient Safety Clinical Chimical Process EPfectivan ss Process Ef clinical Process Effectreenes s clinical
199. tage of Ry negative unsensitized patients regardless of age whaoa gave Hirth during a 1 2 month period who received anti O immune globulin at 26 30 wreeks gestation Tithe Controlling High Blood Pressure Description The percentage of patients 158 85 yvears of age who had diagnosis of hypertension and BPF wras adequately controlled during the measurement year Cervical Gancer Screening Description The percentage atvyvomen 21 64 years of age who received one or more Pap tests to Screen Tor cervical cancer Tithe Chlamydia Screening for women Description The percentage of wromen 15 24 years of age who were identified as sexually active and werh o had atleast one test for chlamydia during the measurement year Tithe Lise of Appropriate Medications for Asthma Description The percentage af patients 5 50 years of age during the measurement year who were identinied as having persistent asthma and vere appropriately prescribed medication during the measurement wear Report threes ace stratifications 5 11 ywears 12 50 years and total Title Low Back Pain Use af Imaging Studies Description The percentage af patients with a primary diagnosis of lov back pain who did not hawe an imaging study plain MF CT scan within 28 days of diagnosis Tittle zchiernic Disease Da Cormplete Lipid Panel and LOL c orntrol Description The percentage af patients 1 years of age and alderwhow wer
200. tate payer then you may add to your in State encounter count to achieve the required encounter volume USVI Medicaid department will review the attestation to ensure the appropriate documentation has been provided and also to review the documentation to determine if the attestation will be accepted The provider must obtain the counts from the out of State s Medicaid MMIS and be prepared to submit the following documentation e Certification on official letter head from the State Medicaid agency declaring the numbers obtained were derived from the State s MMIS and are accurate Report generated by the State Medicaid agency with the total Fee for Service and Managed Care Organization encounter count and reporting Out of State Volume You are not limited to four states Needy Out of State Volume you are not limited to four States Received Medicaid Medical Received CHIP Medical Assistance Assistance Uncompensated Care Sliding Scale Total Encounters Figure 5 Eligible Provider Workbook Out of State 2 6 Eligible Provider Attestation Workbook Meaningful Use Measures The remaining tabs in the workbook display the meaningful use Core Measures the Menu Measures and the Clinical Quality Measures that are required for attesting for meaningful use 2013 Stage 1 and 2014 Stage 1 DRAFT Page 23 USVI Electronic Health Record Provider Incentive Program 3 Required Supporting Documentation CMS and DHS recommends documentation be reta
201. tensin Receptor Blocker ARB Therapy for Left Ventricular Systolic Dysfunction LWSD Description Percentage of patients aged 18 years and older with a diagnosis of heart failure HF with a current or prior left ventricular ejection fraction LWEF 4076 who were prescribed ACE inhibitor or ARB therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge Tithe Heart Failure Beta Blocker Therapy for Left Ventricular Systolic Dysfunction Lv Sp Description Percentage of patients aged 18 years and older with a diagnosis of heart failure HF with a current of prior left ventricular ejection fraction LWEF 4076 who were prescribed beta blocker therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge Tithe Primary Open Angle Glaucoma POAG Optic Merre Evaluation Description Percentage of patients aged 18 years and older with a diagnosis of primary open angle glaucoma POAG who hawe an optic nere head evaluation during one or more office wisits within 12 months Tithe Diabetic Retinopathy Documentation of Presence or Absence of Macular Ederna and Lewel of Severity of Retinopathy Description Percentage of patients aged 18 wears and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular
202. testation errors Alternatively EPs can log in to the application and select the Status tab to display their current attestation status DRAFT Page 95 USVI Electronic Health Record Provider Incentive Program 13 Status Grid The table lists the attestation status that may occur Anestaton Not Allowed Prowders egstraton dd rot pssst Attestaton in Progress Prowder has opened ther atiestanon ands pctvely eding 1 i doo L5 Ag 5090025 BODE SS Biller 05 MESO for ee hnal prowder check i nun cance Bnd re s on ba bs a um Ampt 2 Ore OSyS Bet 007 S56 On ng fesaized Prowder sees Pended Provdersees Resubmit and the Bporoo Me mess spe forthe T SEE Wier 3716519707 9 176 The status w be Acceoted taton remains on the Status tad only Waiting for payment validation from NLR Figure 57 Attestation Status Grid Page 96 USVI Electronic Health Record Provider Incentive Program 14 Successful Registration with CMS Email After registering with CMS it may take 48 hours before this message 1s received The delay is for CMS processing registration and sending them to the appropriate State repository The Provider Portal application will receive the registration in the State repository and process registration The Provider Portal application checks that the provider is a valid provider type and has active enrollment in Medicaid
