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User Manual - State Level Registry for Provider Incentive Payments

1. i O understand that it is my responsibility as the provider to ensure that my certified EHR technology code is listed on the ONC public web service before submitting my attestation to the State understand that failing to ensure my code is listed may result in a false negative result that may disqualify me from receiving payment ave amp Continue Sp 3 EHR Reporting Period page CMS requires that providers meet specific regulations for attesting to Meaningful Use This page contains checkboxes and EHR Reporting Period fields a Numerator text field enter the number of patients with records in the certified EHR technology during the reporting period b Denominator text field enter the total number of patients during the reporting period c Calculate button at least 80 of patients must have records in the certified EHR technology The Numerator will be divided by the Denominator and the percentage is displayed on the page MO SLR Eligible Professional User Guide 39 3 amp PIP SLR Version 2 Team Suggested Sites Web Slice Gallery Sign in to CAS C5 20Process 20Flow m er Le eae eae ee Warning you are working in the TEST Environment CQM Import CQM Icon Legend Complete Warning Hard Stop Numerator Number of patient encounters in the denominator at the specified location during this reporting period Denominator Number of patient encounters at the sp
2. Clinical Process Effectiveness CMS137 CMS125 CMS124 CMS130 MO SLR Eligible Professional User Guide Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Breast Cancer Screening Cervical Cancer Screening Colorectal Cancer Screening Percentage of patients 13 years of age and older with a new episode of alcohol and other drug AOD dependence who received the following Two rates are reported a Percentage of patients who initiated treatment within 14 days of the diagnosis b Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit Percentage of women 40 69 years of age who had a mammogram to screen for breast cancer Percentage of women 21 64 years of age who received one or more Pap tests to screen for cervical cancer Percentage of adults 50 75 years of age who had appropriate screening for colorectal cancer Population Public Health Efficient Use of Healthcare Resources Efficient Use of Healthcare Resources Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness 49 CMS126 CMS127 CMS131 CMS163 CMS164 CMS145 MO SLR Eligible Professional User Guide Use of Appropriate Medications for Asthma Pneumonia Vaccination Status for Older Adults Diab
3. Dates An EP applying for the 2014 program year will have had Medicaid eligibility dates between 1 1 14 and 12 31 14 Each State has a designated Grace Period in the beginning of the year during which users that have not submitted an Attestation Agreement can elect the year for which they are Attesting Select Attestation Program Year Program Year Select a Program ear fed FA save and Continue Application Architecture The MO SLR Web application features the following e Compliance with Section 508 accessibility guidelines e Accessibility from the internet Xerox has made every effort to make this site accessible to people with disabilities In the event you experience difficulty accessing this site with assistive devices please contact our Help Desk at 866 879 0109 for MO SLR Eligible Professional User Guide 7 assistance in obtaining the information you need State of Missouri accessibility standards are available for review Secure protected page access Materials and Preparations Materials the user will need to use the software Computers with access to the web browser software Adobe Acrobat Reader installed on your machine to view PDF files The Pop up Blocker feature of your browser should be set to Off to enable pop up window features Manuals and or FAQs available for distribution Also note that this application is approved for use with Microsoft Internet Explorer versions 7 0 and 8 0 MO
4. 5 Your CMS EHR Certification ID will be displayed on the screen This is the number you will need to enter above as 4 part of your attestation m NOTE ONC does not allow you to mix inpatient products and Ambulatory products together to represent a complete EHR solution Additionally if the product s you add to your shopping cart do not represent a complete EHR solution capable of achieving meaningful use criteria you will not be able to click Get CMS EHR Certification ID in step 4 Attach Documentation The following attachments are optional e Copy of Executed Contract with EHR vendor Copy of signed Agreement for Upgrade Detailed Invoice from EHR Vendor Other File Name Remove Subject No records to display Add Files b Remove Selected gt l and linen CUD Crctifinantinn ahanane EHR Certification Page This page allows you to identify your EHR Technology and attach supporting documentation lt appears for both AIU and MU MO SLR Eligible Professional User Guide 36 1 Understanding checkbox signifies that you agree with the statement of understanding next to the checkbox When you check this box additional fields display If you do not check this box the system will not allow you to continue a I understand that it is my responsibility as the provider to ensure This is a statement of understanding as to your responsibility to demonstrate that your EHR technology is certified
5. Accessing Help For general Help all MO SLR web pages have a Help Link that opens up a copy of this User Manual For MO SLR Web application assistance you can contact the Xerox Help Desk designated to support the MO SLR Phone 866 879 0109 Email SLRHelpdesk acs inc com Help Text Displays Located throughout the MO SLR Web application there are tool tips help text and more info links that should help to complete the pages 1 Tool Tips A tool tip is text that displays when you hover your mouse over an area on the page CMs Medicaid EHR Incentive Program Registration Record a Data has been received from the CMS Medicaid EHR Incentive Program Registration site View CMS Medicaid EHR Incentive Program Registration Data Visit CMS website A opens in new window 2 The more info link of this field opens the following help window AIU Method gg Adopt Acquire purchase or access to certified EHR technology Evidence of actual acquisition or installation of the technology is required to demonstrate adoption more into The State of MO requires that the following documents be attached in support of each attestation of AIU Fuly executed contract with an EHR vendor These documents MUST be attached to your attestation for itt to be considered complete If you do not attach the requested documents your incentive payment may be delayed or canceled 3 Help Text Help text is text that displays
6. No part of this document may be modified deleted or expanded by any process or means without prior written permission from Xerox 2014 Xerox Corporation All rights reserved XEROX and XEROX and Design are trademarks of the Xerox Corporation in the United States and or other countries Other company trademarks are also acknowledged MO SLR Eligible Professional User Guide 3 Table of Contents Introduction Who can benefit from the User Manual MO SLR Application Availability Problem Reporting Overview Dates Application Architecture Materials and Preparations Method Login Accessing the MO SLR MO SLR login from the Provider Outreach Web Portal MO SLR login directly from the MO SLR login URL Creating a New MO SLR Account for Eligible Professionals Accepting the End User License Agreement EULA Changing Your Password Navigating SLR Hard and Soft Stops save and Continue Navigation Bar Applying for the Incentive as an Eligible Professional EP Home Page Workflow Section Details Step 1 About You Section Step 2 Confirm MO HealthNet Eligibility Step 3 Attestation of EHR Details AIU Method Page EHR Certification Page Meaningful Use Section Step 4 Review and Sign Agreement Step 5 Send Year X Attestation Details Applying for the Incentive as a Group Administrator Group Home Page Workflow Section Details Step 1 About Your Group Section Details step 2 Confirm Group Medicaid Eligibility Step 3
7. Observation Services method while using the All ED Visits method for the denominator of other measures Before attesting eligible hospitals and CAHs will have to indicate which method they used in the calculation of denominators An alternate method for computing admissions to the ED is to include all ED visits POS 23 only in the denominator for all measures requiring inclusion of ED admissions All actions taken in the inpatient or emergency departments POS 21 and 23 of the hospital would count for purposes of determining meaningful use An exaggerated immune response or reaction to substances that are generally not harmful Unique Patient If a patient is seen by a provider more than once during the EHR reporting period then for purposes of measurement that patient is only counted once in the denominator for the measure All the measures relying on the term unique patient relate to what is contained in the patient s medical record Not all of this information will need to be updated or even be needed by the provider at every patient encounter This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same EHR reporting period The American Reinvestment and Recovery Act of 2009 is an economic stimulus package enacted by the 111th United States Congress in February 2009 Part of the act included money for health information technology H
8. Engageme chronic nt conditions Care Coordination Domain CMS50 Closing the Percentage of patients with referrals Care referral loop regardless of age for which the referring Coordinati receipt of provider receives a report from the provider on specialist to whom the patient was referred report Step 4 Review and Sign Agreement Clicking the Review and Sign Agreement link on the EP Home page directs you to the 4 Review and Sign Agreement page where you will review the attestation agreement Once you have had a chance to review it you must print it out in order to sign it Once signed the agreement must be scanned and then uploaded into MO SLR The Review and Sign Agreement page displays the following 1 The Step 1 Print to Sign Attestation section contains the Print to Sign button When selected this will open a file Download window allowing you to open or save the Attestation Agreement and print a copy of the document 2 The Step 2 Scan and Upload Signed Attestation section contains an Attach Documentation component that will allow you to upload the Attestation Agreement You have the ability to remove and attach different files until you submit your final attestation Missouri requires a Direct Deposit Form in addition to the Attestation 3 Save amp Continue button saves the information you have entered on this page and opens the Home page 4 Cancel and lose Review changes link clears the page of any informa
9. Process Effective ness 48 CMS2 CMS75 CMS129 ADHD Medication Preventive Care and Screening Screening for Clinical Depression and Follow Up Plan Appropriate Treatment for Children with Upper Respiratory Infection URI Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients prescribing authority during the 30 Day Initiation Phase b Percentage of children who remained on ADHD medication for at least 210 days and who in addition to the visit in the Initiation Phase had at least two additional follow up visits with a practitioner within 270 days 9 months after the Initiation Phase ended Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive a follow up plan is documented on the date of the positive screen Percentage of children 3 months 18 years of age who were diagnosed with upper respiratory infection URI and were not dispensed an antibiotic prescription on or three days after the episode 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 bone scan performed at any time since diagnosis of prostate cancer
