Report Fraud

Certain Meaningful Use (MU) requirements allow EPs to perform the actions after their EHR reporting period. This has helped many meet MU.

Your CEHRT is likely not setup to include these allowed actions that occurred outside the EP's chosen 90-day reporting period. We suggest contacting your EHR vendor, providing them with this information and discussing it with them. Many providers have been able to achieve meaningful use using this information!

REPORTING PERIODS:

The MU (Meaningful Use) EHR reporting period remains as an EP selected 90-day period for Program Years 2017 (accepting attestations until 6/30/18) and 2018 (not yet available).

Modified Stage 2 has certain objectives which allow EPs to include actions that can occurred outside the EP's selected 90-day MU reporting period. This means EPs choose their 90-day CEHRT meaningful use data reporting period but calculation options for challenging objectives (secure messaging and patient use of a portal etc.) allow EPs to include patient actions that happened outside that 90-day period in the numerators while keeping the denominator data the same!  Many providers are not aware of these allowances and when used, may allow them to meet the threshold percentages! Below, we identify important considerations (for example: you can count patients that opt-out of electronic access in the numerator) when making your calculations. If you have difficulty with meeting a measure, choose a different 90-day period and review your patient actions for the entire year. You may need to consult with your vendor or EHR report documentation to establish this. The additional allowed actions may need to be manually added to your EHR report data if your EHR report is unable to include these actions. You need to retain documentation to support your calculations.

 How to calculate for the specific Objectives listed below:

  •  Numerator (top number): You should include the total number of actions in the numerator that occurred during your EHR reporting period and any other actions that are allowable as specified in the Objectives below. Including the allowable actions should increase your percentages (if it isn’t, please contact 803-898-2996).
  •  Denominator (bottom number): Number of unique patients(or for Obj. 5 the number of transitions of care or referrals…) seen by the EP during their selected 90-day reporting period ONLY. A unique patient is counted only once in the Denominator, regardless of how many actions/ visits/ etc. relate to them in the numerator (you may count each action in the numerator for the same unique patient).
     

Only the following Objectives for Modified Stage 2 have these allowances as specified below. By clicking the blue links, the entire allowances and explanations can be found under the ‘Additional Information’ section for reference.

It is acceptable for the annual review of the security risk analysis to be conducted outside the 90-day MU reporting period; however, the analysis must be unique for each program year and must be conducted prior to submission of the attestation.

This exchange may occur before, during, or after the 90-day MU reporting period. However, it must occur within the calendar year in which the EHR reporting period occurs to be included in the numerator.

This exchange may occur before, during, or after the 90-day MU reporting period. However, it must occur no earlier than the start of the same calendar year as the EHR reporting period and no later than the date of attestation to count in the numerator. IF YOU ARE HAVING TROUBLE MEETING OBJECTIVE SIX, YOU STILL HAVE TIME TO PROVIDE MATERIALS TO PATIENTS SEEN DURING THE EHR REPORTING PERIOD UP UNTIL YOU SUBMIT YOUR ATTESTATION! THESE ACTIONS WILL COUNT IN THE NUMERATOR even though they happened later.

For Measure 2, the patient action may occur before, during, or after the 90-day MU reporting period. However, it must occur within the calendar year in which the MU reporting period occurs to count in the numerator.

Also, be aware regarding Patient Electronic Access:

If a patient elects to "opt out" of participation, that patient must still be included in the denominator.

If a patient elects to "opt out” of participation, the provider may count that patient in the numerator if the patient is provided all the necessary information to subsequently access their information, obtain access through a patient-authorized representative, or otherwise opt-back-in without further follow up action required by the provider.

The patient action may occur before, during, or after the 90-day MU reporting period. However, it must occur within the calendar year in which the MU reporting period occurs to count in the numerator.

Also, be aware regarding Secure Electronic Messaging

  • Provider initiated action and interactions with a patient-authorized representative, are acceptable for the measure and are included in the numerator.
  • A patient-initiated message would only count toward the numerator if the provider responds to the patient.

IMPORTANT NOTE: Attesting to optional Stage3 criteria is not required for program year 2018 (you can attest to Modified Stage 2). If you wish to attest to Stage 3, please contact us and we will provide the allowances and guidance for Stage 3.


Back to Top