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User Manual - Iowa EHR Medicaid

1. 10 Do you practice in multiple locations Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaningful Use Calculator Remove Edit Document Name Add Document Figure 9 EP Provider Questions 2 Page 13 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 4 1 2 EHR Questions e Have you adopted implemented or upgraded to certified electronic health record EHR technology o Yes o No In order to attest you must have adopted implemented or upgraded to certified electronic health record technology e CMS EHR Certification number o If you included your EHR Certification number in your CMS registration this field is pre populated with that number Please verify this number is accurate and correct if needed You can make the correction either at the CMS site or on the PIPP site o If you did not include your EHR Certification number in your CMS registration you must enter this number here A valid EHR Certification number is required on this page o FOR MEANINGFUL USE YEARS The CMS EHR Certification number used in previous years will not be displayed you will need to enter your EHR Certification number e A valid EHR Certification number must be entered e If the EHR Certification number you enter does not match the EHR
2. Figure 21 Quick View Answers More link The More link will expand the Answer box to provide detailed information on the measure for the objective Details about the exclusion 1f applicable are displayed as well as details for the numerator and denominator whe Phe Ep Ph SS EETA C Be Lo Ob a i LPL Hi Ci k CI i a Objective 495 6 d 1 i Use computerized provider order entry 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 Does this exclusion apply to you Oves No 1 Numerator More The denominator data was extracted from ALL patient records not just those maintained using certified EHR technology only from patient records maintained using certified EHR technolog Figure 22 More Link Page 22 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services g INCENTIVE PROGRAM Objective 495 6 d 1 i Use computerized provider order entry 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 all unique patients with atleast one medication in their medication list seen by the EP have atleast one medication order entered using CPOE i Exclusion Based on ALL patient records Any EP who wri
3. Provider Questions Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs stateia us 1 Are you currently enrolled as an Iowa Medicaid provider Not Answered v 2 My professional license number is 3 Do you have any sanctions pending against you Not Answered v 4 What is the NPI of the organization for which you bill 5 Hospital based EPs are not eligible for the incentive payment Are you a hospital based provider 6 Are you a Pediatrician Not Answered v 7 Do you practice predominately in an FQHC RHC How is your clinic so led by a PA Not Answered v 8 Are you attesting at group or individual level Not Answered Document Name CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaningful Use Calculator Add Document Figure 8 EP Provider Questions 1 bowa Department of Human Services UserID User Role Provider Log Out Home Apply for Incentive Attest Appeals CMS Registration site lowa EHR Medicaid Incentive Payment Administration integration Testing Provider Attactatinn Document Criteria Pe pym eer peste e me geen eana nanan How is your clinic so led by a PA Not Answered v 8 Are you attesting at group or individual level Not Answered v 9 Are you currently seeing Medicaid patients billed through a supervising physician Enter your supervising physicians NPI
4. Self x Register with CMS CMS Registration Number FAQ NPI gt Provider Information ee Tax ID 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Find Quick Links Note CMS EHR Incentive Program e Select the User Role from the drop down box ELIE e Enter your CMS Registration Number Certified Health IT Product List e This is the number received after completing registration at the CMS CHPL Registration and Attestation web site If you have forgotten or lost this CMS Meaninaful Use Calculat CMS Meaninaful Use Calculator number please call the CMS Help Desk at 1 888 734 6433 IME does not STUN eS sat have this number e Enter your NPI e This is the NPI you used to register with CMS If you are an Eligible Professional this is your individual NPI e Enter your Tax ID e This is the Tax ID you used to register with CMS If you are an Eligible Professional this is your individual Tax Identification Number or your Social Security Number e Click Find e Once you have established your User Account you will receive a confirmation email which includes an Activation link This link must be used to activate your user account before system access is allowed Resetting of your password will not activate your account Figure 2 Create New User 1 Page 3 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 1 3 Create New User Name and Password If you receive an error a
5. 1 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services INCENTIVE PROGRAM 2 External Users EP and EH ATTENTION This application requires Silverlight Silverlight is free and can be downloaded at http www silverlight net downloads Please contact your IT staff if you need assistance Prior to gaining access to the IME PIPP portal EHR registration must be completed at the CMS Registration and Attestation website Once IME receives notice from CMS in an overnight update file indicating a provider has successfully registered for a Medicaid incentive payment from Iowa PIPP sends an invitation to register with IME using IME PIPP portal The invitation is sent to the email address used during CMS registration 2 1 Registration Upon receipt of the email invitation to register in IME PIPP portal go to http www imeincentives com to create an account 2 1 1 Access Provider Web Registration Click on the Provider Web Registration link on the left side of the screen lowa EHR Medicaid Incentive Payment Administration Web Portal Overview Login Welcome to the lowa Medicaid Enterprise IME Provider Incentive Payment Program PIPP web portal This portal provides communication data exchange and self service tools to providers participating in the EHR Incentive Program under Section 4201 of the American Reinvestment and Recovery Act ARRA of 2009 PIPP consists of both public
6. Add Document ke Document Criteria UserlD User Role Provider My Profle Provider Information Home 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Apply for Incentive Attest Appeals Document Name Not Answered Quick Links CMS EHR Incentive Program Receipt Overview CMS Registration site z Document File Name Invoice First Page and Signature Page of Contract Certified Health IT Product List Other CHPL CMS Meaninaful Use Calculator Figure 51 Add Document Select Document Name Page 56 Last Updated 5 30 2012 EHR PIPP User Manual 4 INCENTIVE PROGRAM lowa Department of Human Services My Recent iW Documents E Desktop EAEAN Select a file to be My Documents uploaded My Computer Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us My Network File name X Open Places pea ame Invoice X Quick Links Document File Name No file uploaded CMS EHR Incentive Program x Overview Upload Document E Certified Health IT Product List Files of type Document Files doc docx pdf ppt rtf CMS Registration site Pro CHPL OK Cancel CMS Meaninaful Use Calculator Document Criteria UserID User Role Provide
7. 8 lowa Department INCENTIVE PROGRAM of Human Services Meaningful Use Clinical Quality Measures Instructions The provider is required to attest to all three Core Clinical Quality Measures CQMs If any of the Core COMs has a denominator of zero the provider will be presented a screen to attest to the Alternate Core CQMs The provider should attest to an Alternate Core CQM for each Core CQM with a denominator of zero Following the attestation to Core CQMs and Alternate Core COMs if any the provider will be required to attest to 3 Additional COMs by selecting them from the Additional CQMs User Role screen Provider NOTE The provider must attest to a minimum of 6 COQMs or a maximum of 9 COMs 3 Core CQMs up to 3 Alternate Core COMs PLUS 3 Additional COMs My Profile Log Out Measure Objective NQF0013 Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for atleast 2 office visits with blood pressure BP recorded Home E Population Criteria 1 Numerator 1 Denominator 1 A A A Objective NQF0028 a Tobacco Use Assessment Percentage of patients aged 18 years or older who have been seen for at least 2 prij ius dorsi Beat office visits who were queried about tobacco use one or more times within 24 months b Tobacco Cessation Intervention Percentage of A patients aged 18 years and older identified as tobacco user
8. PAs will be required to provide additional information to demonstrate the FOHC or RHC is so led by a PA How is your clinic so led by a PA e For FOHCs o PA is the Director of the Clinic o PA is the Primary Provider e For RHCs o PA is the Director of the Clinic o PA is the Owner of the Clinic o PA is the Primary Provider of the Clinic e Are you attesting at group or individual level o Group o Individual e For Physician Assistants Certified Nurse Midwives and Nurse Practitioners Only Are you currently seeing Medicaid patients billed through a supervising physician o Yes Supervising physicians NPI is required o No e Do you practice in multiple locations o Yes Click on Add Address to enter the addresses of all locations where you provide services You are required to enter at least two addresses o No e Upload supporting documentation o License Verification Proof of PA Clinic Proof of PA Director Proof of PA Ownership Proof of PA Primary Sanctions Detail Other OO GO O O PA s are required to upload proof of their clinic being so led by a PA Page 12 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Provider Log Out Home Apply for Incentive Attest Appeals CMS Registration site 4 INCENTIVE PROGRAM lowa EHR Medicaid Incentive Payment Administration integration Testing Provider Attactatinn Document Criteria
9. 2012 EHR PIPP User Manual lowa Department of Human Services 2 3 1 Provider Dashboard The main provider screen Provider Dashboard displays any email communications sent to the email address registered with the CMS R amp A system as well as the status of your attestation payment history if applicable and additional guidelines for completing your application The following table describes the possible statuses of your application Status Description CMS Received Notification EHR registration has been received from CMS Application Pending Application process has begun but is not yet submitted If your application is returned to you by IME for any reason the status is reset to Application Pending You will need to correct or include any requested information and re confirm all question pages Application Review Application is in the second phase of the review process Secondary Application Review Application is in the third phase of the review process Supervisor Pending CMS Review IME review complete awaiting approval from CMS to release payment Ready for Payment Notification of CMS approval for payment received by IME Payment Pending Payment being processed by IME Payment Complete Payment issued by IME Payment Rejected by Notification of CMS payment rejection received by IME CMS Application Denied Application is denied by IME Cancelled by CMS Registration is INACTIVE at CMS the State was notified by
10. Certification number on record for previous years you will be required to upload supporting documentation for the new EHR technology e Name version and description of Certified EHR System o Enter the name version and a brief description of your Certified EHR technology in the text box provided The text box is limited to 100 characters If more space is needed please attach a document with additional details e Upload supporting documentation o Invoice o Receipt o First Page and Signature Page of Contract o Other Please specify Documentation that proves you have Adopted Implemented or Upgraded AIU your EHR system is required the first time you apply or if you change your EHR technology in subsequent year applications At least one supporting document must be uploaded Acceptable documentation for such proof e A page of the contract or lease showing the provider vendor and name of the certified EHR technology and the dated signature page Page 14 Last Updated 5 30 2012 EHR PIPP User Manual B lowa Department of Human Services INCENTIVE PROGRAM e If your current contract lease agreement requires the vendor to provide you with appropriate updates upgrades including certified EHR technology a signed and dated copy of amendment attachment showing the installation of certified EHR technology e A copy of your purchase order identifying the vendor and certified EHR technology being acquired and proof of paym
11. Denominator 1 Exclusion1 O Objective NQF0018 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 Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0032 The percentage of women 21 64 years of age who received one or more Pap tests to screen for cervical cancer Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0033 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 1 Numerator 1 Denominator 1 Exclusion1 Population Criteria 2 Numerator 1 Denominator 1 Exclusion1 P ee nl Population Criteria 3 Numerator 1 Denominator 1 Exclusion1 Objective NQF0036 The percentage of patients 5 50 years of age during 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 1 Denominator 1 l Exclusion1 Population Criteria 2 Numerator 1 Denominator 1 Exclusion1 Population Criteria 3 Numerator 1 Denominator 1 Exclusion1 Objective NQF0052 The percentage of patients with a primary diagnosis of low back p
12. Objectives have been selected EPs should choose objectives that are relevant to their scope of practice If the EP is unable to choose the required number of menu objectives that are relevant to their scope of l My Profile Log Out practice they can choose menu set objectives with an exclusion until a total of five 5 Meaningful Use Menu Objectives are chosen An EP should not claim an exclusion for a menu set objective if there are additional menu set objectives that are relevant to their scope of practice and for which they are able to meet the measure ovider Information Select at least one from the list below pome Select Public Health Objective 5 974 3071 or 515 974 3123 o 495 6 e 9 i Capability to submit electronic data to immunization registries or immunization information systems and actual submission i i i according to applicable law and practice AEE SEE ER See o 495 6 e 10 i Capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to Appeals applicable law and practice Select at least 5 overall questions CMS Registration site 495 6 e 1 Xi Implement drug formulary checks 495 6 e 2 i Incorporate clinical lab test results into EHR as structured data 495 6 e 3 i Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach 495 _6 e 4 i Send rem