10. Screening one or more times within 24 months AND Health Tobacco Use who received cessation counseling CMS155 Weight Percentage of patients 3 17 years of age Population Assessment who had an outpatient visit with a Primary Public and Care Physician PCP or Health Counseling for Obstetrician Gynecologist OB GYN and Nutrition and who had evidence of the following during the Physical measurement period Three rates are Activity for reported Children and e Percentage of patients with height Screening and intervention if identified as a tobacco user Cessation Intervention CMS153 Chlamydia Percentage of women 16 24 years of age Population Screening for who were identified as sexually active and Public Women who had at least one test for chlamydia Health during the measurement period CMS117 Childhood Percentage of children 2 years of age who Population Immunization had four diphtheria tetanus and acellular Public MO SLR Eligible Professional User Guide 55 CMS147 CMS2 CMS69 CMS82 CMS22 Status Preventive Care and Screening Influenza Immunization Preventive Care and Screening Screening for Clinical Depression and Follow Up Plan Preventive Care and Screening Body Mass Index BMI Screening and Follow Up Maternal Depression Screening Preventive Care and Screening Screening for High Blood Pressure and Follow Up Documented pertussis DTaP three polio IPV one measle
11. displays if the result of the formula you selected does not meet the criteria listed above t Attach Documentation section a completed Eligibility Workbook and two reports Practice Management and EHR must be attached using this tool u Save amp Continue button saves the information you have just entered If you have left a required field blank or entered information incorrectly you will receive an error message If you do not meet the requirements you will not be able to proceed v Cancel and lose Medicaid Eligibility changes link clears the page of any information you have just entered and opens the Home page Save amp Continue vm MO SLR Eligible Professional User Guide 34 Once the About You and Eligibility pages are successfully saved the system will move to Step 3 Attestation of EHR The status icon on your home page will change to indicate that your eligibility information is complete Step 3 Attestation of EHR Details EPs may either attest that they have adopted implemented or upgraded EHR software or that they are actively using it in meaningful ways AIU can only be selected in the first year and it is a much easier attestation Clicking the Attestation of EHR link on the EP Home page directs you to the 3 Attestation of EHR page This lets you select Adopt Implement Upgrade AIU or Meaningful Use MU for your Attestation Type Once you have selected the Attestation Type you will then be able t
12. i MoHeaith Net Missouri State Level Registry for Provider Incentive Payments Provider Outreach Home Contact Us Important Year End Dates The last day for Eligible Hospitals to submit AIU attestation to receive a Medicaid EHR incentive payment for Federal Fiscal Year 2011 is December 31 2011 The last day for Eligible Professionals to submit AIU attestation to receive a Medicaid EHR incentive payment for Calendar Year 2011 is February 29 2012 Already have an SLR account Already have an SLR account AA i r Click here to go directly to the State Level Registry for Provider incentiv Payments site Centers for Medicare amp Medicaid Services CMS Beginning January 3 2011 the Electronic Health Record EHR Information Center will be open to assist the EHR Provider Community with both program and system inquiries from 7 30 a m 6 30 p m Central Time Monday through Friday except federal holidays at 1 338 734 6433 primary number or 888 734 6563 TTY number more info p all links open in new window Dec 05 2011 Medicare Gives Employers Consumers Information to Make Better Health Care Choices Dec 05 2011 CMS Online Information Just Got Better Dec 02 2011 Affordable Care Act Helping Consumers Get Better Value for their Health Care Dollars EMR and HIPAA all links open in new window Dec 14 2011 New EMR Vendor Support Dec 13 2011 The New
13. 1 Completed 0 Signed amp Attached 0 Submitted 0 Privacy Terms Of Use Accessibility Workflow Section Details This section describes in more detail the specific steps needed to set up a Group in the MO SLR system Starting with Step 1 the About Your Group page you will enter your registration and contact information Like Eligible Professional users Group Users will have a Navigation Menu to both access pages and keep track of their progress The five options correspond to the pages in the group component ge 1 About Your Group ge 2 Confirm Group Medicaid Eligibility amp 3 Group Certified EHR Technology Information ae 4 Manage Providers in Your Group 5 Enter Data on Behalf of Your Providers Step 1 About Your Group Section Details Clicking the About Your Group link on the Group Home page opens the About Your Group page allowing you to provide contact information The contact information is especially important as one of the primary reasons to have a Group user is to provide a single point of contact for the Group to State auditors that are reviewing the MO SLR submissions By default this information will be from the user registered in the system MO SLR Eligible Professional User Guide 60 Le About Your Group Contact Person tact P N oS Titi e Pt Numt JS cnie one n e out dashe Add oS Save amp Continue M 1 Name text field enter your name 2 Phone Number text field enter y
14. 1 Select your practice type by selecting the Ambulatory or Inpatient buttons below 2 Search for EHR Products by browsing all products searching by product name number vendor or searching by criteria met 3 Add product s to your cart to determine if your product s meet 100 of the required criteria 4 Request a CMS EHR Certification ID for CMS registration or attestation from your cart page STEP 1 SELECT YOUR PRACTICE TYPE amabuletory Practica I pationt Practice I 4 Save amp Continue button saves the information you have just entered and opens the Review and Sign Agreement page If you have left a required field blank or entered information incorrectly you will receive an error message Once you have successfully saved the information on all pages within the AIU Attestation of EHR the status icon on your home page will change to indicate that your Attestation of EHR section is complete and the system will allow you move onto Step 4 MO SLR Eligible Professional User Guide 3 1 About You Additional Registration Information and NLR data 2 Confirm Medicaid Eligibility Practice Demographics and Volumes 3 Attestation of EHR Related to Adopting Implementing Upgrading or Meaningful Use 4 Review and Sign Agreement s A limina the C O Arran On and UPI Me slr Agreement ob Meaningful Use Section The goal of Meaningful Use is to improve health care by providing better access to information a
15. EHR and EHR Module listed below has been certified by an ONC Authorized Testing and Certification Body ONC ATCB and reported to ONC Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program Eligible professionals EPs who practice in both ambulatory and inpatient settings using a combination of EHR technology certified for both of these settings can now generate a CMS EHR Certification ID EPs that want to take this option should click on the Ambulatory Practice Type hyperlink below and then select the combination of ambulatory and inpatient EHR technology used during an EHR reporting period to demonstrate meaningful use Please send suggestions and comments regarding the Certified Health IT Product List CHPL to ONC certification hhs gov with CHPL in the subject line Vendors or developers with questions about their product s listing should contact the ONC Authorized Testing and Certification Body ONC ATCB that certified their product USING THE CHPL WEBSITE To browse the CHPL and review the comprehensive listing of certified products follow the steps outlined below 1 Select practice type by selecting the Ambulatory or Inpatient buttons below Keep in mind that due to Hybrid Certification all Inpatient products now meet Ambulatory 2 Select the Browse button to view the list of CHPL products To obtain a CMS EHR Certification ID follow the steps outlined below
16. Eligibility section allows you to enter patient and Medicaid volume information 3 Group Certified EHR Information section allows you to enter Certified EHR technology information in particular the EHR Certification Number of your Group s software Each member of the Group will still have to attest to the technology they are using but the information may be pre populated for them 4 Manage Providers in Your Group section allows you to add members to your Group Enter Data on Behalf of Your Providers section page provides access to the individual pages of each provider in your Group In this way you can add or edit the information for each of these providers MO SLR Eligible Professional User Guide 59 My Account Heip ContactUs Logout Missouri MoHealth Net State Level Registry for Filing as Group Representative Provider Incentive Payments Last Updated 10 02 2012 02 57 PM Welcome This is your Dashboard for working through the attestation process Complete your Year 2012 submission Complete section 5 Enter Data on Behalf of Your Providers 1 About Your Group Additional Registration Information 2 Confirm Group Medicaid Eligibility Group Demographics and Volumes 3 Group Certified EHR Technology Information Certified EHR Details 4 Manage Providers in Your Group You currently have 1 providers in your group 5 Enter Data on Behalf of Your Providers Not started 0 In progress
17. Group Certified EHR Information Step 4 Manage Providers in Your Group Step 5 Enter Data for Providers Year MO SLR Eligible Professional User Guide OOo OD Oo CON NN 12 13 18 20 22 22 22 22 24 24 27 27 30 35 36 36 38 57 58 59 59 60 60 61 62 62 64 Accessing Reports Reports for Eligible Professionals Viewing Payment Status Payment Calculations Payment Information and Calculations for Eligible Professionals Appeals Adjustments and Recoupments Appeals Adjustments Recoupments Attaching Files The Attach Documentation Section Timing Out Troubleshooting Accessing Help Help Text Displays Definitions MO SLR Eligible Professional User Guide 65 65 67 67 67 67 67 67 69 69 70 71 71 71 73 Introduction The overall goal of the User Manual is to help guide medical professionals through the process of completing their State s application for the Centers for Medicare amp Medicaid Management s CMS s EHR Incentive Payment This application is submitted through the State Level Registry a web tool designed to capture all information needed for the approval of the EHR payment and to submit the application to your State Individuals are called Eligible Professionals EPs because medical personnel other than Physicians can also apply for the incentive payment such as Nurse Practitioners Who can benefit from the User Manual This manual is for Eligible Professionals to use as a g
