Eligible professionals participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. CMS will be determining payment adjustments based on MU attestation submitted prior to the 2015 calendar year, with a requirement to demonstration prior to 2015 to avoid payment adjustments. If you haven’t taken a look at your posture in terms of meeting the requirements for meaningful use reimbursement, here are a few things to examine. They break down by the year you started and the program mix that you were accepted into.
If the first demonstration of meaningful use began in 2011 or 2012, MU must be demonstrated for a full year in 2013 to avoid the 2015 adjustment. If demonstration of meaningful use began in 2013, you needed to demonstrate meaningful use for a 90-day reporting period to avoid the payment adjustment in 2015.
If meaningful use begins in 2014, to be eligible you must demonstrate MU for a 90-day reporting period to avoid the payment adjustment in 2015. The reporting period must occur in the first 9 months of calendar year 2014, and eligible professionals must attest to meaningful use no later than October 1, 2014.
All of those who attest must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years. If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the payment adjustments, dual program enrollees may demonstrate meaningful use, and if you are only participate in the Medicaid EHR Incentive Program, you are not subject to these payment adjustments.