13. day e What is the total number of paid Medicaid encounters for the selected 90 day qualifying period i e your numerator o Enter the paid Medicaid encounter count for the 90 day qualifying period o For the purpose of calculating Patient Volume a Medicaid encounter is defined as Services rendered to an individual per inpatient discharge where Medicaid or a Medicaid demonstration project approved under section 1115 of the Act paid for part or all of the service or Medicaid or a Medicaid demonstration project approved under section 1115 of the Act paid all or part of the individual s premiums co payments and or cost sharing and Services rendered to an individual in an emergency department on any one day where Medicaid or a Medicaid demonstration project approved under section 1115 of the Act paid for part or all of the service or Medicaid or a Medicaid demonstration project approved under section 1115 of the Act paid all or part of the individual s premiums co payments and or cost sharing e Percentage of patient encounters over the selected 90 day qualifying period that were PAID by Medicaid o This percentage is automatically calculated using the numerator and denominator information entered above e Are any of the hospital s Medicaid patients covered by another state s Medicaid program o Yes A table is displayed to enter additional data The state abbreviation and the encounter count for that state may be
14. entered If you have your Medicaid Provider ID for that state enter it in this table To ensure accurate multi state reporting Iowa Medicaid encounters must also be reported in this table JA is the default for your first entry o No e What is the auditable data source you are using to calculate patient volume o EHR system o Billing system o Appointment Book o Other provide a brief description of the other source Page 43 Last Updated 5 30 2012 EHR PIPP User Manual 8 lowa Department of Human Services INCENTIVE PROGRAM e Upload supporting documentation o EHR system o Proof of Patient Volume o Other NOTE To avoid a possible delay in the processing of your EHR incentive payment please upload proof of your Patient Volume Do NOT include patient medical records as documentation Document Criteria Patient Volume Questions UserID E User What is your hospital s fiscal year end date Role Provider 1 To be eligible for the incentive 10 of your patient encounters ED and inpatient over a consecutive 90 day period in the previous hospital fiscal year that ended during the previous Federal Fiscal Year must be attributable to Medicaid Which 90 day period will you be using Provider Information Beginning Date lt M d yyyy gt 515 974 3071 or 515 974 3123 End Date lt mM d yyyy gt imeincentives dhs state ia us Leg Ou Home Apply for Incentive Attes
15. 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 Population Criteria 1 Numerator 1 Denominator 1 _ Objective NQF0004 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 outpatient encounter or partial hospitalization within 14 days of the diagnosis and who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit Population Criteria 1 Numerator 1 Denominator 1 Population Criteria 2 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0012 Percentage of patients regardless of age who gave birth during a 12 month period who were screened for HIV infection during the first or second prenatal visit Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0014 Percentage of D Rh negative unsensitized patients regardless of age who gave birth during a 12 month period who received anti D immune globulin at 26 30 weeks gestation Population Criteria 1 Numerator 1
16. list Measure More than 80 percent of all Unique patients seen by the EP have atleast one entry for an indication thatthe patient has no 6 known medication allergies recorded as structured data Numerator Humber of unique patients in the denominator who have atleast one entry for an indication thatthe patient has no known medication allergies recorded as structured data in their medication allergy list Denominator Mumber of unique patients seen by the EP during the EHF reporting period Objective 6495 6 d 7 Wi Record all of the following demographics A Preferred language B Gender C Race D Ethnicity E Date of birth 7 Measure More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data Numerator Mumber of patients in the denominator who have all the elements of demographics fora specific exclusion if the patient declined to provide one or more elements or if recording an elementis contrary to state law recorded as structured data Denominator Mumber of unique patients seen bythe EP during the EHR reporting period Objective 495 6 d 8 i Record and chart changes in the following vital signs A Height B Weight C Blood pressure D Calculate and display body mass index BMI E Plot and display growth charts for children 2 20 years including BMI More Measure For more than 50 percent of all unique patients age 2 and over seen bythe EP he
17. medication allergies upon request mee OOOO Measure More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days Exclusion Any EP that has no requests from patients or their agents for an electronic copy of patient health information during the EHR reporting period Exclusion trom this requirement does not prevent an EP from achieving meaningful use 12 Does this exclusion apply to you Oves Ona Numerator Mumber of patients in the denominator who receive an electronic copy of their electronic health information within three business days Denominator Number of patients ofthe EP who request an electronic copy of their electronic health information four business days priorto the end of the EHR reporting period E The denominator data was extracted from ALL patient records notjustthose maintained using certified EHR technology Page 26 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services Objective 495 6 d 13 i Provide clinical summaries for patients for each office visit More Measure Clinical summaries provided to patients for more than 50 percent of all office visits within 3 business days Exclusion Any EP who has no office visits during the EHR reporting period Does this exclusion apply to you Oves O nal 13 Numerator Number of office visits in the denomin
18. one medication order entered using CPOE Denominator Number of unique patients with atleast one medication in their medication list seen by the EP during the EHR reporting period The denominator data was extracted from ALL patient records not just those maintained using certified EHR technology _ only from patient records maintained using certified EHR technology a Measure The EP has enabled this functionality for the entire EHR reporting period Numeator Denominator This measure only requires a yes no answer Numerator MIA Denominator MA Objective 495 60 3M Maintain an up to date problem list of current and active diagnoses Measure More than 80 percent of all Unique patients seen by the EP have atleast one entry or an indication that no problems are 3 known forthe patient recorded as structured data Numerator Number of patients inthe denominator who have atleast one entry or an indication that no problems are known forthe patient recorded as structured data in their problem list Denominator Humber of unique patients seen by the EP during the EHR reporting period Objective 495 6 d 4 i Generate and transmit permissible prescriptions electronically RX Moe Measure More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology Exclusion Based on ALL patient records Any EP who writes fewer than 100 prescrip
19. site lowa EHR Medicaid Incentive Payment Administration Provider Attestation B INCENTIVE PROGRAM Current Case Provider Provider Type Print ones CEN Provider Information City State Payee NPI Zip Tar it Application ID 515 974 3071 or 515 974 3123 Email Payee Taxld Imported Data imeincentives dhs state ia us Status Status Date Program Year Payment Year MU Stage Quick Links Provider EHR Criteria CMS EHR Incentive Program Overview Criteria Status Audit Flag Received Date Denial Reason Certified Health IT Product List Attest Provider Questions Pending E il CHPL Attest ____ EHR Questions il Pending i CMS Meaninaful Use Calculator _ Attest Patient Volume Questions Pending Attest Payment Calculations Pending Figure 31 EH Attestation Page Each page must be completed successfully to submit an application for an incentive payment Criteria Status Provider Questions General questions used to determine incentive payment eligibility EHR Questions Questions specific to the certified EHR system module s you use Patient Volume Questions specific to the Medicaid patient volume requirement of the program Payment Calculations Calculator used to calculate the incentive payments Pending Answers have not been confirmed or saved Attested Answers have been confirmed or saved Pass Question page has been approved in one or more of the IME rev
20. technology only from patient records maintained using certified EHR technology Objective 495 6 e 3 i Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Mo Measure Generate atleast one report listing patients ofthe EP with a specific condition Numerator Denominator This measure only requires a yes no answer Numerator MA 5 Yes Ona Denominator MA Name atleast one specific condition for which a list was created The denominator data was extracted from ALL patient records notjustthose maintained using certified EHR technology only from patient records maintained using certified EHR technolog Page 30 Last Updated 5 30 2012 EHR PIPP User Manual AR INCENTIVE PROGRAM lowa Department of Human Services Objective 495 6 e 4 i Send reminders to patients per patient preference for preventive follow up care More Measure More than 20 percent of all patients 65 years or older or years old or younger were sent an appropriate reminder during the EHR reporting period Exclusion Based on ALL patient records Any EP who has no patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology would be excluded fram this requirement 6 Does this exclusion apply to you Oves Ono Numerator Number of patients in the denominato
21. the EHR reporting period Do you have an online patient portal Yes No Describe the type of information to which the patient has access i e labs diagnosis etc Objective 495 6 e 6 i Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate Measure More than 10 percent of all unique patients seen by the EP are provided patient specific education resources Numerator Number of patients inthe denominator who are provided patient specific education resources Denominator Mumber of unique patients seen by the EP during the EMR reporting period Objective 495 6 e 7 i The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation Measure The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patientis transitioned into the care ofthe EP Exclusion Based on ALL patient records An EP who was notthe recipient of any transitions of care during the EHR reporting period would be excluded fram this requirernent 3 Does this exclusion apply to you Oves Ona Numerator Number oftransitians of care in the denominator where medication reconciliation was performed Denominator Mumber of transitions of care during the EHR reporting period for which the EP was the receiving party of
22. the transition The denominator data was extracted from ALL patient records notjustthose maintained using certified EHR technology only fram patient records maintained using certified EHR technolog Page 31 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Objective 495 6 e 8 i The EP 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 care record for each transition of care or referral More Measure The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 percent oftransitions of care and referrals Exclusion 1 Based on ALL patient records An EP who does nottransfer a patient to another setting during the EHR reporting period wWOLUIld be excluded from this requirement Exclusion 2 Based on ALL patient records An EP who does not refer a patientto another provider during the EHR reporting period wWOLUIld be excluded from this requirement Does exclusion 1 apply to you Oves O Nos Does exclusion 2 apply to you Oves Nai Numerator Number of transitions of care and referrals in the denominator where a summary of care record was provided Denominator Mumber af transitions of care and referrals during the EHR reporting period for which the EP was the transferring or referring p
23. 2 4 3 1 Provider QuESTIONS ccccccccsecccecsececsccecacscescscacsenecsceucacseeasacacsenes 40 2A EAR OTON ara Oo 40 DAO Patent VoluUmME casei scan cteovossacsasansticucobonstescaratirseteaasasanieonedboeasaeraioroetaee 42 Dee Payment aC Ol AO asic roteet acest a 45 Page iv Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 4 4 EH Provider Attestation Information Meaningful Use Years 00 46 2 4 5 Submit Attestation for REVICW cccccccccsecccseccceeccceecceuecceecseessceeueceeseceeeesens 48 2 5 Pe AS CP GE r a aE sinc E ET E 50 DD EATE s OC ANS P ea tes 50 2 6 Recover Reset Log In Credentials EP and EH ecccccccccecsessseseeeeeees 50 ZO IRCCOVCU Wet ID ea EE A E 50 TOD IR CSC AS SV OU aca estes were en atoare cite ait waters ekicasas tw ie eee eaeniateteeaetatenantneiess 52 DiS Ma E PI Wy ONG cece carceusdaede sen a aeedstgmces cas uadinasasnadswalotiyuastonncsanebentadeondadesenuss 54 2 7 Upload Supporting Required Documentation EP and EH eee DT Me PING IOC CW oss on cscs co cc ecie esr seen E E N E 55 Page v Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 1 Preface This Provider Incentive Program Payment PIPP portal user manual is intended to provide Eligible Professionals EPs and Eligible Hospitals EHs guidelines to successfully navigate the Iowa Medicaid Enterprise IME Electro
24. 495 6 e 1 i Implement drug formulary checks Does this exclusion apply to you OYes ONo Appeals Numerator Denominator This measure only requires a yes no answer CMS Registration site OYes ONo Objective 495 6 e 2 i Incorporate clinical lab test results into EHR as structured data Does this exclusion apply to you Numerator More The denominator data was extracted from ALL patient records not just those maintained using certified EHR technology O only from patient records maintained using certified EHR technology OyYes ONo research or outreach Figure 27 EP MU Menu Objectives 2 4 2 5 Menu Set Question Screen Shots Objective 495 6 e 3 i Generate lists of patients by specific conditions to use for quality improvement reduction of disparities Objective 6495 6 e 9 i Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice Upload supporting documentation failed test letter from IR etc if applicable More Measure Performed atleast one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow Up submission ifthe testis successful funless none ofthe immunization registries to which the EP submits such information has the capacity to receive the information electronically Exclusion 1 Bas
25. 8 75 years of age with diabetes type 1 or type 2 who had HbA1c gt 9 0 tovider Information Home 974 3071 or 515 974 3123 Apply for Incentive Attest Appeals CMS Registration site NQF0031 The percentage of women 40 69 years of age who had a mammogram to screen for breast cancer NQF0034 The percentage of adults 50 75 years of age who had appropriate screening for colorectal cancer NQF0067 Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed oral antiplatelet therapy NQF0083 Percentage of patients aged 18 years and older with a diagnosis of heart failure who also have LVSD LVEF lt 40 and who were prescribed beta blocker therapy NQF0105 The percentage of 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 NQF0086 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 NQF0088 Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or Oy O o O00 0 0 0 0 0 0 Figure 30 EP MU Additional CQMs 2 4 2 6 4 EP Additional CQM Screen Shots Objective NQF0059 The percentage