18. Location table x Cancel link cancels the operation Xi Remove link will remove the associated row xii Edit link enables fields for modifications in an inserted row to be modified Select the Add New Location button to add another row to the table e Select the Meet the Additional CMS Regulations and Following Statements checkboxes to indicate that you agree with the associated statements E agree that meet the additional CMS regulations for attesting to Meaningful Use understand that the State may choose to audit my records to verify that meet these regulations C agree with the following statements The information submitted for clinical quality measures COMs was generated as an output from an identified certified EHR technology The information submitted is accurate to the knowledge and belief of the EP or the person submitting on behalf of the EP eligible hospital or CAH The information submitted is accurate and complete for numerators denominators exclusions and measures applicable to the EP eligible hospital or CAH The information submitted includes information on all patients to whom the measure applies f For the first year only data captured during a 90 day period is required though a full year is required after that The Start Date and End Date must fall within the current calendar year Reporting AlU is First Year MU is First Year Period a Se EE ES 90 days Stage 1 MU 9
19. SLR Eligible Professional User Guide Method Login Accessing the MO SLR The MO SLR is a web based application accessible from the internet via the Provider Outreach Web portal or directly from a login URL 1 Open Microsoft Internet Explorer to access the Web 2 Type your State s URL in the address field and press the Enter key on your keyboard https mo arraincentive com MO SLR login from the Provider Outreach Web Portal You can access the MO SLR Web application from the Provider Outreach Web portal This webpage features provider education resources related to the American Reinvestment and Recovery Act ARRA and the Health Information Technology for Economic and Clinical Health HITECH act and also provides a link to the MO SLR application login page The Provider Outreach page displays the following 1 Located at the top of the page is a banner that displays the following items that are visible on every page of the MO SLR application a Missouris MO HealthNet logo b The heading Missouri State Level Registry for Provider Incentive Payments This is the name of the application c Provider Outreach Home link on other pages in the Provider Outreach site this links to the home page d Contact Us link opens a pop up page displaying contact information including the Xerox Help Desk phone number and email 2 MO SLR Account Creation Entry FAQs and RSS Feeds sections Located to the left and right of
20. You must read and agree with the EULA in order to continue The End User License Agreement page displays the following 1 I Agree with the End User License Agreement checkbox selecting this checkbox indicates that you agree with the associated statement 2 Print EULA link clicking this link will open a new window containing a printable version of the EULA A Print window will also open Continue button opens the MO SLR home page 4 Cancel and return to Log in link returns you to the Login page amp IG amp g http mtsirtst arraincentive com Secure CEHRTSelection aspx 3S E PIP SLR Version 2 Team Suggested Sites Web Slice Gallery Sign into CAS C5 20Process 20Flow Warning you are working in the TEST Environment CATHERINE M WHITE MD i BUTTE SILVER BOW PRIMARY HLT 445 CENTENNIAL Registry for BUTTE MT 59701 2870 n Last Updated catherine CATHERINE M WHITE MD Provider Incentive D A A Payments 1314E01PL14GEAD Please enter your EHR certification ID from ONC ONC CHPL Website E attest that I am reporting using 2014 Edition CEHRT and am unable to fully implement 2014 Edition CEHRT because of issues related to CEHRT availability delays understand may choose to attest to either the meaningful use objectives and associated measures for Stage 1 that are applicable for the 2014 payment year or the Stage 2 objectives and measures if am eligible for Stage 2 attest that fewer than 50 o
21. and is sorted alphabetically by last name Each provider s name identification numbers address and Specialty or Taxonomy codes are listed in the table The table also indicates whether the provider has been added to more than one Group MO SLR Eligible Professional User Guide 63 Step 5 Enter Data for Providers Year Clicking the Enter Data on Behalf of Your Providers link on the Group Home page or in the Navigation Menu opens Step 5 of the process This page allows you to access the EP pages of the members of your Group and view add or edit the data for them Each provider that was added using the Manage Providers in Your Group page will appear in the table on this page 5 Enter Data on Behalf of Your Providers Of 1 providers Not started 0 Manage Providers Provider Pymt Multiple About Signed amp Name NPI TIN Yr Groups Elected You Eligibility Attestation Attached Submitted Actions 1 Manage Providers button clicking this will open the Manage Providers in Your Group page which is used to add providers to your Group 2 Of n Providers Not started n In progress n Completed n Signed amp Attached n Submitted n message next to the Manage Providers button is a Status line that provides a running count of the providers in your Group and their progress in each stage of the process 3 Provider Action List table displays all the members of the providers in the Group each provider will hav
22. captured by their software for a specified time period either 90 days or a full year of data The year 2014 has more changes in Meaningful Use measures as Stage 1 question are modified slightly Providers need to upgrade to 2014 Edition EHR technology regardless of the Meaningful Use stage they need to meet A third and final stage of Meaningful Use is scheduled to begin in 2016 Note Meaningful Use measures are based solely on encounters that occurred at locations where the certified EHR solution is available In order to qualify for the EHR Incentive payment 80 of patients must have records in the EHR solution Eligible Professionals who work at multiple locations but don t have certified EHR technology available at all of their locations must have 50 of their total patient encounters at locations where the EHR technology is available MO SLR Eligible Professional User Guide 38 1 Certified EHR Technology 2014 edition EHR certification criteria support revised MU Stage 1 and new Stage 2 requirements and include important updates that set new baselines for interoperability electronic health information exchange and patient engagement EHR technology certified to the 2011 Edition will no longer be acceptable for the purposes of meeting the Certified EHR Technology definition From a regulatory perspective 2011 Edition certifications will expire come the 2014 MU reporting period 2 EHR Certification page The EHR Certification page
23. celert a role NPI TIN Enter the letters numbers from the image above Letters are case sensitive IF you have difficulty identifying the characters in i C 7 image above click the link to display a new image Continue gt Cancel and return to Login Clicking the Continue button opens the next page where you will confirm that the information the system has retrieved up is accurate The Create Account Confirmation page displays the following 1 NPI display field the NPI you entered on the Identify Yourself page 2 TIN display field the TIN entered on the dentify Yourself page 3 Medicaid ID display field the Medicaid ID associated with the NPI and TIN you entered 4 Name display field the name associated with the NPI and TIN you entered 5 Address display field the address associated with the NPI and TIN you entered 6 Active display field will display true if the NPI TIN is active with the state Medicaid program and false if it is inactive 7 No Go back button returns to the previous page 8 Yes Continue button opens the next page to continue creating your account MO SLR Eligible Professional User Guide 15 Create Account Is This You NPI TIN Medicaid ID Name Address Active ie No Go Back Yes Continue gt All records that match the NPI or TIN will be displayed including any records with an inactive status Only those records with an active stat
24. each page and section in MO SLR whether it is complete has generated an error notice A or a required field or task was left undone 0 Click the expend icon to view all the submenu items Click the collapse icon Elto hide the submenu items MO SLR Eligible Professional User Guide 22 If the user elects to attest to the Meaningful Use MU of their EHR Technology solution MU Objective and CQM Clinical Quality Measure links will appear in the Navigation Menu f the user attests to the Adoption Implementation or Upgrade AIU of the EHR Technology solution the AIU Method and EHR Certification page links will appear amp 1 About You ge 2 Confirm Medicaid Eligibility 3 Attestation of EHR loon Legend amp Complete Warning g Hard Stop In the example above the provider has completed Steps 1 and 2 and is now at Step 3 A required field has not been completed A hard stop will prevent the page from being saved MO SLR Eligible Professional User Guide 23 Applying for the Incentive as an Eligible Professional EP After you log in as an Eligible Professional EP user and accept the EULA the EP Home page will open The home page serves as a dashboard and navigation tool for the MO SLR application Home Page The MO SLR Home page for EPs displays the following 1 MO SLR Banner section Located at the top of the page the banner displays the following items that are visible on every page of the MO SLR
25. encounter This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same EHR reporting period The term up to date means the list is populated with the most recent diagnosis known by the provider This knowledge could be ascertained from previous records transfer of information from other providers diagnosis by the provider or querying the patient 80
26. et Encounte Total Panel Members Assigned To if predo ctice elected the Payer Encounte Other Needy Indi atient Encounters MO HealthNe OR Encounte Total Patient Encounte if predominant practice is selected ther TO 10 HealthNet Panel Members Assigned To e HealthNet Encounters Other Needy Individ e Encounte Total Pane Members Assigned To Paye Encounte Attach Documentation The following attachments are required The following attachments are optional YY Eligibility Workbook Other please describe a j m e File Name Subject Eligibility Workbook Fi Practice Management Report F EHR Report Fl AddFiles 4 Remove Selected X n Eligibility Formula 2 section select this formula for your eligibility calculation to use the total panel members seen total panel members assigned total Medicaid encounters and total patient encounters as well as medically needy patient encounters if applicable to calculate your result i Use this formula radio button indicates you are using this formula ii Calculate button calculates the results of Eligibility Formula 2 s Meets Medicaid Eligibility Requirements section messages will instruct you about whether you have met the requirements for eligibility i Yes displays if the result of the formula you selected meets the following criteria e 220 for Pediatricians e 230 for all other Provider Types li No you may wish to adjust your reporting period