203. the EHR Incentive Solution after validation process or by the BMS Provider Services staff after an internal review The attestation will now proceed to the next stage of the validation process that checks whether a duplicate payment for Medicaid attestation was made in this State or another State during the current attestation period NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 rid Figure 61 Email Accepted Attestation Page 100 USVI Electronic Health Record Provider Incentive Program 18 Error Occurred While Processing Registration Medicaid Enrollment failed Email The following checks are made when an attestation is received from the NLR The email below displays all the possible error messages for the following checks 1 Check if the provider is enrolled in Medicaid program during the attestation period 2 Check if the provider type that was selected when registering on the CMS site matches the provider
204. the National Provider Identifier NPI to uniquely identify the provider It is used within the CMS NLR environment to identify the provider and the provider incentive status A registration ID is required in order to register and execute the attestation steps A registration ID 1s obtained after using the CMS website to register the provider The URL to CMS registration site is below Please contact CMS if additional help is needed when using this URL https ehrincentives cms gov hitech login action After executing the CMS registration process please wait at least 48 hours before executing this step This allows CMS time to send the information to the USVI Medicaid EHR Incentive Program Attestation Application The Register tab allows the user to associate one or more provider registrations to the VIMMIS com account view registration IDs that are attached to the VIMMIS com account and detach any provider registrations from the VIMMIS com account Please obtain authorization from the provider to enter the data on his behalf Registering the provider must be done before the user 1s allowed to attest This step ensures that only the appropriate individual has access to the provider s information and can enter the data needed for attestation 1 To view add and remove registrations click the Registration tab on the navigation bar Figure 19 Registration Tab 2 The Registration Home Page displays Refer to Figure 20 Page 44
205. ths for The Te guernes Cure rics of d aytim e and mocturna l atha mor ooos Tithe Appropriate Testing for Children with PA aren giti PORI se Dessc cription The percentage of children 2 le vears of age wero cere diagnosed vith gitis dit pen Sec zara antibiotic and received group s Sstreptococeus Stre pl test Tor the episode Thile Oncology Breast 0 Hormonal Therapy for Stage 12 Estrogen Receptor roge sterane Mor Receptor E RNF Postittve Breast PaRI Fi Description Percentage aT Termale patient aged IS years and Older swith Sta ge IO through ER or positive breast were pre erib tarnoanxifen or arora ata Se iribiibiters cet during the d S rmanth reporting Period Thile 1 gy 2 2 er CGA ermm Ot era py Tor Stage 111 Golon Ganc er Patients Dieser Fere antage OT patients aged d S yve ars and older writh Stage IAS through tice celan cancer were are referred Tor adjuvant chernotherapy prescribed acdiuvant chernotherapy Or have previouSsiy received adjuvant cChHermotherapy Sithin the 1 S roomth rep Ortinga period Tithe Prostate lancer of Oweru se of Aone Scan for Staging Loves Risk Prostate Cancer Patients ror noma FPercentagde of Patients regardless at age With a diagnosis OT prostate cancer at lowe Fisk oF Forel to
206. tice s mate AOUE Or ot Seat rr wep EPS may oes i ee AOIL eee Ire ee ooo GOUDA CIMIC Ome ene Peor ese tre EP works im botir te Oro OUSE ee Cic qur Weri oe ase XT eeu oe tirem tre Ocoee derel ene oe eee ss oily ROSE EmCOLTESrS CRHRSGRBIPEPEEP eer re MASTR UOCTIONS The NPI of och provider practice which cr fefIbr Provider Wishes tO USE Jor te See ee oon nre given provider s WAN oas thre Fry To provider WEI orn te cioim SEE ABOVE FOR ROLES SELECTION A USAGE OF PROX SS Pa n n 4 Vl n i Owe ral Whedicaid Patient Wolbunme WOITE OT EWCOCOOUMNTER DEFINITION Arn encounter shoidd be refiected oer OS re more Cho Jor te some mores yr tie sarme rendering OSs cio or the sarme Darte of service DODOS This slew be GT acr OF oo oe eae Geer occorre Of service AAS ue see ees im re day period oes AWN ee od ed ees Poy Petes OEE oe Oo services The USVI ENR eee Poet sooo Wii graue oer eer re WINNS Ss es O wooo fne PTS LCT eS Tris sol O report Of provider gt reqaraless of source Fro Gd powder Proctice fefarrnagqenrnenrc Systend Praise De neorstrathe they are Pr cticimng Predominaterly in an FH RHC who cho mot meet the uero Anne eo eee eee eE Oe ees e