26. Atte Atte CMS Meaningful Use Calculator Document Name User Name Add Document OK Cancel Figure 33 EH EHR Questions 2 4 3 3 Patient Volume e Enter the Hospital Fiscal Year end date o The system will ignore the year selected o The MM DD selected is used to ensure an appropriate 90 day period is used for the patient volume requirement e Select the beginning date for the 90 day Patient Volume period in the previous Hospital Fiscal Year that ended during the previous Federal Fiscal Year o The end date is auto calculated o All eligible hospitals except Children s Hospitals must meet the Medicaid Patient Volume threshold of 10 Children s Hospitals do not have a patient volume threshold requirement therefore they are not required to complete this section o Begin Date mm dd yyyy o End Date mm dd yyyy auto calculated e What is the total number of patient encounters within the selected 90 day qualifying period i e your denominator Page 42 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services o Enter the total patient encounter count for the selected 90 day qualifying period o For the purpose of calculating Patient Volume the total patient encounters is the total population regardless of payment source where Services rendered to an individual per inpatient discharge or Services rendered to an individual in an emergency department on any one
27. Attested Attest EHR Questions Pending Attest Patient Volume Questions Pending Meaningful Use Core Set Questions Pending Attest e Attest Meaningful Use Menu Set Questions Pending Atest Meaningful Use Clinical Quality Measures Pending Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs_state ia us CMS EHR Incentive Program Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Figure z Meaningful Use Attestation Pages Page 47 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 4 5 Submit Attestation for Review Once all Attestation links have been completed the Attested column on the far right will display Yes for all rows When you complete all attestation pages Submit for Review is displayed After clicking that button a page is displayed requiring you to agree or disagree with the statements listed in the box Please read the text thoroughly and select the appropriate statement If you click Do Not Agree your attestation will not be submitted Clicking on Agree submits your information to IME for review lowa EHR Medicaid Incentive Payment Administration user Acceptance Testing UAT UserlD User Role Provider Provider Attestation Current Case My Profile Provider Provider Type Print Contact Us Address NPI a P
28. CMS that the provider registration has been inactivated The provider will need to contact CMS Table 1 Application Statuses Page 8 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 4 Complete Application AR INCENTIVE PROGRAM On the left side of the Provider Dashboard screen click on the Apply for Incentive Attest link ToP lowa EHR Medicaid Incentive Payment Administration integration Testing UserID User Role Dashboard Provider My Profile Log Out Contespondence Document Type Date Sent User Method Hone Payment History No Payment records found es Current Status dibin wailiaemamesesie Sia aaa Apply for Incentive Attest On this page you will find a list of the correspondence sent to you by IME In addition you will be provided the status of your 3 attestation CMS Registration site This system contains questions on multiple screens The answers from each screen are stored at the time the individual screen is saved Please be prepared to complete all questions upon entering an individual screen The system will save the data only when an entire question screen has been completed successfully including document upload requirements with no errors If you leave an individual screen prior to completing or resolving any errors your data will not be saved for that individual screen However you may complete screens at different times and your answers
29. Contain atleast one non alphanumeric character e Contain atleast one upper case character Contain atleast one lower case character F igure 3 Create New User 2 Page 5 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services 2 2 Activate Log In User ID Once you create your account PIPP sends an activation email to the email address registered with the CMS R amp A system Click on the link provided to activate your account You must click on the link to activate your account in order to be granted access to the PIPP portal From Sent To Ca Subject IA EHR Incentive Payment Program Registration Activation Thank you for registering with the lowa Medicaid EHR Provider Incentive Payment Program portal A Activation Link Your user name is Please click here ivate account You will be directed to the login page where you will enter the user name and password you created during registration You must click on the activation link above to activate your account before attempting to login for the first time Thank you for your interest and participation in the Iowa Medicaid EHR Provider Incentive Payment Program The Iowa Medicaid EHR Provider Incentive Payment Unit Figure 4 Activation Email Page 6 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services INCENTIVE PROGRAM 2 3 LogIn When you click on the lin
30. EP from achieving meaningful use g Does this exclusion apply to you OyYes No Numerator Mumber of patients in the denominator with smoking status recorded as structured data Denominator Number of unique patients age 13 or older seen bythe EP during the EHR reporting period The denominator data was extracted O from ALL patient records not just those maintained using certified EHR technology J Only Tom patient records maintained using Ceniled CHR technology Objective 495 6 d 10 i Report ambulatory clinical quality measures to CMS More Measure Successfully report tothe State ambulatory clinical quality measures selected by the State in the manner specified by the State Numerator Denominator This measure only requires ayes no answer Numerator Mit Denominator MJA ives O No Objective 495 6 d 11 i Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule i Measure Implement one clinical decision support rule 11 Numerator Denominator This measure only requires a yes no answer Numerator BJA Denominator PIA Which Clinical Decision Support CDS rule was implemented during the EHR reporting period Yes Ono Objective 495 6 d 12 i Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists
31. MS Registration site Add Document 4 Percentage of patient encounters over the selected 90 day period that were PAID by Medicaid 5 Are any of your Medicaid patients covered by another state s Medicaid program lt _ 5a Enter covered patient number by state including Iowa State Medicaid Patient Count Medicaid No Add lt 1 7 What is the auditable data source you are using to calculate patient volume Not Answered v 8 Are you including inpatient encounters in your patient volume Not Answered v 9 Are you including encounters covered by Magellan in your numerator Not Answered v 10 Are you including patients for whom you did not have an encounter in the 90 day period from your Not Answered MediPASS panel but for whom you did see in the previous 12 months in your numerator Document Name User Name Figure 12 EP Patient Volume 2 Other State Coverage Page 17 8 INCENTIVE PROGRAM Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us ick Links CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaningful Use Calculator Provider Information 515 974 3071 or 515 974 3123 imeincentives s state ia us CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Last Updated 5 30 2012 EHR PIPP User Manual lowa Departme
32. Medicaid Managed Care Total Hospital Charges Other Uncompensated Care Charges aka Charity Charges Total Hospital Days Click COMPUTE e Are you including patients also covered by Medicare Part A or Medicare Advantage in your total Medicaid days o Yes o No e Upload supporting documentation o Proof of hospital calculator data Required if the auditable source selected above is Other or Both o O O O Page 45 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services INCENTIVE PROGRAM Document Criteria Payment Estimate Questions UserID Hospitals can use any auditable data source for calculating the incentive payment References to the Medicare cost report User ae j h f Role are for guidance only Critical access hospitals may use an independent auditors report for proof of charity care minus bad ict debt Please indicate which auditable data source you are using for calculating the hospital incentive payment rovider Other D CMS Hospital Cost Report Both Overall EHR Amount Provider Information Per the Medicare cost report worksheet S 3 part I line 12 column 15 Total Discharges 515 974 3071 or 515 974 3123 Current Year Discharges o Average Growth Rate 3 imeincentives dhs state ia us Prior Year 1 M Prior Year 2 S Prior Year 3 0 i Home Apply for Incentive Attest Quick Links CMS EHR Ince
33. State of lowa Iowa Medicaid Enterprise lowa Department of Human Services Health Information Technology and EHR Incentive Payment Program Provider Incentive Payment Program PIPP User Manual Full Version Version No 1 1 Presented by Policy Studies Inc May 30 2012 Page ii Last Updated 5 30 2012 EHR PIPP User Manual Top lowa Department of Human Services Revision History Revision Version Updated By Description of Revision Date No 4 6 2012 1 0 TStanfill 1 1 10 5 30 2012 TMcAninch Updates Corrections throughout KPeiper manual Page iii Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Table of Contents Megs PPT O a cates acca ntecee E A E E E 1 2 External Users EP and E eee een een ee 2 PA Poa e E EE E E E 2 2 1 1 Access Provider Web Registration ccccccccccccceesseeseeceeeeeesaeeeeeeeeeeeeeeeaeeenees 2 DM LO aE PO ET TO E E E 3 2 1 3 Create New User Name and Password ccccccccesseccceseccceesccceeseceeeeceeeeeeeees 4 2 1 3 1 Create New User Name ceeeeseeeeseessreessresesrrsssrersrrrsssressrceserererrereeereses 4 DM Crede PASS WOUG sa scsesentetosehccstatcsens tent osanuseueetetensivssianesoisiant osscasentate tensions 4 2 1 3 3 Answer Security Questions sicccazssntecdtestncsasnandecosesecoaasiatanedtertereassandecosess 5 2 Aa Lo T O rD ee E OA O 6 2 3 Lon Tie A E A 7 Zed Provider Dashboard espri
34. The top row displays the objective number and text from 42 CFR 495 to allow you to easily locate the objective in the final rule for any clarifications you may need Page 21 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services Objective 495 6 0 1 i Use computerized provider order entry 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 Oves ONo More The denominator data was extracted from ALL patient records not justthose maintained using certified EHR technology only from patient records maintained using certified EHR technology Figure 20 Objective Description Answer The second section of the question box contains the quick view of the required information in order to attest to meeting the measure requirements ow Phe Re fp Tp ORE RR PP ji Che Eh Objective 495 6 0d 1 i Use computerized provider order entry 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 Does this exclusion apply to you Yes No The denominator data was extracted fram ALL patient records not justthose maintained using certified EHR technology only from patient records maintained using certified EHR technolog
35. Use Calculator Year 1 Payment 40 0 00 Document Name User Name Figure 37 EH Payment Calculator 2 2 4 4 EH Provider Attestation Information Meaningful Use Years All IME hospitals have registered dually eligible therefore must attest to MU with Medicare Medicare will forward the hospital s MU data to IME Once the MU data is received an email notification will be sent prompting you to log in to the PIPP portal to attest to the Medicaid requirements Complete the attestation pages covered in section 2 4 3 You must meet the Medicaid requirements every year to be qualified for Medicaid EHR incentive payments Page 46 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services INCENTIVE PROGRAM When you log in to the system to apply for your Medicaid EHR incentive payment your MU screens is set to Pass or Fail depending on the data received from CMS UserID _ User Role Provider My Pre Home Apply for Incentive Attest Appeals CMS Registration site lowa EHR Medicaid Incentive Payment Administration Current Case Provider Address City State Zip Email Status Provider Attestation Provider Type NPI Payee NPI Tax Id Payee Taxld Status Date Application ID Imported Data Program Year MU Stage Provider EHR Criteria Criteria Attest Provider Questions Status Pending Audit Flag Received Date Denial Reason
36. ain who did not have an imaging study plain X ray MRI CT scan within 28 days of diagnosis m Population Criteria 1 Numerator 1 Denominator 1 Page 37 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Objective NQF0075 The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction AMI 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 a complete lipid profile performed during the measurement year and whose LDL C was lt 100 mg dL Population Criteria 1 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Objective NQF0575 The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had HbA1c lt 8 0 Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Once all the attestation pages have been completed you are ready to submit See section 2 4 5 2 4 3 EH Provider Attestation Information YEAR 1 AIU Dually Eligible Hospitals If the hospital is eligible for Medicare and Medicaid incentive payments the attestation process differs from Medicaid Only hospitals Hospitals are allowed to attest to AIU with Medicaid for the first payment yea
37. and secure web pages requiring a User ID and password areas For participating providers this site offers comprehensive information Provider Web Registration Incentive Program Information Register with CMS FAQ regarding the EHR Incentive Program as well as the ability to apply for the program track the status of applications and to view incentive payments and payment history The public areas provide access to information about the EHR Incentive Program through links found on either side of this page Registration with the CMS site is a pre requisite to applying for an lowa payment If you have already registered with the CMS Registration and Attestation System web site click on the link Provider Web Registration on the left side If you are ready to register with CMS use the links on either side of this page Provider Incentive Payment Program Web Portal Features By registering with us on this website you can automatically perform many of the functions required to apply for and receive payments as part of the EHR Incentive Program You can e Obtain current information on the IME Medicaid EHR Provider Incentive Program e Register with CMS the first step use the Register with CMS link e Establish your User ID and Password for attestation e Submit your attestation information e Track the progress of your attestation e File an Appeal e Communicate with IME Contact Us link Two good sources of inf