27. in the Meaningful Use section is identical to the EHR Certification page in the A U section except that it also contains a Supporting Documentation section This allows the user to attach a file if needed Select the Provider Understands Responsibility checkbox to accept responsibility for finding and entering the correct EHR Certification Number into the previous page A link to the Office of the National Coordinator for Health IT ONC website is provided EHR Certification Providers must provide information demonstrating that their EHR technology is certified through the Office of the National Coordinator ONC The ONG Certified HIT Product List CHPL contains the list of all certified EHR technology products and is used by the providers to generate the unique EHR Certification ID that represents the system or combination of modules that is capable of meeting Meaningful Use The State is required to validate the verification of the Certified EHR information before making any payment to providers It is the providers responsibility to generate an EHR Certification ID that accurately reflects the complete EHR or combination of modules representing a complete EHR used by the provider before attesting to the State Failure to do so could result in a false negative result that may disqualify the provider from receiving payment To proceed please indicate your understanding of this responsibility by agreeing to the following statement more info
28. site which indicates whether the MO SLR application has received data from the CMS i View CMS Medicaid EHR Incentive Program Registration Data link opens a pop up window that displays your CMS record 24 CMS Medicaid EHR Incentive Program Registration Record x The data on this screen was provided by the CMS Medicaid EHR Incentive Program Registration site and contains the information that you provided to the CMS Medicaid EHR Incentive Program Registration If any of the information displayed is incorrect please update your registration information in the CMS Medicaid EHR Incentive Program Registration site Updates to the Ch before they can be viewed here gt Medicaid EHR Incentive Program Registration data may take two to three days A General Information Last Updated First Name Date 9 2 2011 Middle Name Last Name Suffix Address Line 1 IDs Address Line 2 City Personal NPI State Personal TIN Zip Personal TIN Type Phone Number Payee NPI Phone Extension Payee TIN E Mail Address Payee TIN Type EIN Confirmation Number EHR Cert ID 30000002GKUREAA Exclusions Program Participation Year 1 Federal Exclusions Program Option MEDICAID State MS No Federal Exclusions State ID MS Provider Type Nurse_Practitioner State Rejection Reasons Provider Specialty v 3 Payment Information section located on the left of the home page the Payment section will display the following item on the Home page a How your payment is calcu
29. text field enter your National Provider Identifier NPI number If you have more then one NPI use the one that you used while registering with the CMS Medicaid EHR Incentive Program Registration Site If the number entered is not recognized an error message will appear and you will not be able to proceed TIN text field enter your Taxpayer Identification Number TIN which is either your Employer Identification Number EIN or your Social Security Number SSN CAPTCHA image a computer generated image Generate New Image link refreshes the image above if you are unsure of what numbers and letters are being displayed Enter the letters numbers from the image above text field enter the letters and or numbers you see in the CAPTCHA image This is a security feature Continue button select this button to the open the MO SLR You will confirm your name and the address associated with your NPI and TIN Cancel and return to Login link opens the Login page MO SLR Eligible Professional User Guide 14 Create Account If you are an Eligible Professional Eligible Hospital Representative or Group Practice Clinic Representative you can create a user account for the SLR Please enter the following identification information to start the process of creating your user account Identify Yourself 7 Enter the necessary information below and click Continue Red asterisk indicates a required field AT i j ple i What is your role
30. the About You page or the contact information provided to CMS in the registration process SLR generated messages will be sent to all email accounts recorded for this provider UserID msep04 Password Click Here to Change Select a Challenge Question hat is your favorite or dream destination Your Answer to the Challenge Question Phone H yates seat E mail address email email com name domain com Save My Account 4 Cancel and lose My Account changes MO SLR Eligible Professional User Guide 21 Navigating SLR Hard and Soft Stops Certain fields are required to be populated like the Professional License Number field on the Step 1 About You page Other fields are both required to be populated and checked against another system to ensure they are correct such as the EHR Certification Number field on the EHR Certification page The State decides whether required fields are hard or soft stops e Hard Stop the system will not allow the user to proceed to the next step without populating the field and having it validated correctly if necessary The information on the page cannot be saved until the field is populated correctly e Soft Stop the user may proceed and enter other information in the system though the field is still required and must be completed before the user can proceed to Step 4 A warning message will be displayed on the page and an icon will be visible in the Navigation Menu At Step
31. the page these columns display the following sections a Important Year End Dates section lists the last day Eligible Professional and Eligible Hospitals can submit attestations for 2011 b Already have an MO SLR account section directs you to the Login page c Centers for Medicare amp Medicaid Services CMS section links in this section open up a new window and displays CMS news MO SLR Eligible Professional User Guide 9 d EMR and HIPPA section links in this section open up a new window and display news related to Electronic Medical Records EMR and the Health Insurance Portability and Accountability Act HIPPA e Are You Eligible section clicking this link or graphic opens the CMS Eligibility Wizard which asks a series of questions to see if a Provider would likely be eligible for an incentive payment f Frequently Asked Questions section the view our list of most frequently asked questions link directs you to CMS frequently asked questions website related to electronic health record EHR technologies and the incentive program g Healthcare IT News section a link in this section opens up a new window and displays an article related to Healthcare IT news 3 Located in the middle of the page the primary page content entails the following sections a Welcome text This is an overview of the Provider Outreach Web portal b Important Web Resources section A link in this section opens up a new window an
32. their behalf 1 Providers in Your Group Add Provider NPI TIN O Locate Provider Last Name First TIN Pymt Multiple Name NPI Number Number YT Address Specialt Taxonomy Groups 1 Providers in Your Group section enter the NPI and TIN of the professional you wish to add to the Group and click the Locate Provider button An error message will appear if the professional was not found A pop up confirmation window will appear if the provider was found in the system Is this the Provider you want to add x NPI TIN Name Address Specialty 16 No Go Back A Yes Add to Group ra 2 Is this the provider you want to add window this displays the identification numbers name address and Specialty Codes of the provider found using the query fields This additional information helps you to identify the correct medical professional to add to your Group Note You can add providers to the Group but cannot remove providers Be very careful about those providers that you add 3 No Go back button click this button to close the window The professional will not be added to the Group 4 Yes Add to Group button click this button to add the professional to the Group If the provider is found but has opted to use his or her own volume numbers rather than those of a Group the pop up window displays a message that the provider has opted out from Groups 5 List of Providers table displays all the providers added your Group
33. user would enter the number of patients in the denominator who have a medication recorded as structured data added to the number of patients that are not currently prescribed any medication Objectives also have a measure validation if the Numerator divided by the Denominator and rendered as a percentage does not exceed the percentage stated in the Measure field on each Detail page the measure is failed For example Maintain Active Medication List has a Measure of More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data 9 Menu Objectives Users must select at least one of the Public Health Objectives on the Menu Selection page and select a minimum of five of the Menu Objectives in general When Menu Objectives are selected from the Menu Selection page the selections will appear as options in the Navigation Menu when the Save amp Continue button is selected on the page Other than being selected Menu Objectives are similar in structure and content to the Core Objectives 10 Clinical Quality Measures mport This page allows providers to import CQM data in the same way the associated page allowed the import of Core and Menu objective data Data imported in this manner will display on the individual CQM Detail pages as read only data Validation performed on individual pages will be enforced and the appropriat
34. writes fewer than 100 radiology orders during the EHR reporting period would be excluded from this requirement Exclusion from the requirement does not prevent the EP from achieving meaningful use Does this exclusion apply to you Yes No Complete the following information Numerator The number of orders in the denominator recorded using CPOE Denominator Number of radiology orders created by the EP during the EHR reporting period Numerator Please enter a numerator Denominator Please enter a denominator 8 Core Objectives Objectives measure how much of a provider s patient population has been entered into the EHR software for certain reasons If the user selects the Save amp Continue button with all fields completed on a page and the result fails the criteria set a failed icon will appear If even one Core Objective fails to meet its minimum criteria the Attestation will fail Providers must enter all Core Objectives and these are listed in the Navigation Menu when the MU Attestation Type is selected Core Objectives generally consist of an acknowledgement that you have met the obligations or a Numerator and a Denominator There are different numbers of Core Objectives for the different stages of Meaningful Use For example for the Objective Maintain Active Medication List the user would enter the number of unique patients seen by the EP during the EHR reporting period as a Denominator In the Numerator field the
35. 0 days Stage 1 MU Calendar year Stage 1 MU Year 3 90 days if Year 3 is 2014 90 days if the Year 3 is 2014 otherwise Calendar Year Calendar year Stage 1 MU if Stage 1 MU Year 3 is 2013 otherwise Stage 2 Year 4 90 days if Year 4 is 2014 90 days if Year 4 is 2014 otherwise Calendar year otherwise Calendar year MU MU Stage 2 Stage 2 Calendar year MU Stage Calendar year MU Stage 3 2 planned Calendar year MU Stage Calendar year MU Stage 3 3 planned planned The system itself will only allow choices to the providers that are appropriate for the year and their stage in the process Start Date and End Date fields have an icon 4 that will open a Calendar Utility that allows a user to select a date rather than enter it into the field 90 Day Reporting Period Start Date Fal End Date E 4 Meaningful Use Import This page allows providers to import Core and Menu objective data Data imported in this manner will display on the individual Core and Menu Objective detail pages as read only data All validations performed on individual Core and Menu pages will be enforced and the appropriate visual MO SLR Eligible Professional User Guide 41 indicators will be displayed in the navigation tree Click the MU Import Control Document link to open technical specifications for the import file Note the import function will import all records in the file or none of the records if an err