207. tion DRAFT USVI Electronic Health Record Provider Incentive Program Enable Accessibility Trading Partner ID VITPID000107 Welcome provTest Online Help 9 Sign Out GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES Department of Human Services Working Together to Make a Difference This site gt Medical Assistance Program Secure Provider Homepage Welcome to ands Medicaid Health PAS Online USVI MAP trading partner accounts support multiple users in compliance with HIPAA security regulations If you have additional employees that require access to your trading partner information or need to submit transactions please invite the users and set security permissions by selecting Manage Users under Account Maintenance Associate Billing Providers to Your Trading Partner Account When you created this account you were required to link the trading partner account to a billing provider If you have additional billing providers please select Provider Associations under Account Maintenance to add your remaining billing providers Billing Providers must be associated to your trading partner account to use the web form entry features of this site X12 Submission HIPAA X12 transactions may be submitted using the X12 Upload feature under amp File Exchange in the left navigation menu You must be certified to submit production transactions For each transaction you intend to submit 837P Professional Claims 276 Clai
208. tions l DRAFT The clinic or group practice s patient volume is appropriate as a patient volume methodology calculation for the EP for example if an EP only sees Medicare commercial or self pay patients this is not an appropriate calculation There is an auditable data source to support the clinic s patient volume determination The practice and EPs decide to use one methodology in each year in other words clinics could not have some of the EPs using their individual patient volume for patients seen at the clinic while others use the clinic level data The clinic or practice must use the entire practice s patient volume and not limit it in any way EPs may attest to patient volume under the individual calculation or the group clinic proxy in any participation year Furthermore if the EP works in both the clinic and outside the clinic or with and outside a group practice then the clinic practice level determination includes only those encounters associated with the clinic practice Page 27 USVI Electronic Health Record Provider Incentive Program 7 Finding EHR Certification Number The Office of the National Coordinator Authorized Testing and Certification Body ONC 1 the body that tests and certifies electronic health record EHR systems If the EHR system is approved it is assigned a certification number The website below is the Certified Health IT Product List website http onc chpl force com ehrcert to
209. type on the provider s enrollment record 3 Check if the payee NPI entered when registering on the CMS site 1 found when validating the attesting provider s payees on the Medicaid record PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 25 Michael Masterton MolinaHealthcare com Subject PIP Registration Medicaid Eligibility Check Failed Attestation not allowed The provider whose details are listed below is not allowed to participate in the payment incentive program at the current time for the reason listed below NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Reason for rejection Provider is not enrolled with Medicaid for the current MU attestation period or selected Medicaid volume attestation period For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Figure 62 Email Enrollment Failed DRAFT Page 101 USVI Electronic Health Record Provider Incentive Program 19 Attestation Error Practice predominately in a Hospital Setting Email Claims checks are part of the pro
210. uality SSeeseere from the lit 6 5 ore ong wb V burra stor tor Carte 52 Dig COmecrapttamc Peri etege 00 waer 50 year ace dans nom t D 02 Char De teatron Geptervoer etnia Ute Ac bes acu meter tor furens am 6o Tre peecencueoe Of 20 T pears Of ape mc n ph dgio wee ret em PCP oF CEA anc ete Nac ereraa e of DRE per erie SOcumrvtaE amp cn lt cst settee fo reson am for decl fo Chor Te le et steerer ree Sie hee edo 3 5 Cwecrupiiumec The peccertege of gt years of age eho fed fer Ger therts_ teterars a petes as OT V Merwe pono OFS 0 03 art Ces Tero 4 hoe bosse fte one ctcben poe wv four peeMurnmococrca COV fev A O40 AQ ho Or robes CRUS amd fern vr uere Oxo vectes DV Pree ord Detur The aetate ot dec wet OTS eben Sane ST The FRE VIOUS PACE hor to Go bect SAVE m CONTENRIE Caution o proceed EB Peeves pace SANE AND CONTINUE EB DRAFT Page 83 USVI Electronic Health Record Provider Incentive Program Figure 47 2013 Clinical Quality Measures if zero in denominator The EP needs to select the remaining number of the required count from thirty eight questions The following figure displays the list of questions The i