38. ation is denied or you do not agree with the payment amount you have the right to dispute the decisions by filing an appeal An appeal must be submitted within 30 calendar days of the decision date 2 5 1 Access Appeals Page Appeals for the EHR Incentive Payment Program follows the existing IME appeal process Please refer to https dhssecure dhs state ia us forms for Iowa DHS appeal instructions A link to the electronic appeal form is provided for your convenience on the home page of the PIPP portal Top lowa EHR Medicaid Incentive Payment Administration Integration Testing UserlD User Role Dashboard Provider Correspondence ESE Contact Us Provider Information aati ea 515 974 3071 or 515 974 3123 Current Status Eligible Professional Application Denied imeincentives dhs state ia us Apply for Incentive Attest Appeals On this page you will find a list of the correspondence sent to you by IME In addition you will be provided the status of your attestation eee Quick Links CMS Registragion site A APREA E This system contains questions on multiple screens The answers from each screen are stored at the time the individual screen is saved CMS EHR Incentive Program Please be prepared to complete all questions upon entering an individual screen The system will save the data only when an entire Overview question screen has been completed successfully including document upload requirem
39. ator for which the patient is provided a clinical summary within three business days Denominator Mumber of office visits by the EP during the EHR reporting period The denominator data was extracted from ALL patient records not just those maintained using certified EHR technology C only from patient records maintained using certified EHR technolog Objective 495 6 d 14 i Capability to exchange key clinicalinformation for example problem list medication list allergies anddiagnostic test results among providers of care and patient authorizedentities electronically pe 14 Measure Performed atleast one test of certified EHR technology s capacity to electronically exchange key clinical information i Numerator Denominator This measure only requires a yes no answer Numerator MIA Denominator MIA yes Ona With whom was test done Objective 495 6 d 15 i Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities 15 Measure Conductor review a security risk analysis in accordance with the requirements under 45 CFR 164 308fa013 and implement Security Updates as necessary and correct identified security deficiencies as part ofits risk management process Numerator Denominator This measure only requires a yes no answer Numerator WIA Denominator TA Oves Ona 2 4 2 4 EP Menu Objective
40. bone scan performed at any time since diagnosis of prostate cancer Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0027 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 or tobacco use or whose practitioner recommended or discussed smoking or tobacco use cessation medications methods or strategies Population Criteria 1 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Objective NQF0055 The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had a retinal or dilated eye exam or a negative retinal exam no evidence of retinopathy by an eye care professional Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0061 The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had BP lt 140 90 mmHg Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Page 36 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services INCENTIVE PROGRAM Objective NQF0056 The percentage of patients aged 18 75 years with diabetes type 1 or type 2 who had a foot exam visual inspection sensory exam with monofilament or pulse exam Population Criteria 1 N
41. d provider o Yes You cannot be hospital based and qualify for an EHR incentive payment unless you are an EP that practices predominately in an FQHC or RHC An EP is defined as being hospital based and therefore ineligible to receive EHR incentive payments under either Medicare or Medicaid regardless of the type of service provided if 90 percent or more of their services are identified as being furnished under place of service codes 21 Inpatient Hospital or 23 Emergency Room Hospital o No e Are you a Pediatrician o Yes The patient volume threshold for pediatricians is 20 Pediatricians that have at least 20 Medicaid patient volume but less than 30 will receive a reduced incentive payment If a pediatrician reports patient volume over 30 the pediatrician will receive the full incentive payment o No e Do you practice predominately in an FQHC RHC Page 11 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services o FQHC o RHC EPs that practice predominately in an FQHC or RHC are not subject to being excluded as Hospital Based EPs and are able to use the Needy Individual population to meet their patient volume threshold of 30 An EP Practices predominately at an FQHC or RHC when the clinical location for over 50 percent of his or her total patient encounters over a period of 6 months in the most recent calendar year occurs at an FQHC or RHC o No o Physician Assistants Only
42. d using the numerator and denominator entered above e Are any of your Medicaid patients covered by another state s Medicaid program o Yes A table displays to enter additional data Enter the state abbreviation and the encounter count for that state If you have your Medicaid Provider ID for that state please enter it here To ensure accurate multi state reporting Iowa Medicaid encounters must also be reported in this table JA is the default for your first entry o No e Does your 30 Patient Volume encounters include Needy Individuals o This question displays only if you answered that you practice predominately in an FQHC or RHC on the Provider Questions page o Yes Enter the following counts IME Medicaid hawk i CHIP Title XXT Uncompensated No Cost or Reduced Cost o No e What is the auditable data source you are using to calculate patient volume o EHR system o Billing system o Appointment Book o Other provide a brief description of the other source e Are you including inpatient encounters in your patient volume o Yes o No e Are you including encounters covered by Magellan in your numerator o Yes The count of Magellan encounters is required o No e Are you including patients for whom you did not have encounter in the 90 day period from your MediPASS panel but for whom you did see in the previous 12 months in your numerator o Yes The count of MediPASS patients is required o No e Upload supp
43. e the information electronically Exclusion 1 Based on ALL patient records fan EP does not collect any reportable syndromic information on their patients during the EHR reporting period then the EP is excluded from this requirement Exclusion 2 f there is no public health agency that has the capacity to receive the information electronically then the EP is excluded from this requirement J Does exclusion 1 apply to you Oves Nao Does exclusion 2 apply to you Oves O Nos Numerator Denominator This measure only requires a yesino answer Numerator M A OYes No Denominator MA Enter the name of the State Agency with which the test was conducted Was the test successful Yes No Was there a follow up submission Yes KANo Objective 495 6 e 1 i Implement drug formulary checks 3 Exclusion Based on ALL patient records An EP who writes fewer than 100 prescriptions during the EHR reporting period can be excluded fram this requirement Oves Ono Numerator Denominator This measure only requires a yes no answer Numerator MJA O yes ONo Objective 495 6ie 2j Incorporate clinical lab test results into EHR as structured data Does this exclusion apply to you Oves Ono Numerator More A Results entered using L Health Information Exchange Ll Manually Entered The denominator data was extracted O from ALL patient records notjust those maintained using certified EHR
44. e your data is saved You have Page 9 Last Updated 5 30 2012 EHR PIPP User Manual d lowa Department of Human Services INCENTIVE PROGRAM the ability to change your answers on any page up until your application is submitted for review Top lowa EHR Medicaid Incentive Payment Administration integration Testing 4R of Human Services UserID User Role Provider Attestation Help Provider Current Case ply progie Provider Provider Type Print Provider Information Home iraa n 515 974 3071 or 515 974 3123 Fa aa ee eA Stato Payee NPI imeincentives dhs state ia us oply Tor incentive es piste Aelita a ii Zip Tax Id eee rien Email Payee Taxld sa Fa CMS Registration site Status Status Date Program Year e MU Stage CMS EHR Incentive Program Overview Certified Health IT Product List Provider EHR Criteria CHPL CMS Meaninaful Use Calculator Criteria Status Audit Flag Received Date Denial Reason Attested Attest Provider Questions Pending No Attest _ EHR Questions Pending No Attest Patient Volume Questions Pending No Figure 7 EP Provider Attestation Each page must be completed successfully to submit an application for an incentive payment Criteria e Provider Questions General questions used to determine incentive payment eligibility e EHR Questions Questions specific to the certified EHR system module s you use e Patient Volume Questi
45. ed on ALL patient records An EP who administers no immunizations during the EHR reporting period would be excluded from this requirement Exclusion 2 f none ofthe registries to which the EP submits such information has the capacity to receive the information electronically the EP would be excluded from this requirement Does exclusion 1 apply to you 1 Does exclusion 2 apply to you Numerator Denominator This measure only requires a yes no answer Numerator MA Denominator M A Oves Ono Oves No Oves Ono Enter the name of the Immunization Registry IR Was test successful Yes No Enter time and date of test Date E Time hh mm amipm Was there a follow up submission ia 3Vec COND a Page 29 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services Objective 495 6 e 10 i Capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice Upload supporting documentation failed test letter from IR etc if applicable More Measure Performed atleast one test of certified EHR technology s capacity to provide electronic synadramic surveillance data to public health agencies and follow up submission ifthe testis successful unless none ofthe public health agencies to which an EP submits such information has the capacity to receiv
46. ent A screenshot of CHPL showing a certified EHR system and or modules is not sufficient documentation of proof of A I U Document Criteria EHR Questions UserID User Role Provider 1 Have you adopted implemented or upgraded to certified electronic health record EHR technology Cu Not Answered My Profile Log Out Contact Us 2 CMS ERR Certification number Provider Information C Home 515 974 3071 or 515 974 3123 2a Name version and description of Certified EHR System imeincentives dhs state ia us Providers are required to submit proof that they have adopted implemented or upgrades to certified EHR technology The following is acceptable documentation for such proof A page of the contract or lease showing the provider vendor and name of the certified CMS Registration site P EHR technology and the dated signature page Sesi roy If your current contract lease agreement requires the vendor to provide you with appropriate CMS EHR Incentive Program updates upgrades including certified EHR technology a signed and dated copy of Overview amendment attachment showing the installation of certified EHR technology Certified Health IT Product List e A copy of your purchase order identifying the vendor and certified EHR technology being CHPL ti S O acquired and proof of payment A screenshot of CHPL showing a certified EHR system and or module s is not suffic
47. ent At least 80 of unique patients must have their data in the certified EHR during the EHR reporting period Numerator Denominator Figure 16 MU General 80 Question If you practice in multiple locations the addresses you entered in the Provider Questions page are displayed here Answer the question and provide numerators and denominators for each location Page 19 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services 1234 West Street Does the Eligible Provider use a Certified Electronic Health Record technology at this location during the EHR reporting period O Yes O No 456 South Street Does the Eligible Provider use a Certified Electronic Health Record technology at this location during the EHR reporting period Yes O Ne Figure 17 MU Multiple Location Question You must select the principal county in which you practice What is the principal county in which you practice Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Bueno Vista Butler _ Calhoun Carrol Cass Cedar Cerro Gordo 4 Cherokee Chicksaw Clarke Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Figure 18 Principal County Page 20 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services You must select the specialty that best describes your practice GEN 4 Select t
48. ent Count Medicaid No 252 Remove Edit Links NE 78 Remove Edit a a SE EE CMS EHR Incentive Program a a Overview Apply for Incentive Attest Appeals CMS Registration site ie Certified Health IT Product List Atte CHPL 6 What is the auditable data source you are using to calculate patient volume Not Answered CMS Meaninaful Use Calculator Document Name User Name Add Document F igure 35 EH Patient Volume 2 Other State Page 44 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 4 3 4 Payment Calculation Data entered in this screen is used to calculate the hospital incentive payment amounts Hospitals can use any auditable data source for calculating the incentive payment References to the Medicare cost report are included in each section for guidance Critical access hospitals may use an independent auditors report for proof of charity care minus bad debt e Indicate the auditable data source you are using o Other supporting documentation is required o CMS Hospital Cost Report o Both supporting documentation is required e Overall EHR Amount o Current Year Discharges o Prior Year 1 Discharges o Prior Year 2 Discharges o Prior Year 3 Discharges o Click COMPUTE e Medicaid Computation o Total Medicaid Days Number of inpatient bed days attributable to Medicaid and
49. ents with no errors If you leave an individual EITE screen prior to completing or resolving any errors your data will not be saved for that individual screen However you may complete Certified Health IT Product List screens at different times and your answers will be saved for you to complete the remaining screens at a later time Please refer to the Provider User Manual in the User Manual link for additional information CMS Meaninaful Use Calculator Figure 41 Appeals link 2 6 Recover Reset Log In Credentials EP and EH In the event you need to recover your User Name or reset your Password please follow these steps 2 6 1 Recover User ID e Click on Recover User ID link from the Log In page e Enter the following information o CMS Registration Number NLR o NPI Page 50 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services o Tax ID e An email with your User Name will be sent to the email address on file in the CMS R amp A system lowa EHR Medicaid Incentive Payment Administration Integration Testing Provider Web Registration Please Log In Incentive Program Information ip sree keo E User Name oisi act Us a Register with CMS Provider Information Password 515 974 3071 or 515 974 3123 gt Recover User ID Reset Password imeincentives dhs state ia us FAQ WARNING This system i