36. 4 the Attestation Agreement is produced and at this point all required fields must be completed before it can be generated Save and Continue SLR pages that require data entry have a Save amp Continue button Save amp Continue 5 When this is selected measures entered onto certain pages are validated For example the Total MO HealthNet Encounters entry must be 30 of the Total Encounters entry on the Confirm MO HealthNet Eligibility page Total Encounters 400 a Pease enler your WOL pateni encounlers fOr Me SCE reporing period Total MO HealthNet Encounters 44 y E ator woe tees LE a Sh Rot Dotiant Qae ry miare fact ninri r al mi Pr lease enie FOLT oLa MO esi VEL re efi Ei epLMErS Pol ine Ser ecied reporti g penog Only the Save amp Continue button will validate that the information in required fields is correct and save the results to the database Using any other kind of navigation the Back button on your browser or links in the Navigation Menu for example will abandon the page and the entries will not be saved Navigation Bar In Version 2 of MO SLR moving through the site is assisted by the use of a Navigation Menu on MO SLR pages though it does not appear on the Home page Only links to pages that are available to be accessed will be active in the Navigation Menu Inactive links appear light gray in color while active links are blue Icons appear next to the page links that indicate the status of
37. 5 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Patient Safety Domain CMS156 CMS139 CMS68 MO SLR Eligible Professional User Guide Use of High Risk Medications in the Elderly Falls Screening for Future Fall Risk Documentation of Current Medications in the Medical Record Percentage of patients 66 years of age and older who were ordered high risk medications Two rates are reported a Percentage of patients who were ordered at least one high risk medication b Percentage of patients who were ordered at least two different high risk medications Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period Percentage of visits for patients aged 18 years and older for which the eligible professional attests to documenting a list of current medications to the best of his her knowledge and ability This list must include ALL prescriptions over the counters herbals and vitamin mineral dietary Patient Safety Patient Safety 54 nutritional supplements AND must contain the mediations name dosage frequency and route of administration Percentage of patients aged 18 years and Pat
38. Gallery Sign into CAS C5 20Process 20Flow Confirmation Please read carefully You have chosen to attest using CEHRT Edition 2014 Stage 1 Year 2014 When you select the Continue button below your attestation will be created with the correct set of Meaningful Use Objectives and Measures as defined in the Final Rule pertaining to 2014 attestations If you determine later that you have selected the incorrect CEHRT Edition Stage or Year on the previous page you will need to contact the SLR Help Desk to request that your attestation be deleted so that you can start over and make another selection By selecting Continue you indicate your understanding of this information conn Welcome Missouri Department of Social Services MO HealthNet Division Medicaid State Level Registry End User License Agreement and Terms of Use ACCEPTANCE OF USE Lat Indicate your acceptance of the End User License Agreement below Red asterisk indicates a required field E The services that Missouri Department of Social Services MO HealthNet Division MHD provides to you are subject to the terms and conditions ofthis End User License Agreement and Terms of Use this Agreement This Agreement governs the use of all data and software available atthis site Site Please read the rules contained in this Agreement carefully You can access this Agreement at any time by clicking on User Agreement atthe bottom of every page on this S
39. Healthcare Team GE amp Microsoft Dec 12 2011 MU Stage 2 Delayed Should You Rush to Attest Meaningful Use Monday Welcome to the Missouri State Level Registry SLR Provider Outreach Page As the healthcare landscape continues to modernize recent legislation was passed to encourage the adoption of Electronic Healthcare Record EHR technology in documenting patient care The American Recovery and Reinvestment Act of 2009 beginning in 2011 offers eligible Medicaid providers financial incentives for the implementation and meaningful use of Health Information Technology HIT in the management of patient populations Want to get a jump start To streamline the process of applying for these incentives MO HealthNet Missouri s Medicaid program offers this web portal to centralize national state and regional links and provide resources for Click here to view information that will give you a jump start your HIT transition including the following on getting your ARRA incentive payment e Acentralized one stop launching pad of available tools for managing your MO HealthNet EHR Incentive information e A secure portal to access the MO HealthNet State Level Registry SLR e Access to real time feeds of current HIT news and updates from federal organizations including CMS Educate yourself today on the benefits of HIT and be a part of transforming the quality efficiency and safety of health
40. IT investments and payments 1 American Recovery and Reinvestment Act of 2009 Wikipedia The Free Encyclopedia Wikimedia Foundation Inc Last modified November 18 2010 Date accessed November 22 2010 MO SLR Eligible Professional User Guide 13 Term Acronym Explanation Expansion Appeal A petition by a provider to change a decision made by a State user or Auditor The rules and details follow guidelines established by CMS and are enforced at the State level Appropriate Technical A technical capability would be appropriate if it protected the electronic Capabilities health information created or maintained by the certified EHR technology All of these capabilities could be part of the certified EHR technology or outside systems and programs that support the privacy and security of certified EHR technology Business Days Business days are defined as Monday through Friday excluding Federal or State holidays on which the EH or their respective administrative staffs are unavailable Centers for Medicare and The Centers for Medicare and Medicaid Services CMS is a United States Medicaid Services CMS Federal Agency which administers Medicare Medicaid and the Children s Health Insurance Program CHIP Clinical Decision Support HIT functionality that builds upon the foundation of an EHR to provide persons involved in care decisions with general and person specific information intelligently filtered and organized
41. Once the selection is made Start and End Date fields will appear MO SLR Eligible Professional User Guide 31 Year x Start Date date field enter the date of the first day of your representative period The system will automatically display the end date based on the entry made here Year x End Date date field The system will automatically display an end date that corresponds to the period selected from the above menu Note the Representative Period must be in the previous calendar year and requires that you enter the first date of the month 1 Calendar icon Clicking this icon Ea opens a Calendar Utility from which you can click on a date to select it Total Encounters text field enter your total encounters for the period you noted above Total MO HealthNet Encounters text field enter your total Medicaid encounters for the period Total Panel Members Assigned text field enter your total assigned Panel Members Panel Members are patients for whom you receive capitation payments Total MO HealthNet Panel Members Assigned text field enter your total assigned Panel Members that are part of MO HealthNet Total Encounters 4 000 a Fese enler your LOLS pateni encounters for ine Serecied reporing penod Total MO HealthNet Encounters 399 y Please enter your total MO HealthNet Patient Encounters for the selected reporting period Total Panel Members 0 y Assigned Panel members must have been seen at least once
42. Pediatrician s percentage changes because of an change in claims an entry mistake or an Audit this might mean a higher or lower payment As with Appeals State representatives will handle the communication with providers regarding all Adjustments Recoupments A Recoupment is a return to the State of the full amount paid to the provider for a Payment Year This will usually be the result of Audit showing a mistake in the Medicaid claims percentage As with Appeals and Adjustments State representatives will handle the communication with providers regarding all Recoupments MO SLR Eligible Professional User Guide 67 MO SLR Eligible Professional User Guide 68 Attaching Files The Attach Documentation Section Attach Documentation sections are available in several pages of the SLR These identify documents that must be attached like a Cost Report Software Sales contract and the Attestation Agreement itself and identify documents that are optional Attach Documentation The following attachments are required The following attachments are optional WF e Fully Executed Contract e Invoice e Wendor Letter Receipt File Name Subject Fully Executed Contract C Vendor Letter C A table lists those attachments that have already been added to the section in three columns 1 File Name column the name of the uploaded file Selecting the filename will open the file for viewing provided your PC has an application that can
43. Red asterisk indicates a required field or Group Practice Clinic Representative you can create a user account for the SLR If you have not already created a User ID please select the Create Account button below to create a new User ID User ID Password Create Account 4 Forgot User ID Forgot Password Creating a New MO SLR Account for Eligible Professionals To create a new account from the Provider Outreach page select the leave this site and create an MO SLR account link located on the left side of the Provider Outreach Jumpstart page MO SLR Eligible Professional User Guide 13 Need to create an SLR SCE Need an SLR account lick here to leave this ste and re Se an SLR account for accessing the Medicaid Provider incentive Program site T To create a new account from the Login page select the Create Account button Need to Create an Account io If you are an Eligible Professional Eligible Hospital Representative or Group Practice Clinic Representative you can create a user account for the SLR If you have not already created a User ID please select the Create Account button below to create a new User ID Create Account 4 The Create Account page displays the following 1 What is your role pull down menu identify your Provider Type by selecting an option from the menu As an individual physician or medical professional select Individual Eligible Professional NPI