211. uestions are completed during attestation but does not validate that the responses entered meet the percentage threshold required for meaningful use of an EHR system until after the questionnaire is submitted At this point the system will reject the provider if the provider does not meet the requirement percentiles for appropriate EHR usage 11 1 3 Meaningful Use Core Question General Workflow Functionality Link to CMS definition O Regardless of 2013 or 2014 each meaningful use measure screen has a link to the CMS definition for the applicable requirements and detail of each measure for the EP to access and review the specific requirements for completing the numerator denominator for each measure and if applicable the criteria for being exempt from the particular meaningful use measure Save and Continue Button When selected a check is executed to determine if all required fields have information entered o If required fields are not completed the page will continue to display until required fields are corrected o If required fields are completed the next screen displays Previous Button Displays the previous screen 11 2 Meaningful Use Menu Measures CMS requires that the provider must select a minimum of five questions and one question must be a public health question for any of the selected option of 2013 Meaningful Use 2011 CEHRT or a combination of 2011 and 2014 CEHRT or 2014 MU Stage 1 DRAFT Page 79 USVI Electr
212. vider Service EHR CMS and your state s Medicaid office recommends documentation are retained in case of audit Please rewiew your state s Medicaid requirements and applicable provider manuals for the specific service requirements retention periods and lists Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS The provider must make all records and documentation available upon request to your state s Medicaid office and or DHHS Such records and documentation must include but not be limited to Financial Records Practicing Provider Information credentials Identification of Service Sites Dates of Service for Each Service Component by Patient Patient Records Invoices lease agreement supporting A amp dopt Implementation Utilization AIU EMR Reports supporting Meaningful Use attestation FOR evidence CMS and State recommends that a least one or more of the following documentation is retained a signed contract a user agreement purchase order purchase receipt or license agreement CMS and your state s Medicaid office recommends documentation are retained in case of audit Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits with any and all
213. volume is greater than 20 but less than 30 he will receive a 2 3 Medicaid EHR Incentive Program payment Pediatricians who achieve 30 eligible patient volume are eligible to receive the full Medicaid EHR Incentive Program payment amount 10 4 1 1 Encounter Calculation For purposes of calculating EP eligible patient volume a Medicaid encounter as defined by the USVI Medicaid EHR Incentive Program is An encounter should be a reflected in the count as one or more claims for the same patient for the same rendering physician for the same date of service DOS This should be a count of unduplicated per patient per date of service Medicaid Claim Based Encounters in the 90 day period This includes all Medicaid paid encounters including inpatient outpatient and emergency room services The USVI Medicaid EHR Incentive Payment solution will run a report from the MMIS system to validate the FFS encounter count within the numerator In other words Eligible Professionals should count the following as 1 patient encounter 1 to many claims for the same patient where the claim has the same DOS and the same rendering attending provider All claims related to the actual encounter with the patient for the same date same provider 10 4 1 2 Eligibility Screen 1 Service Setting In addition to the overall Medicaid patient volume thresholds only EPs that are not hospital based are eligible to receive Medicaid EHR Incentive Program payments For the pu
214. y Relercesce U you have amy please contact us at 240 715 6979 Companion Guides Peres Thank you for your servece to Medced members a we look forward to our contiewed partnership moro Q ww ng the heath of Vago Isande obzens Prequenty Ashes Quessons Newsietiers Manus Regetered Agenoes an Oe ngo ses Que Codes Tram Done Q Trusted ates Protected Mode Off Figure 15 USVI Login Screen Prepare to Logon by entering in Logon Name and Password in the appropriate entry boxes and select Submit e Enter Provider Web portal user ID e Enter Provider Web portal password e Select Submit button On the Welcome window select the USVI EHR Incentive Program option to display the Provider Incentive Program About This Site page Refer to Figure 17 Page 40 Provider Account Maintenance 9 File Exchange 3 Form Entry Claim Submission Claim Status B Eligibility Verification W Patient Roster W Provider Payment Stat 4 USVI EHR Incentive Program Alerts amp Notifications Contact Us Announcements Contact Us ICD 10 Transition Provider Directory Reference Companion Guides Forms Frequently Asked Questions a Newsletters a Provider Manual Registered Billing Agencies and Clearinghouses User Guides Training Training Calendar Training Documents a USVI Medicaid Training Center USVI Medicaid Training Center Registra