50. equire supporting documentation be uploaded Please follow the steps below to upload your documentation wherever applicable Do NOT include patient medical records as documentation For proof of EHR documentation do NOT send a copy of the entire contract or lease NOTE For security purposes the uploaded documents are limited to the following file types Excel xls xlsx Word doc docx rft Power Point ppt Text txt PDF pdf Images jpg Jpeg gif png bmp tiff 2 7 1 Add Document 1 Click Add Document 2 Click on Document Name drop down box to select your document type o This drop down box will vary depending on the Attestation screen to which you are uploading 3 Click Upload Document o Select file to be uploaded Page 55 Last Updated 5 30 2012 EHR PIPP User Manual 8 lowa Department of Human Services INCENTIVE PROGRAM 4 Once file is done uploading and the selected file name appears in the Document File Name field Click OK 5 You will be returned to the main screen of the selected Attestation To upload another document please repeat steps through 4 NOTE The current file size limit is 10MB Do NOT include patient medical records as documentation For proof of EHR documentation do NOT send a copy of the entire contract or lease La Document Criteria EHR Questions UserlD 1 Have you adopted implemented or u
51. er Must contain at least one lower case character e You are now able to log in to the system using your newly created password Page 52 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Provider Web Registration Incentive Program Information Register with CMS FAQ lowa EHR Medicaid Incentive Payment Administration Integration Testing Please Log In User Name Password Recover User ID WARNING This system is for use by authorized personnel only Individuals accessing this system without authority or in excess of their authority are in violation of Federal and or State laws regulations and policies and may be subject to criminal civil and or administrative actions Any information including personal information on this computer system may be intercepted recorded read copied and disclosed by and to authorized personnel for administrative purposes including criminal investigations Anyone using this system expressly consents to such monitoring and SHOULD HAVE NO EXPECTATION OF PRIVACY for any information stored or communicated in or through this system Figure 45 Reset Password Link Provider Web Registration Incentive Program Information Register with CMS FAQ Figure 46 Reset Password lowa EHR Medicaid Incentive Payment Administration integration Testing Reset Password User Name Security Question Answer Secu
52. er User ID Page 51 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Provider Web Registration Incentive Program Information Register with CMS FAQ g INCENTIVE PROGRAM lowa EHR Medicaid Incentive Payment Administration integration Testing GR Recover User ID are Help CMS Registration Number NPI Contact Us Tax ID Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Success Successfully retrieved your User Name an email will be sent to you soon Quick Links CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaningful Use Calculator Figure 44 Recover User ID Email 2 6 2 Reset Password e Click on Reset Password link from the Log In page e Enter the following information o User Name o Click Next e Select appropriate security question o You must provide a correct response to one of the three questions you answered when creating your User Name o Click Next e You will be taken to a screen to create a new password e Enter the new password e Confirm the new password o The new password must be different from your previous passwords o Also note you will need to use the same guidelines you used when e Click Save creating your initial password Between 7 and 10 characters Must contain at least one non alphanumeric character symbol Must contain at least one upper case charact
53. ersion and a brief description of your Certified EHR technology in the text box provided The text box is limited to 100 characters If more space is needed please attach a document with additional details For what type of payment is the hospital applying o AIU Adopt Implement Upgrade o MU Meaningful Use Have you attested with Medicare for a meaningful use payment o Yes Please provide the Payment Year for the Medicare incentive o No Upload supporting documentation o Invoice o Receipt o First Page and Signature Page of Contract o Other Please specify Documentation that proves you have Adopted Implemented or Upgraded AIU your EHR system is required the first time you apply or you change your EHR technology in subsequent year applications At least one supporting document must be uploaded Acceptable documentation for such proof e lt A page of the contract or lease showing the provider vendor and name of the certified EHR technology and the dated signature page Page 41 Last Updated 5 30 2012 EHR PIPP User Manual B lowa Department of Human Services INCENTIVE PROGRAM e If your current contract lease agreement requires the vendor to provide you with appropriate updates upgrades including certified EHR technology a signed and dated copy of amendment attachment showing the installation of certified EHR technology e A copy of your purchase order identifying the vendor and certified EHR technology bei
54. fter entering your information the system is unable match the data entered with any active registration data from CMS Verify the data keyed in If the data is correct according to your records and the system is still unable to match your registration data contact CMS at 1 888 734 6433 or return to the CMS R amp A website to check your eligibility status and registration data Once PIPP validates your provider data the PIPP portal will prompt you to create a User Name and Password The following fields are pre populated with the data received from CMS You are responsible for verifying this data is accurate If any of the pre populated data is incorrect you must return to the CMS R amp A System website to make corrections IME cannot make corrections to the following information CMS Registration Number NPI Tax ID First Name Last Name Email Address NOTE ALL email correspondence is sent to the address listed on this screen You must enter data in the remaining fields to complete registration All fields on this screen are required 23l Create New User Name The User Name must have the following properties Must be between 6 and 10 characters long May contain a combination of alphanumeric characters Must NOT contain non alphanumeric characters User Name is not case sensitive 2 1 3 2 Create Password The Password must have the following properties e Must be between 7 and 10 characters long e Must contain at least one non alp
55. hanumeric character e Must contain at least one upper case character Page 4 Last Updated 5 30 2012 EHR PIPP User Manual 8 lowa Department of Human Services INCENTIVE PROGRAM e Must contain at least one lower case character 2 1 3 3 Answer Security Questions Security questions are used in the event the User Name and or Password needs to be recovered or reset TOT lowa EHR Medicaid Incentive Payment Administration integration Testing ak Provider Web Registration Create New User Incentive Program Information User Role seit x Register with CMS CMS Registration Number FAQ rl _ Provider Information Tax ID 515 974 3071 or 515 974 3123 First Name imeincenti hs state ia us LastName User Name Email Address Quick Links Password CMS EHR Incentive Program Confirm Password Security Question 1 ix Answer Security Question 1 CMS Meaningful Use Calculator Security Question 2 Answer Security Question 2 Security Question 3 Answer Security Question 3 Note The user name must have the following properties e Must be between 6 and 10 characters long e May contain a combination of alphanumeric characters e Must NOT contain non alphanumeric characters e User Name is not case sensitive The password must have the following properties e Between 7 and 10 characters long e
56. he objective You must select at least 5 objectives to attest to at least one of those objectives must be from the top section of the grid the public health objectives Please select the objectives carefully Once you select your menu objectives the system will display a screen that will allow you enter your attestation data You will not be able to save some of your objective measure data and return to the selection screen to change the objectives you elected to attest to The menu objectives are displayed in the same manner the core objectives Refer to section 2 4 2 2 for the layout of the objectives and measures Page 28 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Meaningful Use Menu Set Questions lowa Department Instructions e mi of Human Services Please answer all of the questions below UserlD dwaldron User Role Self Provider Debra Beth Waldr eso Measure submission according to applicable law and practice Does exclusion 1 apply to you Does exclusion 2 apply to you Objective 495 6 e 10 i Capability to submit electronic syndromic surveillance data to public health agencies and actual 8 INCENTIVE PROGRAM OYes ONo OyYes ONo ovider Information 5 974 3071 or 515 974 3123 Hane Numerator Denominator This measure only requires a yes no answer OYes ONo Apply for Incentive Attest Objective
57. he specialty that best describes your practice EE ix Sa SS 4 Alleray Cardiovascular Dentist Dermatology Family General Practice Gastroenterology Internal Medicine Neurology OB GYN Oncology Ophthalmology Optometry Oral Surgery Orthodontist s Otolaryngology Pediatrics H Psychiatry Pulmonary Urology ees te te Figure 19 Specialty 2 4 2 2 EP Core Objectives An EP must attest to all 15 Core objectives Attestation for most objectives is accomplished by entering a numerator denominator and exclusion information Certain objectives do not require a numerator and denominator but rather a Yes No answer Objectives that require the denominator type will display the types of denominators allowed you must select a denominator source All questions require an answer unless otherwise specified All Meaningful Use objectives are displayed in a similar fashion Review the section below prior to beginning attestation to become familiar with the MU questions Due to the nature of the program not all of the MU objectives and associated measures are described in detail in this manual The objectives and measures may change according to new federal regulations and will change depending on the stage of MU you are attesting to Please refer to the final rule www healthit hhs gov and www cms hhs gov EHRincentiveprograms for detailed information on the Meaningful Use objectives and measures Objective
58. iagnosis 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 and nocturnal asthma symptoms Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0002 The percentage of children 2718 years of age who were diagnosed with Pharyngitis dispensed an antibiotic and received a group A streptococcus strep test for the episode Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0387 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 Al during the 12 month reporting period Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0385 Percentage of patients aged 18 years and older with Stage IIIA through IIIC colon cancer who are referred for adjuvant chemotherapy prescribed adjuvant chemotherapy or have previously received adjuvant chemotherapy within the 12 month reporting period Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0389 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 OR cryotherapy who did not have a
59. ient CMS Meaninaful Use Calculator documentation of proof of A I U If you have a question about what is acceptable documentation please contact the Iowa Medicaid Atte Atte Atte Document Name User Name Add Document OK Cancel Figure 10 EP EHR Questions 2 4 1 3 Patient Volume Questions If you are applying during the 60 day grace period following the end of the payment year you will be required to identify the payment year you are applying for e Select the beginning date for the 90 day period you are using to meet the patient volume requirement For EPs this period must be in the preceding calendar year The end date of the 90 day qualifying period is auto calculated for you o Begin Date mm dd yyyy o End Date mm dd yyyy auto calculated e What is the total number of patient encounters within the selected 90 day period i e your denominator o Enter the TOTAL patient encounter count for the selected 90 day period e What is the total number of paid Medicaid encounters for the selected 90 day period i e your numerator Page 15 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department EKTE TAN of Human Services o Enter the paid Medicaid encounter count or the Needy Individual count if applicable for the 90 day period e Percentage of patient encounters over the selected 90 day period that were PAID by Medicaid o This percentage is automatically calculate
60. iew processes Fail Question page has been denied in one or more of the IME review processes Received Date Date of the latest status change Denial Reason Return and denial reasons are displayed in this column Attested No will change to Yes as you complete each page Page 39 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services 2 4 3 1 Provider Questions e Type of hospital o Critical Access Hospital CAH o Children s Hospital o Acute Care Hospital e Does the hospital have any sanctions pending o Yes A text box is displayed for you to enter a brief description of the sanction s The description is limited to 100 characters Please upload any necessary supporting documentation or comments o No e Is the hospital s average patient length of stay less than 25 days o Yes o No To be eligible for incentive payments a hospital s average length of stay must be 25 days or less Please check your figures before continuing with the data input e Upload supporting documentation o Sanctions Details o Proof of Average Length of Patient Stay o Other Top Document Criteria lowa Di GALILI of Hui cas apart n Si Provider Questions UserID User Role 1 Type of hospital Not Answered v Provider 2 Does the hospital have any sanctions pending Not Answered 3 Is your average length of patient stay less than 25 days Not Ans
61. ight weight and blood pressure are recorded as structured data Exclusion 1 Based on ALL patient records An EP who sees no patients 2 years or alder would be excluded from this requirement Exclusion 2 Based on ALL patient records An EP who believes that all three vital signs of height weight and blood pressure have no relevance to their scope of practice would be excluded fram this requirement Does exclusion 1 apply to you Oves Ona Does exclusion 2 apply to you Oves Ona Numerator Number of patients in the denominator who have atleast one entry oftheir height weight and blood pressure are recorded as structured data Denominator Mumber of unique patients age 2 or over seen bythe EP during the EHR reporting period The denominator data was extracted O from ALL patient records not just those maintained using certified EHR technology Canle from patient records maintained using certified EHR technolooy Page 25 Last Updated 5 30 2012 EHR PIPP User Manual aR lowa Department INCENTIVE PROGRAM of Human Services Objective 495 6 d 9 i Record smoking status for patients 13 years old or older More Measure More than 50 percent of all Unique patients 13 years old or older seen bythe EP have smoking status recorded as structured data Exclusion An EP who sees no patients 13 years or older would be excluded from this requirement Exclusion from this requirement does not prevent an