44. Title Phone Number 573 620 6444 Enter phone number without dashes Email Address dr yvicki roberts qmail co name idomain com 7 Attach Documentation section allows you to add a Board Certification file though this is optional 8 Save amp Continue button saves the information you entered If you have left a required field blank or entered information incorrectly an error message will appear Once all required fields are completed this section will be marked as complete The 2 Confirm MO HealthNet Eligibility page will open 9 Cancel and lose About You changes link clears the page of any information you have just entered and returns you to the Home page After completing this information you can proceed to your eligibility information by selecting the Save amp Continue button The status icon on your home page will change to indicate that your registration section is complete The green background of the first section and the icon indicate that this section has been completed 1 About You v v ir Additional Registration Information and NLR data LL 2 Confirm Medicaid Eligibility Practice Demographics at I Fj MO SLR Eligible Professional User Guide 29 Step 2 Confirm MO HealthNet Eligibility Clicking the Confirm Eligibility link on the EP Home page opens the Confirm MO HealthNet Eligibility page which allows you to enter specific practice and patient volume information This information is th
45. amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 1 EHR Incentive Programs Eligibility Eligible Professionals United States Department of Health amp Human Services Date accessed November 22 2010 8 MO SLR Eligible Professional User Guide 16 Term Acronym End User License Agreement EULA Exchange Federally Qualified Health Center FQHC Health Insurance Portability and Accountability Act of 1996 HIPAA Health Information Technology HIT Health Information Technology for Economic and Clinical Health Act of 2009 HITECH Medication Reconciliation National Provider Identifier NPI Explanation Expansion The End User License Agreement EULA details how the software can and cannot be used Clinical information must be sent between different legal entities with distinct certified EHR technology and not between organizations that share a certified EHR technology Distinct certified EHR technologies are those that can achieve certification and operate independently of other certified EHR technologies The exchange of information requires that the provider must use the standards of certified EHR technology as specified by the Office of the National Coordinator for Health IT not the capabilities of uncertified or other vendor specific alternative methods for exchanging clinical information Electronic Exchange of Clinical Informatio
46. ancel and lose Certified EHR Technology changes 5 Cancel and lose certified EHR Technology changes link this will cancel any changes made to this page The page will refresh restoring the original values and files to the fields on the page 6 lt lt Back to Dashboard Select this link to return to the Group Home page Once you have successfully saved the information in the Group Certified EHR Information page the status icon on your Home page will change to indicate that the Group Certified EHR Information section is complete The system will move you to Step 4 Step 4 Manage Providers in Your Group Clicking the Manage Providers in Your Group link on the Group Home page or in the Navigation Menu opens Step 4 of the process This page allows you to search for and add MO SLR Eligible Professional User Guide 62 Eligible Professionals to your Group They must exist in the MO SLR database before they can be added so they must register with CMS before you perform this step 4 Manage Anis in Your Group eociate providers w YOU r Group C Clinic using t this Screen You must enter both the NFI and TIN for the provider then AARS WIEN to associate the provider Please ARSDC oc be Sure PeWiewW Care e fulby a2 YOU 00 Not nawe th e ability to remove a provider from r group once you nawe con d that the provider should be as Once you have associate the providers with your group you will have the ability to enter attestation data on
47. application a b Missouri s MoHealthNet logo Missouri State Level Registry for Provider Incentive Payments the name of the application My Account link opens the My Account page Help link displays a PDF copy of this User Manual Contact Us link a pop up page displaying contact information including the Xerox Help Desk phone number and email address Logout link allows you to log out of the MO SLR Web application Filing as Eligible Professional message designates your Provider Type Practice Name display field the name of your practice Practice Street Address display field your practice s street address Practice City State and Zip Code display fields the City State and Zip Code of your practice Affiliated with Group Practice Name display field If you are affiliated with a Group practice your Group s name will appear Last Updated display field displays the last person who updated your account and the date it was updated 2 Next Steps section Located to the left of the page the Next Steps section displays messages a Begin Continue Complete your Year X submission message displays the year of attestation you are currently completing b Section link communicates the next page in the process that must be completed c CMS Message display field this will display Data has has not been received MO SLR Eligible Professional User Guide from the CMS Medicaid EHR Incentive Program Registration
48. assword you can also update contact information or change your Challenge Question or answer on this page The My Account page displays the following a b User ID text field displays your current User ID and allows you to change tt Password link select the Click Here to Change link to open the Change Password page 1 Current Password text field enter your current password in this field 2 New Password text field enter a new password 3 Confirm New Password text field enter the new password to confirm it in this field 4 Change Password button click this to change the password and open the My Account page 5 Cancel and return to My Account link opens the My Account page without making a change Select a Challenge Question pull down menu select a new Challenge Question Your Answer to the Challenge Question text field if you select a new Challenge Question enter a new answer to the Question Phone text field displays your current phone number and allows you to change it Email Address text field displays your current email address and allows you to change tt Save My Account button saves any updated information you entered on this page Cancel and lose My Account changes link clears the information you have entered MO SLR Eligible Professional User Guide 20 My Account Make changes to your account below Changing the contact information here does not change the contact information set up under
49. at point of care to enhance health and health care Clinical Summary An after visit summary that provides a patient with relevant and actionable information and instructions containing the patient name provider s office contact information date and location of visit an updated medication list updated vitals reason s for visit procedures and other instructions based on clinical discussions that took place during the office visit any updates to a problem list immunizations or medications administered during visit summary of topics covered considered during visit time and location of next appointment testing if scheduled or a recommended appointment time if not scheduled list of other appointments and tests that the patient needs to schedule with contact information recommended patient decision aids laboratory and other diagnostic test orders test laboratory results if received before 24 hours after visit and symptoms CMS Certification Number A number assigned to hospitals by the Centers of Medicare and Medicaid CCN Services the CMS Certification Number CCN is the hospital s identification number that is link to its Medicare provider agreement The CCN is used for CMS certification and also for submitted and reviewing the hospital s cost reports Centers for Medicare amp Medicaid Services CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date ac
50. ates information about the patient and suggests education resources that would be of value to the patient Permissible Prescriptions The concept of only permissible prescriptions refers to the current restrictions established by the Department of Justice on electronic prescribing for controlled substances in Schedule II V The substances in Schedule II V can be found at http www deadiversion usdoj gov schedules orangebook e_cs_sched pdf Any prescription not subject to these restrictions would be permissible i Preferred Language The language by which the patient prefers to communicate i Prescription The authorization by a provider to a pharmacist to dispense a drug that the pharmacist would not dispense to the patient without such authorization i 1 gt The Office of the National Coordinator for Health Information Technology ONC The Office of the National Coordinator for Health Information Technology United States Department of Health amp Human Services Date accessed November 22 2010 MO SLR Eligible Professional User Guide Term Acronym Problem List Provider Public Health Agency Recoupment Relevant Encounter Rural Health Clinic RHC Specific Conditions State Level Registry SLR Taxpayer Identification Number TIN Transition of Care Uniform Resource Locator URL 16 November 22 2010 17 Explanation Expansion A list of current and active diagnoses as well as pas
51. care delivery Important Web Resources ai links open in new window e CMS EHR Incentive Program Reaistration site pO e Centers for Medicare amp Medicaid Services CMS 5 e ONC Certified Health IT Products Regional Extension Centers REC all links open in new window The Missouri HIT Assistance Center is a federally funded resource that provides technical assistance to help primary care providers with EHR selection and implementation More information is available here http wwww assistancecenter missouri edu gt Additional Resources Missouri Health Information Organization MHIO Missouri s Statewide Health e Information Exchange e MO HealthNet the Missouri Medicaid Agency rf e MO HealthNet provider web portal eMOmed 7 MO HealthNet clinical web portal CyberAccess pO Are You Eligible ee Medicare and Medicaid EHR Incentive Programs Ate you etigitte for the Medicare amp Medicaid DR Wcoetive Progress Run the CMS Eligibility Wizard and quickly see if you may qualify for incentive payments Frequently Asked Questions Have a question Click here to view the CMS list of frequently pq asked questions Cllick here to view FAQs for the Missouri Medicaid Electronic Health Records Incentive Program Healthcare IT News all links open in new window Dec 14 2011 Microsoft launches joint venture with GE Healthcare Dec 13 2011 Maine s sole HIE win
52. cation table Eligible Professionals who work at multiple locations but do not have certified EHR technology available at all locations must Have 50 of their total patient encounters at locations where certified EHR technology is available Base all meaningful use measures only on encounters that occurred at locations where certified EHR technology is available Select Add New Location i button and the default address associated with the NPI TIN will be displayed and may be changed if required Any new locations added will require all data to be entered There will be no default values displayed The Add New Location table displays the following vi vii viii MO SLR Eligible Professional User Guide Street text field enter the street City text field enter the city State pull down list field select a state from the available list Zip text field enter the zip code Numerator text field enter the number of patient encounters entered into the EHR Software at the specified location during the reporting period Denominator text field enter the number of patient encounters at the specified location during the reporting period EHR Technology pull down list select yes if certified EHR technology was used at the specified location or no if it was not used Percentage the percentage of patients entered into the EHR software out of the entire population of patients 40 IX Insert link adds the record to the Add New