215. y of their patients demographic data into the EHR or establishing data exchange agreements and relationships between the provider s certified EHR technology and other prowiders such as laboratories and pharmacies Upgrade To expand the available functionality of certified EHR technolory The provider has added clinical decision support e prescribing functionality or other enhancements that facilitate the meaningful use of certified EHE technology An example of upgrading that would quality for the EHR incentive payment would be upgrading from an existing EHR newer version that is certified the EHR certification criteria promulgated bythe Office of the National Coordinator ONC related to meaningful use Upgrading may also mean expanding the functionality of an EHR in order to render it certifiable per the ONC EHR certification criteria http healthit hhzs zow portal zserxcer pt conmnmiunity hcealthit hhzs mov home 1204 2013 Meaningful use If your EHR Edition is either IF EHR is 2011 Edition or Combination of 20135 and 2014 Edition you will be required to response to 2015 Meaningful measures 2014 Meaningful use lf your EHR Edition is either IF is 2014 Edition or Combination of 2013 and 2014 Edition you will be required to response to 2014 Meaningful use measures Field Value Description Adopt inpbenvent Uperade See Definition Abowe for Help with Selection Select Adopt Implement cr
216. y the Attestation Selection Page On selection of the Start Attestation button the Registration Information Page will display DRAFT Page 53 USVI Electronic Health Record Provider Incentive Program Eligibility Atbestations gt Attest Venfy Registration Verify Registration Information Red asterisk indicates a required field Please review the registration summary below to ensure this is the correct registration information If the information below is correct select the SAVE AND CONTINUE button to proceed with attestation If the information is incorrect then please retum to the CMS website to edit the information Registration ID 10 Business Address Proveder Marre PO BOX 4 TIN XXX XX 1234 SSN Charleston WY 25364 4009 17 Phone 4 3012881288 Payee NPI 18 E Mail kcapibiealtheare com Payee TIN 12346798 Incentive Program Medicaid Please select the Medicaid ID associated with NPI 17 Medicaid ID 10000000008 10 14 2010 12 31 2078 Please select the Medicaid ID associated with 18 Payee Medicaid ID 0000005000 10 1 2001 12 31 2078 Does the attesting provider wish to use their group practice s patient volume as a proxy for their own for the purpose of meeting the 30 Medicaid volume required for meeting incentive payment requirements C Yes If Yes then please enter the NPI of your practice organization you are electing to use a
217. yments for Providers Calendar Medicaid EPs who begin adoption in Year 2011 2012 2013 2014 2015 2011 21 250 2021 8 500 Total 63 750 63 750 63 750 63 750 63 750 63 750 Figure 40 Eligible Providers payment calendar 10 4 3 Certified EHR Technology The Office of the National Coordinator Authorized Testing and Certification Body ONC ATCB 1s the body that tests and certifies electronic health record EHR systems If the EHR system is approved it is assigned a certification number The website below is the Certified Health IT Product List website http onc chpl force com ehrcert to look up your certified EHR technologies CEHRT add them to the cart and then check out to obtain a EHR Certification DRAFT Page 71 USVI Electronic Health Record Provider Incentive Program Number for your CEHRT The figure below is the attestation screen to enter in the EHR certification number for the system you are using Certified EHR Technology Attestations gt Attest gt Certified EHR Technology EHR Certification ID Red asterisk indicates a required field Instructions The Medicare and Medicaid EHR Incentive Programs require the use of certified EHR technology Standards implementation specifications and certification criteria for EHR technology have been adopted by the Secretary of the Department of Health and Human Services EHR technology must be tested and certified by an Office of the National Coordinator ONC
218. ystem Version 1 0 0 1 Figure 70 Email Attestation rejected Page 108 USVI Electronic Health Record Provider Incentive Program 26 Attestation Pended for Out of State Entries If a submitted attestation has passed volume checks and has out of state entries the attestation will be pended The USVI Medicaid and USVI Medicaid Provider Services staff will review the required documentation and determine if the attestation is acceptable or not The following email indicates that the attestation was Pended To find out more information please contact the USVI Medicaid Provider Services staff at 855 248 7536 option 2 PIP Administrator VI pip admin amp vi mmis gov gt Sent Mon 12 22 2014 11 Michael Masterton amp MolinaHealthcare com Subject PIP Attestation pended for review The attestation whose details are listed below is being reviewed by the state NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for pending review Attestation contains Out of State Patient volumes For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program hel

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