62. inders to patients per patient preference for preventive follow up care 495 6 e 5 i Provide patients with timely electronic access to their health information including lab results problem list medication lists and _ allergies within 4 business days of the information being available to the EP 495 6 e 6 i Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate 495 6 e 7 i The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation ee 495_6 e 8 i The EP 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 care record for each transition of care or referral ee ett Figure 26 EP MU Menu Selection 2 4 2 4 1 Menu Objective Selection To access the Meaningful Use Menu Set Questions click on the Attest link next to the Criteria name Meaningful Use Menu Set Questions The EP Core Objective section above provides guidelines similar to those in this section of the manual The grids displayed list the menu set objectives The top portion of the grid contains the public health objectives The bottom portion of the grid contains the additional menu objectives Use the checkboxes on the left of the objectives to select t
63. inical Quality Measure CQM pages in addition to the Provider Questions EHR Questions and Patient Volume Question pages prior to submitting your attestation for review To access the Meaningful Use Core Set Questions click on the Attest link next to the Criteria named Meaningful Use Core Set Questions Top lowa EHR Medicaid Incentive Payment Administration of Human Services UserID Provider Attestation User Role Provider Current Case My Profile Provider Provider Type Print aaa Provider Information FER City State Payee NPI Zip Tarki Application ID 515 974 3071 or 515 974 3123 il imeincentives dhs state ia us Apply for Incentive Attest Email Payee Taxld Imported Data imeincentives ahs state iaus Status Status Date Program Year Appeals MU Stage CMS Registration site Provider EHR Criteria _ CMS EHR Incentive Program Overview Criteria Status Audit Flag Received Date Denial Reason Attested Certified Health IT Product List Attest Provider Questions Pending Yes CHPL Attest EHR Questions Pending No CMS Meaninaful Use Calculator Attest Patient Volume Questions Pending No Attest Meaningful Use Core Set Questions Pending No m Attest Meaningful Use Menu Set Questions Pending No gt Attest Meaningful Use Clinical Quality Measures Pending No F igure 14 Meaningful Use Attestation Pages Page 18 Last Updated 5 30 2012 EHR PIPP User Manual lowa Depart
64. k provided in the activation email you will be directed to the IME PIPP Portal Log In screen Enter the User Name and Password created during IME PIPP portal registration to begin your application for an IME EHR incentive payment lowa EHR Medicaid Incentive Payment Administration Integration Testing Provider Web Registration Help EE Sey eee ee ee Please Log In Incentive Program Information eer User Name Register with CMS Provider Information Fo Password 515 974 3071 or 515 974 3123 Recover User ID Reset Password Log In imeincentives dhs state ia us WARNING CMS EHR Incentive Program Overview Certified Health IT Product List Any information including personal information on this computer system may be intercepted recorded read copied CHPL and disclosed by and to authorized personnel for administrative purposes including criminal investigations CMS Meaningful Use Calculator This system is for use by authorized personnel only Individuals accessing this system without authority or in excess of their authority are in violation of Federal and or State laws regulations and policies and may be subject to criminal civil and or administrative actions Anyone using this system expressly consents to such monitoring and SHOULD HAVE NO EXPECTATION OF PRIVACY for any information stored or communicated in or through this system Figure 5 Log in Screen Page 7 Last Updated 5 30
65. luation during one or more office visits within 12 months Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0088 Percentage of 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 of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0089 Percentage of 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 diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months Population Criteria 1 Numerator 1 Denominator 1 Exclusion Objective NQF0047 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 Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Exclusion2 Objective NQF0001 Percentage of patients aged 5 through 40 years with a d
66. m to screen for breast cancer Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0034 The percentage of adults 50 75 years of age who had appropriate screening for colorectal cancer Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0067 Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed oral antiplatelet therapy Population Criteria 1 Numerator 1 Denominator 1 Exclusion Page 35 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services Objective NQF0083 Percentage of patients aged 18 years and older with a diagnosis of heart failure who also have LVSD LVEF 40 and who were prescribed beta blocker Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0105 The percentage of 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 Population Criteria 1 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Objective NQF0086 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 eva
67. ment of Human Services 2 4 2 1 Reporting Period Payment Year 2 If this is your first year attesting to Meaningful Use Your reporting period is any continuous 90 day period within the calendar year per 42 CFR 495 4 1 11 B Enter your selected Reporting Period in the first row of the Meaningful Use Core Set Questions page Meaningful Use Core Set Questions Instructions To qualify for an incentive payment the EP must specify the EHR reporting period answer the general questions below and attest to all 15 required Core objectives ease OOO O EHR Reporting Period Start Date al End Date al Figure 15 PY2 EHR Reporting Period Payment Years 3 6 If you have previously attested to Meaningful Use you are in your third fourth fifth or sixth payment year Your reporting period is the calendar year per 42 CFR 495 4 1 q 1 A You will not be able to begin Meaningful Use attestation until the entire calendar year being used as your reporting period has passed The system will display the same calendar tool you used in the previous year Use this calendar to select your reporting period year Note Once you input data you must exit the field for additional questions to display Some additional questions are displayed based on your answers General Questions To be a meaningful user at least 80 of unique patients must have their data in the certified EHR during the EHR reporting period Requirem
68. n Criteria 1 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Numerator 3 Denominator 3 Numerator 4 Denominator 4 Numerator 5 Denominator 5 Numerator 6 Denominator 6 Numerator 7 Denominator 7 Numerator 8 Denominator 8 Numerator 9 Denominator 9 Numerator 10 Denominator 10 Numerator 11 Denominator 11 Numerator 12 Denominator 12 Page 34 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department INCENTIVE PROGRAM of Human Services Once you have satisfied the core CQM requirements you will be prompted to select 3 additional CQMs Meaningful Use Clinical Quality Measures Instructions The provider is required to attest to all three Core Clinical Quality Measures CQMs If any of the Core COMs has a denominator of zero the provider will be presented a screen to attest to the Alternate Core COMs The provider should attest to an Alternate Core CQM for each Core COM with a denominator of zero Following the UserlD attestation to Core COMs and Alternate Core COMs if any the provider will be required to attest to 3 Additional COMs by selecting them from the Additional CQMs l User Role screen al Provider NOTE The provider must attest to a minimum of 6 COMs or a maximum of 9 COMs 3 Core CQMs up to 3 Alternate Core COMs PLUS 3 Additional COMs My Profile Log Out NQF0059 The percentage of patients 1
69. ng acquired and proof of payment A screenshot of CHPL showing a certified EHR system and or modules is not sufficient documentation of proof of A I U Document Criteria EHR Questions UserID User Role 1 Has the hospital adopted implemented or upgraded to certified electronic health record EHR technology Provider Cu Not Answered Contact Us 2 The hospital s CMS EHR Certification number 30000004ICLJEAK Provider Information My Profile Log Out q p 515 974 3071 or 515 974 3123 TER 3 Name Description of certified EHR imeincentives dhs state ia us 4 For what type of payment is the hospital applying Not Answered Quick Links CMS EHR Incentive Program Overview 5 Have you attested with Medicare for a meaningful use payment Not Answered Pro l CMS Registration site Providers are required to submit proof that they have adopted implemented or upgrades to certified EHR technology The following is acceptable documentation for such proof Certified Health IT Product List e A page of the contract or lease showing the provider vendor and name of the certified EHR technology and CHPL the dated signature page e If your current contract lease agreement requires the vendor to provide you with appropriate updates upgrades including certified EHR technology a signed and dated copy of amendment attachment showing the installation of rartifiad FUR technalans Atte Atte
70. nic Health Record EHR Provider Incentive Payment Program user PIPP portal The IME EHR Incentive Payment Program is for Medicaid providers eligible for the Medicaid EHR incentive payments outlined in the American Recovery and Reinvestment Act ARRA of 2009 EPs and EHs will use this portal to attest to adoption implementation or upgrading of a certified Electronic Health Record system and to attest to Meaningful Use IME is providing this material as a reference to providers IME will make every reasonable effort to ensure this material is accurate and up to date however it 1s ultimately the responsibility of the providers to ensure they are submitting the required information in order to receive EHR incentive payments Complete definitions and rules can be found in the ARRA Title XIX of the Social Security Act the HITECH Act and 42 CFR Parts 412 413 422 and 495 Medicare and Medicaid Programs Electronic Health Record Incentive Program Final Rule This guide is not intended to be used in lieu of the Final Rule or any above mentioned Acts for guidelines in qualifying and obtaining EHR incentive payments Please refer to the above mentioned Acts and the Final Rule for clarifications If at any time you have a question please check our FAQs first If you still need assistance please contact the IME EHR Incentive Program staff by sending an email to imeincentives dhs state ia us A member of the staff will respond to your inquiry Page
71. nt of Human Services INCENTIVE PROGRAM Document Criteria lowa Department earl 4 Percentage of patient encounters over the selected 90 day period that were PAID by Medicaid 0 iserID User Role Provider 5 Are any of your Medicaid patients covered by another state s Medicaid program Not Answered v 6 Does your 30 include needy individuals Yes X lt Provider Information Hame C 6a Of your patients who are needy individuals provide the number of patients falling into each of the following categories p during the designated 90 day period 515 974 3071 or 515 974 3123 2 IME Medicaid oS imeincentives dhs state ia us Apply for Incentive Attest i hawk i CHIP oS No cost or reduced cost o CMS Registration site Quick Links 7 What is the auditable data source you are using to calculate patient volume Not Answered CMS EHR Incentive Program Overview i 7 A A i s Certified Health IT Product List me X 2 8 Are you including inpatient encounters in your patient volume Not Answered CHP 9 Are you including encounters covered by Magellan in your numerator Not Answered CMS Meaningful Use Calculator Document Name User Name F igure 13 EP Patient Volume 3 Needy Individuals 2 4 2 EP Provider Attestation Information Meaningful Use Years When attesting to Meaningful Use in Payment Years 2 through 6 you must complete the Meaningful Use Core Menu and Cl
72. ntive Program Overview Appeals Compute CMS Registration site Medicaid computation Certified Health IT Product List Atte CHPL ase Total Medicaid Days a Atke Per the Medicare cost report worksheet S 3 o Total Medicaid Days 0 CMS Meaningful Use Calculator Atte part I column 5 SUM of lines 1 6 10 Document Name User Name Add Document Figure 36 EH Payment Calculator Document Criteria of Human Services Total Hospital Charges Per the Medicare cost report worksheet C Non charity Percentage part I column 8 line 101 User Role Other Uncompensated Care Charges Per the Medicare cost report worksheet S 10 line 30 excludes bad debt Contact Us Total Hospital Days _ on nn oo Per the Medicare cost report worksheet S 3 oF Medicaid Percentage je Provider Information part I column 6 lines 1 6 10 515 974 3071 or 515 974 3123 Provider Medicaid Aggregate EHR Incentive Amount Home imeincentives dhs_state ia us Total Non charity Hospital Days 0 0 00 Apply for Incentive Attest Compute Appeals Are you including patients also covered by Medicare Part A or Medicare Advantage in your total Medicaid days Quick Links CMS EHR Incentive Program Overview Medicaid Payments oan Health IT Product List CMS Registration site CMS Meaninaful
73. of patients 18 75 years of age with diabetes type 1 or type 2 who had HbA1c 9 0 Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0064 The percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had LDL C lt 100moa dL Population Criteria 1 Numerator 1 Denominator 1 Exclusion Numerator 2 Denominator 2 Exclusion1 Objective NQF0062 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 Population Criteria 1 Numerator 1 Denominator 1 Exclusion Objective NQF0081 Percentage of patients aged 18 years and older with a diagnosis of heart failure and LVSD LVEF 40 who were prescribed ACE inhibitor or ARB therapy Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0070 Percentage of patients aged 18 years and older with a diagnosis of CAD and prior MI who were prescribed beta blocker therapy Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0043 The percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0031 The percentage of women 40 69 years of age who had a mammogra