53. cessed November 22 2010 2 HITECH Attestation Mockups EP and HITECH Attestation Mockups EH Version 9 CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date published 3 8 2011 Frequently Asked Questions about Accrediting Hospitals in Accordance with their CMS Certification Number CCN The Joint Commission Article date July 15 2010 Date accessed November 22 2010 MO SLR Eligible Professional User Guide 14 Term Acronym Explanation Expansion CMS Medicaid EHR The national d that supports the administration and incentive payment Incentive Program disbursements of Medicare and Medicaid programs to medical Registration site professionals hospitals and other organizations Computerized Physician Computerized Physician Order Entry CPOE refers to any system in which Order Entry CPOE clinicians directly enter medication orders and or tests and procedures into a computer system which then transmits the order directly to the pharmacy Computerized Provider CPOE entails the provider s use of computer assistance to directly enter Order Entry CPOE medication orders from a computer or mobile device The order is also documented or captured in a digital structured and computable format for use in improving safety and organization CPOE See Computerized Provider Order Entry Diagnostic Test Results All data needed to diagnose and treat disease Examples
54. completed and all have passed their validation criteria then the subgroup will receive a completed icon Clicking the collapse icon El will hide the title of the individual pages in a subgroup MO SLR Eligible Professional User Guide 42 amp 1 About You g 2 Confirm Medicaid Eligibility 3 Attestation of EHR EHR Certification EHR Reporting Period MU Import MU Core Objectives MU Menu Objectives COM Import COM Icon Legend ge Complete J Waming a Hard Stop 6 Selection Pages and Detail Pages Each group of measures includes a Selection page which provides a place for the user to select or at least access the measures The Menu Objective Selection page allows a user to select Objective measures since a user must select only some of the measures Users cannot select a measure on the Core CQM or Core Objective Selection pages since all core measures are required Each measure within a group also includes a Detail page where users will record the applicable data Select the Save amp Continue button on each measure Detail page to move unto the next measure requiring input or the next Selection page Detail pages include an Attach Documentation section so that users can associate a document that is relevant to the measure 7 Exclusions Sometimes the measure will not apply to your particular practice Pediatricians for example have no patients over 65 years old To account for this measures of this nature
55. d displays the appropriate website Standard links provided by Xerox include links to CMS and the ONC I CMS EHR Incentive Programs Registration site link opens up a new window and displays the Medicare amp Medicaid EHR Incentive Program Registration and Attestation System ii Centers for Medicaid and Medicaid Services link opens the CMS site iii ONC Certified Health IT Products link opens up a new window and displays the Certified Health IT Product List c Regional Extension Centers REC section Clicking the link in this section opens up a new window and displays the REC website d Additional Resources section Clicking a link in this section opens up a new window and displays the associated website These include i Missouri Health Information Organization MHIO Missouri s Statewide Health Information Exchange li MO HealthNet the Missouri Medicaid Agency iii MO HealthNet Provider web portal eMOmed iv MO HealthNet clinical web portal CyberAccess 4 Footer section Located at the bottom of the page the footer displays the following items a Privacy link opens a new window with a Privacy policy displayed b Terms of Use link opens a new window with the Terms of Use policy displayed c Accessibility link opens a new window with the website s Accessibility policy displayed d Xerox Copyright This is Xerox s copyright symbol and text MO SLR Eligible Professional User Guide 10
56. d to the payment of Provider incentive payments provided for under the ARRA Grumman nets 34M CMS data repository project CMIO Contracts and Installations TriMed Media Group Inc Article date May 17 2010 Data accessed November 22 2010 Computerized Provider Order Entry AHRQ Agency for Healthcare Research and Quality United States Department of Health amp Human Services Date accessed November 22 2010 MO SLR Eligible Professional User Guide 15 Term Acronym Explanation Expansion Electronic Health Record An Electronic Health Record EHR is an electronic version of a patient s EHR medical history that is maintained by the Provider over time and may include all of the key administrative clinical data relevant to that persons care under a particular Provider including demographics progress notes problems medications vital signs past medical history immunizations laboratory data and radiology reports Electronic Medical Record An electronic medical record EMR is a computerized medical record EMR created in an organization that delivers care such as a hospital and doctor s surgery Eligible Hospital EH For the purposes of the Medicaid EHR Incentive Program and SLR applications documentation an eligible hospital EH is defined as the following Acute care hospitals including Critical Access Hospitals and cancer hospitals with at least 10 Medicaid patient volume Children s hos
57. d to the payment of provider incentive payments provided for under the ARRA A Taxpayer Identification Number TIN is an identification number used by the Internal Revenue Service IRS in the administration of tax laws The movement of a patient from one setting of care hospital ambulatory primary care practice ambulatory specialty care practice long term care home health rehabilitation facility to another In computing a Uniform Resource Locator URL is a Uniform Resource Identifier URI that specifies where an identified resource is available and the mechanism for retrieving it Taxpayer Identification Numbers TIN IRS gov Internal Revenue Service Last modified August 20 2010 Date accessed Uniform Resource Locator Wikipedia The Free Encyclopedia Wikimedia Foundation Inc Last modified November 22 2010 Date accessed November 22 2010 MO SLR Eligible Professional User Guide 19 Term Acronym Unique Patient Up to date MO SLR Eligible Professional User Guide Explanation Expansion If a patient is seen by a provider more than once during the EHR reporting period then for purposes of measurement that patient is only counted once in the denominator for the measure All the measures relying on the term unique patient relate to what is contained in the patient s medical record Not all of this information will need to be updated or even be needed by the provider at every patient
58. e locked for editing and will display your information as view only 7 Footer section Located at the bottom of the page the footer displays the following items a Privacy link clicking this link opens a new window with a Privacy Statement displayed b Terms of Use link clicking this link opens a Legal Statement for the site c Accessibility link clicking this link opens a pop up with the website s Accessibility policy displayed d Xerox Copyright This is Xerox s copyright symbol and text MO SLR Eligible Professional User Guide 26 5 eae Year 1 Begin your Year 1 submission today Start with section 1 About You 1 About You we Data has been received from the CMS Medicaid EHR Incentive Program Registration site View CMS Medicaid EHR Incentive Program Registration Data you have completed 3 Attestation of EHR 2 Confirm MO HealthNet Eligibility Confirm MO HealthNet Eli ibilit i ctice Demographics and Volumes Pra Reports Registration and Attestation Summary Report Audit 0 a Appeals 0 P9 System Messages 0 Privacy Terms Of Use Accessibility Workflow Section Details This section describes in more detail the specific steps to take when applying for the Provider incentive This begins with Step 1 the About You section where you will enter your registration and contact information Step 1 About You Section Clicking the About You link on the EP Home page directs you to
59. e the following columns referencing their data e Provider Name column displays the name of the provider e NPI column the provider s NPI information e TIN column the provider s TIN information e Pymet Yr column the Payment Year to which the provider is attesting e Elected column indicates whether the provider has joined your Group or not e About You column contains a status icon that indicates whether this section for a provider is complete or not f indicates that the step is complete X indicates that the step has been started but not finished indicates that the step has not been started e Eligibility column contains a status icon e Attestation column contains a status icon e Signed amp Attached column contains a status icon e Submitted column contains a status icon e Actions pull down menu allows the user to open the associated page and enter data into MO SLR for that user Select an option for the menu such as About You or Eligibility and the corresponding page of that user will open MO SLR Eligible Professional User Guide 64 Entering on behalf of Back to Provider List Contact Person When opened the MO SLR page of your Group s provider will be topped by a special header identifying the provider you are entering information for such as in the example above The header section also has a lt Back to Provider list button which returns you to the Group Administrator Step 5 page Access
60. e visual indicators will be displayed in the navigation tree MO SLR Eligible Professional User Guide 44 Clinical Quality Measures Import Instructions Use the COM Import functionality to import your Gore and Menu Objective data The import function will import all records in the file or none of the records in the file if an error occurs with the import The data imported will display on the individual COM pages as read only All validations performed on the COM pages shall apply and shall be used to display the appropriate visual indicators in the navigation tree If all required data is not populated for the COM data then you will be required to manually enter and save Select the appropriate format used to import your Clinical Quality Measure data File Import CQM Import File Format PORI XML Format gt Submit P Please select the Previous Screen button to go back or the Continue button to proceed 11 Core Clinical Quality Measures Clinical Quality Measures or CQMs capture information about patient treatments and diagnoses instead of information about the number of patients in the EHR There are no passing percentages as these pages are simply intended to capture information about patients 12 Stage 1 CQMS Stage 1 Core CQMs are all required If your practice has seen no patients to which one of these CQMs would apply you will enter 0 in the Denominator field of that page s Detail page For example one CQM
