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The Center for Quality Health IT Improvement (CQHII) provides Quality and Healthcare IT consulting services to small and large medical practices as well as to small and rural hospitals in Texas. We have the technical and project management expertise to lead a practice or hospital through the full-cycle EHR implementation process. Our consultants perform an onsite analysis to identify gaps in meeting objectives and our Security Risk Assessment guidelines help ensure compliance with MIPS. Implementing and efficiently utilizing an EHR is a significant practice investment and we have a proven track record of supporting practices in Texas. Our knowledgeable and professional consultants can customize their services according to your needs.
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Medicare Promoting Interoperability Requirements for Eligible Hospitals and Critical Access Hospitals
CMS finalized changes to the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals (CAHs) attesting to CMS.
The final rule adopted policies that will continue the advancement of certified electronic health record technology (CEHRT) utilization, further reduce burden, and increase interoperability and patient access to their health information.
Electronic Health Record (EHR) Reporting Period in 2022
The EHR reporting period for new and returning participants attesting to CMS is a minimum of any continuous, self-selected, 90-day period. Eligible hospitals and CAHs must successfully attest to avoid a downward Medicare payment adjustment.
For calendar year (CY) 2022, in order to be considered a meaningful user and avoid a downward payment adjustment, eligible hospitals and CAHs may use (1) existing 2015 Edition certification criteria, (2) the 2015 Edition Cures Update criteria, or (3) a combination of the two in order to meet the CEHRT definition, as finalized in the CY 2021 Physician Fee Schedule final rule (85 FR 84818 through 84828).
For CY 2022, the CEHRT functionality must be in place by the first day of the EHR reporting period and the product must be certified by the last day of the EHR reporting period. The eligible hospital or CAH must be using their selected version’s functionality for the full EHR reporting period.
Objectives and Measures
Eligible hospitals and CAHs attesting to CMS will be required to report on four scored objectives.
Medicare Promoting Interoperability Program participants must also attest to the following:
CMS continues to implement a performance-based scoring methodology. Eligible hospitals and CAHs are required to report certain measures from each of the four objectives, with performance-based scoring occurring at the individual measure-level. Each measure will contribute to the eligible hospital or CAHs total Medicare Promoting Interoperability Program score.
A minimum of 60 points is now required to satisfy the scoring requirement and successfully attest. Additionally, the available bonus points for the Electronic Prescribing Objective’s Query of Prescription Drug Monitoring Program measure is now 10 points.
Electronic Clinical Quality Measures (eCQM) Requirements
Participants are required to report on three (out of nine) self-selected eCQMs and the Safe Use of Opioids – Concurrent Prescribing measure using three self-selected quarters of data.