74. on about your answer These questions vary by objective and your answers Please keep an eye out for these as you attest to MU If the question is displayed an answer is required N Objective 495 6 d 3 i Maintain an up to date problem list of current and active diagnoses Numerator Denominator More Enter number of patients from numerator with no problems indicated Enter number of patients aroblems indicated Figure 25 Additional Questions Meaningful Use Core Set Questions 2 4 2 3 EP Core Set Screen Shots Page 23 Last Updated 5 30 2012 EHR PIPP User Manual AR INCENTIVE PROGRAM lowa Department of Human Services SS a pO re ee a fa eT Objective 495 6 d 1 i Use computerized provider order entry 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 bs More Measure More than 30 percent of all unique patients with atleast one medication in their medication list seen bythe EP have atleast i one medication order entered using CPOE Exclusion Based on ALL patient records Any EP who writes fewer than 100 prescriptions during the EHR reporting period Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Oves Ono Numerator The number of patients in the denominator that have atleast
75. onal CQMs Tos ou p Measure Objective NQF0024 The percentage of patients 2 17 years of age who had an outpatient visit with a PCP or OB GYN and who had evidence of RMI nercentile dacumentation counseling for nutrition and counselina for ohvsical activity during the measurement year Home Popu Beles a EL ELLS ovider Information 5 974 3071 or 515 974 3123 Apri iir Neils piisi Please answer Alternate question s Appeals CMS Registration site Denominator 1 E Denominator 2 mal Denominator 3 Objective NQF0041 Percentage of patients aged 50 years and older who received an influenza immunization during the flu season September through February Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0038 The 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 two H influenza type B HIB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second hithdav The measure calculates a rate for each vaccine and two senarate combination rates Population Criteria 3 Numerator 4 Numerator 2 Numerator 3 Figure 29 EP MU Alternate Core CQMs 2 4 2 6 3 EP Alternate C
76. ons specific to the Medicaid patient volume requirement of the program Status e Pending Answers have not been confirmed or saved e Attested Answers have been confirmed or saved Pass Question page has been approved in one or more of the IME review processes Page 10 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services e Fail Question page has been denied in one or more of the IME review processes Received Date Date of the latest status change Denial Reason Return and denial reasons are displayed in this column Attested No will change to Yes as you complete each page 2 4 1 1 Provider Questions NOTE These questions are the same for all Payment Years e Are you currently enrolled as an lowa Medicaid provider Oo Yes o No You will be required to agree to an additional set of terms and conditions prior to your application being reviewed e My professional license number is o Enter your state issued professional license number e Do you have any sanctions pending against you o Yes A text box is displayed for you to enter a brief description of the sanction s The description is limited to 100 characters Please upload any necessary supporting documentation or comments o No e What is the NPI of the organization for which you bill o Please enter your Billing NPI e Hospital based EPs are not eligible for the incentive payment Are you a hospital base
77. ore CQM Screen Shots Objective NQF0024 The percentage of patients 2 17 years of age who had an outpatient visit with a PCP or OB GYN and who had evidence of BMI percentile documentation counseling for nutrition and counseling for physical activity during the measurement year Population Criteria 1 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Numerator 3 Denominator 3 Population Criteria 2 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Numerator 3 Denominator 3 Population Criteria 3 Numerator 1 Denominator 1 Numerator 2 Denominator 2 Numerator 3 Denominator 3 Objective NQF0041 Percentage of patients aged 50 years and older who received an influenza immunization during the flu season September through February Denominator 1 Population Criteria 1 Numerator 1 Exclusion1 Objective NQF0038 The 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 two H influenza type B HiB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates Populatio
78. ormation are found on these links both on the left side e Incentive Program Information e FAQ Contact Us Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Quick Links CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Figure 1 Provider Registration Page 2 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services INCENTIVE PROGRAM 2 1 2 Locate Provider Profile Enter the required information to locate your provider profile This information must match the individual or hospital data used to register with CMS R amp A e CMS Registration Number o This is the number received after completing registration at the CMS Registration and Attestation web site If you have forgotten or lost this number please call the CMS Help Desk at 1 888 734 6433 IME does not have this number e NPI o This is the NPI you used to register with CMS If you are an Eligible Professional this is your individual NPI e Tax ID o This is the Tax ID you used to register with CMS If you are an Eligible Professional this is your individual Tax Identification Number TIN or your Social Security Number SSN Click Find lowa EHR Medicaid Incentive Payment Administration integration Testing 48 Provider Web Registration Create New User Login N Hel Incentive Program Information mep User Role
79. orting documentation o Proof of Patient Volume required o Other Please specify Page 16 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services UserID User Role Provider Apply for Incentive Attest Appeals CMS Registration site Add Document Document Criteria Patient Volume Questions Incentive Year 2011 1 To be eligible for the incentive 30 of your patient encounters 20 for pediatricians over a consecutive 90 day period in the previous calendar year must be attributable to Medicaid needy individuals for those practicing predominantly in an FQHC or RHC Provide the beginning and end dates for the 90 day period you are claiming to prove patient volume requirements Beginning Date lt M d yyyy gt End Date lt M d yyyy gt fis 2 What is the total number of patient encounters within the selected 90 day period I e your denominator oS 3 What is the total number of paid Medicaid encounters for the selected 90 day period I e your numerator o 4 Percentage of patient encounters over the selected 90 day period that were PAID by Medicaid 5 Are any of your Medicaid patients covered by another state s Medicaid program Not Answered v Document Name Figure 11 EP Patient Volume 1 lowa Department of Human Services UserID tmorgan User Role Self Provider Teresa A Morgan My Profile Log Out Home Apply for Incentive Attest Appeals C
80. pgraded to certified electronic health record EHR technology Not Answered 2 CMS EHR Certification number Provider Information Home g 515 974 3071 or 515 974 3123 2a Name version and description of Certified EHR System i OR F imeincentives dhs state ia us Apply for Incentive Attest If you have changed your certified EHR technology you are required to submit proof of the EHR technology The following is acceptable documentation for such proof A page of the contract or lease showing the provider vendor and name of the certified EHR technology and the dated signature page Appeals Quick Links CMS Registration site Pro i e If your current contract lease agreement requires the vendor to provide you with appropriate CMS EHR Incentive Program updates upgrades including certified EHR technology a signed and dated copy of Overview E amendment attachment showing the installation of certified EHR technology Certified Health IT Product List Atte A copy of your purchase order identifying the vendor and certified EHR technology being Heo CSCS ara acquired and proof of payment A screenshot of CHPL showing a certified EHR system and or module s is not sufficient CMS Meaningful Use Calculator documentation of proof of A I U If you have a question about what is acceptable documentation please contact the Iowa Medicaid Document Name User Name FREER Add Document lt _ Figure 50
81. r My Profile Log Out Provider Information Home 515 974 3071 or 515 974 3123 Add Do nt imeincentives dhs state ia us Apply for Incentive Attest Appeals Document Name Invoice o yry Document File Name Sample Word document upload 00002332 docx CMS EHR Incentive Program Overview CMS Registration site Upload Document Certified Health IT Product List CHPL Cancel CMS Meaninaful Use Calculator Figure 53 Add Document Confirm Page 57 Last Updated 5 30 2012 EHR PIPP User Manual
82. r but must attest to Meaningful Use with Medicare for the first payment year Medicare sends IME your Meaningful Use data Medicaid Only Hospitals If the hospital is only eligible for a Medicaid payment all attestation data must be submitted via the IME EHR Incentive Payment Program portal All Iowa hospitals should be registered as dually eligible for the incentive program and are expected to attest to MU through the CMS website EHs will attest to other eligibility questions such as those regarding patient volume in the PIPP system for each program year Clicking on Apply for Incentive Attest link displays the Provider Attestation screen The Provider EHR Criteria section displays the attestation question pages that must be completed Begin your application by selecting one of the Attest links You must respond to all of the questions on each page Once you have answered the questions on a page click OK If no errors are received your data is saved and you will be returned to the Provider Attestation main page to select another question page If errors are displayed you must correct any errors before your data is saved You have the ability to change your answers on any page up until your application is submitted for review Page 38 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services UserID User Role Provider Home Apply for Incentive Attest CMS Registration
83. r Attestation page Following submission the first column will disappear Attest link preventing any changes to your application If IME discovers a problem or requires additional information your application will be returned for you to make changes Page 48 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services User Role Provider og Ou Home Apply for Incentive Attest Appeals CMS Registration site lowa EHR Medicaid Incentive Payment Administration Integration Testing Provider Attestation Current Case Provider Address City State Zip Email Status Provider Type NPI Payee NPI Tax Id Payee Taxld Status Date Pit Application ID Imported Data Program Year MU Stage Provider EHR Criteria Criteria Provider Questions Audit Flag Received Date Pending Denial Reason Attested Attest EHR Questions Pending Attest Patient Volume Questions Figure 40 Print Application Pending Page 49 INCENTIVE PROGRAM Provider Information 515 974 3071 or 515 974 3123 imeincentives s state ia us CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Last Updated 5 30 2012 EHR PIPP User Manual AR INCENTIVE PROGRAM lowa Department of Human Services 2 5 Appeals EP and EH If your EHR incentive payment applic
84. r who were sentthe appropriate reminder Denominator Mumber of unique patients 65 years old or older or 5 years older or younger The denominator data was extracted O from ALL patient records notjustthose maintained using certified EHR technology only from patient records maintained using certified EHR technologi Objective 495 6 e 5 i Provide patients with timely electronic access to their health information including lab results problem list medication lists and allergies within 4 business days of the information being available to the EP More Measure Atleast 10 percent 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 subjectto the EP s discretion to withhold certain information Exclusion Based on ALL patient records Any EP who neither orders nor creates any of the information listed at 45 CFR 1 70 304ig fproblem list medication list or medication allergy list during the EHR reporting period would be excluded trom this requirement T Does this exclusion apply to you O Yes No Numerator Number of patients in the 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
85. rity Question Note Please answer the security Question Once you have answered your security question correctly you will be prompted to enter a new password INCENTIVE PROGRAM Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Provider Information 515 974 3071 or 515 974 3123 imein s dhs ia us HR In Pr m Overview Certified Health IT Product List CHPL CMS Meaningful Use Calculator Page 53 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services Provider Web Registration Incentive Program Information Register with CMS FAQ lowa EHR Medicaid Incentive Payment Administration Integration Testing Reset Password New Password eeeeeee Confirm Password eeeeeee Success Your password was successfully changed INCENTIVE PROGRAM Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Wa CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaningful Use Calculator Figure 47 Create New Password 2 6 3 Change Password Follow the steps below to change your password UserID User Role Provider Apply for Incentive Attest Appeals CMS Registration site Log in Click on My Profile on
86. rnas EE EE EAA 8 2 4 Complete Application ccccccccccsssssssseeeccccsseeeessseeeccceesseeeseseeccceessaneeseseesees 9 2 4 1 EP Provider Attestation Information YEAR 1 AIU 9 ZaN Provider QUCSHIONS ccceicccciscrhcuseGupiasetiniesadiesiensdieuahesbasiessdiewiacebanteontone 11 DMD FEAR OUT SON A 14 2 4 1 3 Patient Volume Questions eeeeeeeeeeesesesseesscesscesecrsserereesresseesesesseesseee 15 2 4 2 EP Provider Attestation Information Meaningful Use Years 00 18 L a RTO P era a E E cicnnceorectner neice 19 Die FPEO OD IN O e E E E 21 242 3 EP Core Set Screen SOS tics esscivsncssatsedandcvndiesssdans coradnseasantgodantonniiese dius 23 Dee Tee IVC OCC re car Sea ntcion satan cnnareneeonctess dar Siasteensusuneo aretae ys 27 2 4 2 4 1 Menu Objective Selection so iccccsesccnesaactdecezevacnedasstescmavedneanectdecezeseanes 28 2 4 2 5 Menu Set Question Screen Shots eeeeeeeeeeeeeeeeseessresereseressressressressee 29 2 4 2 6 EP Clinical Quality Measures CQM cc ceecssseccececeesesseeeeeeeeeeeeaas 32 2 4 2 6 1 EP Clinical Quality Measures Attestation ccccccccccecssseeseeeeeees 32 2420 2 EP Coe COM Sireen SOUS arssuereisianeres rrotat anere ET a 33 2 4 2 6 3 EP Alternate Core CQM Screen Shots eseeeeeeseeeeereserersrssee 34 2 4 2 6 4 EP Additional CQM Screen Shots eceeeseeeeeeeeceeecesseesesesereserersererssee 35 2 4 3 EH Provider Attestation Information YEAR 1 AIU 38
87. rovider The denominator data was extracted from ALL patient records not just those maintained using certified EHR technology C only from patient records maintained using certified EHR technology 2 4 2 6 EP Clinical Quality Measures CQM To qualify for the incentive payment for Stage 1 the EP must attest to a sum total of up to 9 CQMs Each EP must report on 3 Core CQMs or 3 Alternate CQMs if needed and 3 Additional quality measures EPs must report calculated CQMs directly from their certified EHR technology If you can attest to all 3 core CQMs without a zero denominator you will be prompted to select 3 additional CQMs If you attest to any of the 3 core CQMs using a zero denominator for each core CQM with a zero denominator you will need to select an equal number of the 3 alternative CQMs Using this logic you could essentially attest to all 6 core CQMs Regardless of the number of core CQMs you attest to you will still be required to attest to 3 additional CQMs 2 4 2 6 1 EP Clinical Quality Measures Attestation To access the Meaningful Use Clinical Quality Measures click on the Attest link next to the Criteria name Meaningful Use Menu Clinical Quality Measures At the top of each screen are instructions similar to those in this section of the manual The first screen will display the core CQMs You must enter data for each of these measures Page 32 Last Updated 5 30 2012 EHR PIPP User Manual
88. rovider Information are City State Payee NPI Zip Tax Id Application ID 515 974 3071 or 515 974 3123 A Email Payee Taxld Imported Data imeincentives dhs_state ia us on imtus Date Program Year Payment MU Stage i Quick Links CMS Registration site 3 CMS EHR Incentive Program Provider EHR Criteria Suman Certified Health IT Product List Criteria Status Audit Flag Received Date Denial Reason Attested CHPL Attest i ae Attested 4 3 22 2012 4 Yes E CMS Meaninaful Use Calculator Attest EHR Questions Attested 3 22 2012 Yes Attest Patient Volume Questions Attested 3 22 2012 Yes gt Submit for Review Figure 39 Submit for Review If you are not currently enrolled as an Iowa Medicaid provider an additional page is displayed requiring you to either agree or disagree with the statements listed Please read the text thoroughly and select the appropriate statement If you click Do Not Agree your attestation will not be submitted Clicking on Agree submits your information to IME for review Another pop up box will appear indicating that your information has been successfully submitted Click on Log Out upper left hand side and you are done If at any time you want to see the status of your attestation return to the portal log in and the latest information will be available to you You also have the ability to print your application questions and answers on the Provide
89. s An EP must choose a total of 5 Meaningful Use Menu objectives At least one of the 5 objectives must be public health objectives 495 6 e 9 or 495 6 e 10 If you can attest to exclusions for both public health objectives you must choose one of the two objectives and attest to the exclusion If the EP can claim an exclusion to an objective as long as the EP meets the criteria to claim the exclusion and attests to the exclusion the objective is counted toward the 5 menu set objectives that are required EPs are encouraged to select objectives they are able to report on where the exclusion does not apply to them Page 27 Last Updated 5 30 2012 EHR PIPP User Manual p lowa Department INCENTIVE PROGRAM of Human Services Meaningful Use Menu Set Questions Instructions Use the grid below to select 5 Meaningful Use Menu Set Objectives An EP must choose at least one objective from the public health menu measure objectives If the EP can meet one of the public health objectives and can attest to an exclusion to the other the EP must choose the public health menu objective they are able to meet An EP who can attest to exclusions to both UserID public health menu objectives must still choose one of the two objectives and attest to the exclusion User Role Provider After the EP chooses one or both public health menu objectives the EP must select additional menu set objectives until a total of five 5 Meaningful Use Menu Set
90. s for use by authorized personnel only Individuals accessing this system without authority or in excess of their authority are in violation of Federal and or State laws regulations and policies and may be subject to criminal civil and or administrative actions Certified Health IT Product List Any information including personal information on this computer system may be intercepted recorded read copied CHPL and disclosed by and to authorized personnel for administrative purposes including criminal investigations CMS Meaninaful Use Calculator CMS EHR Incentive Program Overview Anyone using this system expressly consents to such monitoring and SHOULD HAVE NO EXPECTATION OF PRIVACY for any information stored or communicated in or through this system Figure 42 Recover User ID link lowa EHR Medicaid Incentive Payment Administration Integration Testing Provider Web Registration Recover User ID Incentive Program Information CMS Registration Number Register with CMS NPI ESS ET Tax ID Provider Information 515 974 3071 or 515 974 3123 Note imeincentives dhs jaus Please fill in the above fields for CMS Registration Number NPI and Tax ID and click Save Once the data is verified you will receive an email within 24 hours with your User ID FAQ Pr Certified Health IT Product List CHPL CMS Meaningful Use Calculator Figure 43 Recov
91. s within the past 24 months and have been seen for at least 2 office visits Appeals who received cessation intervention B Population Criteria 1 Numerator 1 Denominator 1 CMS Registration site Numerator 2 Denominator 2 Objective NQF0421 Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current i visit documented in the medical record AND if the most recent BMI is outside parameters a follow up plan is documented Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Population Criteria 2 Numerator 1 Denominator 1 Exclusion1 L x Figure 28 EP MU Core CQMs 2 4 2 6 2 EP Core CQM Screen Shots Objective NQF0013 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 Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0028 a Tobacco Use Assessment Percentage of patients aged 18 years or older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months b Tobacco Cessation Intervention Percentage of patients 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 received cessation intervention Population Criteria 1 Numerator 1 Denomina
92. t 2 What is the total number of patient encounters within the selected 90 day period I e your denominator oo Appeals Quick Links Pro 3 What is the total number of paid Medicaid encounters for the selected 90 day period CMS EHR Incentive Program CMS Registration site I e your numerator 02 Overview ie z Certified Health IT Product List _ Atte 4 Percentage of patient encounters over the selected 90 day period that were PAID by Medicaid CHPL CMS Meaningful Use Calculator 5 Are any of your Medicaid patients covered by another state s Medicaid program Not Answered v Document Name a Add Document Figure 34 EH Patient Volume Document Criteria 2 WHaL ID UIS LULA HUNIVE Ul paut SHILUUINLSI S Wunn Ule SteIeuULleu yU Uudy p vuU I e your denominator oo UserID User S Role 3 What is the total number of paid Medicaid encounters for the selected 90 day period a I e your numerator o Provider 4 Percentage of patient encounters over the selected 90 day period that were PAID by Medicaid 3 x Provider Information 5 Are any of your Medicaid patients covered by another state s Medicaid program lt _ 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Log Ou Home 5a Enter covered patient number by state including Iowa State Medicaid Pati
93. tes fewer than 100 prescriptions during the EHR reporting period Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Oves O No Numerator The number of patients in the denominator that have atleast one medication order entered using CPOE Denominator Number of unique patients with atleast one medication in their medication list seen by the EP during the EHR reporting period The denominator data was extracted from ALL patient records notjust those maintained using certified EHR technology only from patient records maintained using certified EHR technolog Figure 23 Expanded More Link Denominator Type For objectives that require the type of denominator you used to produce your MU data an additional section displays for you to indicate the source of your denominator Objective 495 6 0 1 i Use computerized provider order entry 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 Oves No More The denominator data was extracted O from ALL patient records notjustthose maintained using certified EHR technology only from patient records maintained using certified EHR technology Figure 24 Denominator Source Additional Questions Some objectives require you to provide additional informati
94. the left of the Dashboard Enter your old password Enter and Confirm your new password Answer security question Click Save lowa EHR Medicaid Incentive Payment Administration integration Testing Dashboard Correspondence Bocamentiiype Date Sent User Method Payment Program Payment Payment Payment History Year Year Amount Date we Adj Indicator RA Number TCN Current Status Eligible Professional Payment Complete On this page you will find a list of the correspondence sent to you by IME In addition you will be provided the status of your attestation Figure 48 My Profile Change Password Page 54 Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services lowa EHR Medicaid Incentive Payment Administration First Name Last Name User Name Email Address Old Password lt q New Password lt _ Confirm New Password lt _ _ Security Question ha Answer Security Question User Role Self Provider Name If Applicable Figure 49 My Profile 2 7 Upload Supporting Required Documentation EP and EH All Attestation screens in the IME PIPP portal allow for the upload of supporting documentation Some screens r
95. tians during the EHR reporting period Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Oves No 4 Numerator Number of prescriptions in the denominator generated and transmitted electronically Denominator Murmber of prescriptions written for drugs requiring a prescription in order ta be dispensed other than controlled substances during the EHR reporting period Which eRx service did you use Name a pharmacy to which you transmitted The denominator data was extracted O from ALL patient records not just those maintained using certified EHR technology only from patient records maintained using certified EHR technology Page 24 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department AR INCENTIVE PROGRAM of Human Services Objective 495 6 0 5 i Maintain active medication list Measure More than 80 percent of all Unique patients seen by the EP have atleast one entry for an indication that the patient is not 5 currently prescribed any medication recorded as structured data Numerator Number of patients in the denominator who have a medication for an indication that the patient is not currently prescribed any medication recorded as structured data Denominator Murmber of unique patients seen bythe EP during the EHR reporting period Objective 6495 6 d bi Maintain active medication allergy
96. tor 1 Numerator 2 Denominator 2 Objective NQF0421 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 BMI is outside parameters a follow up plan is documented Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Population Criteria 2 Numerator 1 Denominator 1 Exclusion1 The alternative core CQMs will only be displayed if you have attested to any of the core CQMs with a zero denominator Page 33 Last Updated 5 30 2012 EHR PIPP User Manual 8 lowa Department of Human Services INCENTIVE PROGRAM Meaningful Use Clinical Quality Measures Instructions The provider is required to attest to all three Core Clinical Quality Measures CQMs If any of the Core CQMs has a denominator of zero the provider will be presented a screen to attest to the Alternate Core COMs The provider should attest to an Alternate Core CQM for each Core CQM with a denominator of zero Following the UserID attestation to Core COMs and Alternate Core CQMs if any the provider will be required to attest to 3 Additional COMs by selecting them from the Additional CQMs User Role screen p Provider NOTE The provider must attest to a minimum of 6 CQMs or a maximum of 9 COMs 3 Core CQMs up to 3 Alternate Core COMs PLUS 3 Additi
97. umerator 1 Denominator 1 Exclusion1 Objective NQF0074 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 r 7 Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0084 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 7 7 Population Criteria 1 Numerator 1 Denominator 1 Exclusion1 Objective NQF0073 The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction AMI 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 whose most recent blood pressure is in control lt 140 90 mmHg Population Criteria 1 Numerator 1 Denominator 1 Objective NQF0068 The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction AMI 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
98. wered v Home e CMS EHR Incentive Program CMS Registration site Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator iocumEeN Figure 32 EH Provider Questions 2 4 3 2 EHR Questions e Has the hospital adopted implemented or upgraded to certified electronic health record EHR technology o Yes Page 40 Last Updated 5 30 2012 EHR PIPP User Manual lowa Department of Human Services o No In order to attest the hospital must have adopted implemented or upgraded to certified electronic health record technology The hospital s CMS EHR Certification number o If you included your EHR Certification number in your CMS registration this field is pre populated with that number Please verify this number is accurate and correct if needed o If you did not include your EHR Certification number in your CMS registration you must enter this number here A valid EHR Certification number is required on this page o FOR MEANINGFUL USE YEARS The CMS EHR Certification number used in previous years will not be displayed you must enter your EHR Certification number e A valid EHR Certification number must be entered e If the EHR Certification number you enter does not match the EHR Certification number on record for previous years you will be required to upload supporting documentation for the new EHR technology Name version and description of Certified EHR System o Enter the name v
99. will be saved for you to complete the remaining screens at a later time Please refer to the Provider User Manual in the User Manual link for additional information Provider Information 515 974 3071 or 515 974 3123 imeincentives dhs state ia us Quick Links CMS EHR Incentive Program Overview Certified Health IT Product List CHPL CMS Meaninaful Use Calculator Figure 6 Apply for Incentive Attest 2 4 1 EP Provider Attestation Information YEAR 1 AIU This section covers instructions for EPs attesting for the first time Program Year 1 If you have already attested for Payment Year please review this section as you will need to answer the same questions for Program Year each year you apply for an EHR Incentive Payment from IME Section 2 4 2 covers the additional Meaningful Use questions that are required for Program Years 2 through 6 Clicking on Apply for Incentive Attest link will display the Provider Attestation screen The Provider EHR Criteria section displays the attestation question pages that must be completed Begin your application by selecting one of the Attest links You must respond to all of the questions on each page Once you have answered the questions on a page click OK if no errors are received your data is saved and you will be returned to the Provider Attestation main page to select another question page If errors are displayed you must correct any errors befor

User Manual - Iowa EHR Medicaid

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