61. ecified location during this reporting period W agree that meet the additional CMS regulations for attesting to Meaningful Use understand that the State may choose to audit my records to verify that meet these regulations 7 agree with the following statements The information submitted for clinical quality measures COMs was generated as an output from an identified certified EHR technology The information submitted is accurate to the knowledge and belief of the EP or the person submitting on behalf of the EP eligible hospital or CAH The information submitted is accurate and complete for numerators denominators exclusions and measures applicable to the EP eligible hospital or CAH The information submitted includes information on all patients to whom the measure applies 90 Day Reporting Period Start Date 1 1 2014 FI End Date am reporting CQMs for a different reporting period than my core and menu objectives Reporting Period for CQM Start Date 6 1 2014 E End Date 8 29 2014 E Attach Documentation The following attachment is required The following attachments are optional Contract Supporting Documents Other File Name Subject Remove Salescontract doc Contract E Add Files b Remove Selected gt Please select the Previous Screen button to go back or the Save amp Continue button to proceed Previous Screen Save amp Continue gt d Add New Lo
62. en used in the calculation that determines your Medicaid eligibility for the Provider Incentive program The Confirm Medicaid Eligibility page displays the following 1 lt Back to Dashboard link clicking this link will return you to the Home page 2 Print Registration Attestation link opens a PDF document that contains all the information captured by MO SLR so far in the process 3 Group Practice Eligibility section This section will appear only if you have been added to a Group Group members have a single point of contact for the MO SLR process and have their Eligibility information added by a Group Administrator rather than entering it themselves Group Practice Eligibility l wish to change my Group Association Do you want to use group practice eligibility information more info Ves No practice in more than one group clinic and am electing to use volumes from group MO SLR Eligible Professional User Guide I wish to change my Group Association checkbox this allows you to select a different Group if you belong to more than one Group Once you select a Group that Group s eligibility numbers will populate this page Select this checkbox and then select a different Group from the pull down menu below to change your Group affiliation Do you want to use Group practice eligibility information radio buttons select the Yes radio button to use the eligibility numbers of your Group or practice Select the No radio but
63. ent Use of Healthcare Resources Population Public Health Patient Safety Popula tion Public Health 47 CMS55 CMS90 Closing the referral loop receipt of specialist report Functional status assessment for complex chronic conditions and lt 30 e Age 18 64 years BMI 2 18 5 and lt 25 Percentage of patients with referrals regardless of age for which the referring provider receives a report from the provider to whom the patient was referred Percentage of patients aged 65 years and older with heart failure who completed initial and follow up patient reported functional status assessments Pediatric Recommended Measures CMS146 CMS155 CMS153 CMS126 CMS117 CMS154 CMS136 MO SLR Eligible Professional User Guide Appropriate Testing for Children with Pharyngitis Use of Imaging Studies for Low Back Pain Chlamydia Screening for Women Use of Appropriate Medications for Asthma Childhood Immunization Status Appropriate Treatment for Children with Upper Respiratory Infection URI ADHD Follow up Care for Children Prescribed Attention Deficit Hyperac tivity Disorder Percentage of children 2 18 years of age who were diagnosed with pharyngitis ordered an antibiotic and received a group A streptococcus strep test for the episode Percentage of patients 18 50 years of age with a diagnosis of low back pain who did not have an imaging study plain X ray MRI CT scan withi
64. ess text field enter your email address 8 Confirm Email address text field enter your email address again to ensure it was not misspelled 9 Create Account button select this button to save your account If you left a required field blank or entered information incorrectly you will receive an error message 10 Cancel and return to Login link select this button to cancel all the changes and return to the Login page MO SLR Eligible Professional User Guide 16 Create Account Is This You Name Address Create Login Enter the necessary information below and click Create Account Red asterisk indicates a required field User ID Password Confirm Password Select a Challenge Question Select Challenge Question Your Answer to the Challenge Question Phone HEHH sare E mail address name domain com Confirm E mail address name madomain com Create Account p Once you click the Create Account button you will be routed to the final page for creating an account The final Create Account page displays the following 1 Account successfully created display message signifies that you have successfully created your MO SLR account 2 Continue to Login button opens the Login page MO SLR Eligible Professional User Guide 17 Accepting the End User License Agreement EULA After your first login to the system you will be presented with the End User License Agreement EULA
65. etes Eye Exam Diabetes Foot Exam Diabetes Hemoglobin A1c Poor Control Hemoglobin A1c Test for Pediatric Patients Diabetes Urine Protein Screening Diabetes Low Density Lipoprotein LDL Management Ischemic Vascular Disease IVD Use of Aspirin or Another Antithrombotic Coronary Artery Disease CAD Beta Blocker Therapy Prior Myocardial Infarction MI or Left Percentage of patients 5 64 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement period Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine Percentage of patients 18 75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam no evidence of retinopathy in the 12 months prior to the measurement period Percentage of patients 18 75 years of age with diabetes who had a foot exam during the measurement period Percentage of patients 18 75 years of age with diabetes who had hemoglobin A1c gt 9 0 during the measurement period Percentage of patients 5 17 years of age with an HbA1c test during the measurement period Percentage of patients 18 75 years of age with diabetes who had had a nephropathy screening test or evidence of nephropathy during the measurement period Percentage of patients 18 75 years of age with diabetes
66. f my encounters for the EHR reporting period take place in locations with fully implemented 2014 Edition CEHRT For Eligible Professionals who practice in multiple locations if over 50 of the EP s patient encounters during the EHR reporting period occur at locations equipped with 2014 Edition CEHRT which has been fully implemented the EP is not eligible to use the flexibility options in this final rule and must attest to 2014 objectives and measures and must limit their denominators to only those patient encounters in locations equipped with fully implemented 2014 Edition CEHRT Providers who do not meet the threshold for the Stage 2 summary of care measure because the recipients of the transitions or referrals were impacted by issues related to 2014 Edition CEHRT availability delays and therefore could not implement the functionality required to receive the electronic summary of care document should select the option to attest to Stage 1 2014 objectives and measures Vl attest that I am reporting using 2014 Edition CEHRT and have fully implemented the technology I will attest to Meaningful Use E attest that I am reporting using 2014 Edition CEHRT and will attest to Adopt Implement or Upgrade AIU Cancel and log out Privacy TermsOfUse Accessibility Copyright 2010 2014 Xerox Inc All Rights Reserved MO SLR Eligible Professional User Guide 18 3 E PIP SLR Version2 Team B Suggested Sites Web Slice
67. has 2 lines of Population Criteria each line having a Numerator Denominator and Exclusion field NQF 0424 PORI 126 Tithe Adut Weight Screening and Follow up Description Percentage of patients aged 16 years and older with a calculated BMI in the past six months or during the current visit t BM documented in the medical record AND if the most recent BMlis outside parameters a follow up plan is documented Complete the following information Numerator Denominator Exclusion Population Criteria 1 Numerator Denominator Exclusion Population Criteria 2 lf the user entered a zero in either of these Denominators the Alternate CQM Selection link will appear in the Navigation Menu and one of the three Alternate CQMs is now required If zero was entered into Denominator fields of three Core CQM pages then all three Alternate CQMs would be required The Alternate CQM Selection page allows a user to select between one and three CQMs depending on how many Core CQMs had a zero in a Denominator field Clicking the Save amp Continue button will open the Detail page entered of the first selected Alternate CQM MO SLR Eligible Professional User Guide 45 Users are required to select three Additional CQMs from among the options on the Stage 1 Additional CQM Selection page Clicking the Save amp Continue button will open the Detail page of the first selected Additional CQM In 2014 certain Core and Menu objecti
68. his will remove the associated row Select the Add a State button to add another row to the table Do you practice predominately in a Federally Qualified radio buttons select the FQHC or RHC radio buttons if you practice more than 50 of the time in one of these types of health center This field is required for Physician s Assistants who must practice in a FQHC or RHC i ii lil IV V Vi FQHC radio button Federally Qualified Health Center FQHC Look alike RHC radio button Rural Health Clinic None radio button If you select any option besides None a My Other Needy Individuals Patient Encounters text field will appear Enter your patient encounters for the medically needy patients you serve More info link opens a pop up window that explains what CMS considers medically needy patients Eligibility Formula 1 section select this formula for your eligibility calculation to use total patient encounters and total Medicaid encounters as well as the medically needy patient encounters if applicable to calculate your result Use this formula radio button indicates you are using this formula Calculate button calculates the results of Eligibility Formula 1 If the numbers qualify a message will be displayed below the section 33 Eligibility Formula 1 Gf Eligibility Formula 2 Jf e Use this O Total MO HealthNet Encounte otal Encounte Total MO HealthNet Panel Members Assigned Total MO OR He
69. ient older with a diagnosis of uncomplicated Safety cataract who had cataract surgery and had CMS132 Cataracts Complications within 30 Days Following Cataract Surgery Requiring Additional any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications retained nuclear fragments endophthalmitis Surgical dislocated or wrong power IOL retinal Procedures detachment or wound dehiscence CMS177 Child and Percentage of patient visits for those patents Adolescent aged 6 through 17 years with a diagnosis of Major major depressive disorder with an Depressive assessment for suicide risk Disorder Suicide Risk Assessment CMS179 ADE Average percentage of time in which Patient Prevention and patients aged 18 and older with atrial Safety Monitoring fibrillation who are on chronic warfarin Warfarin Time therapy have International Normalized Ratio in Therapeutic INR test results within the therapeutic range Range i e TTR during the measurement period Population Public Health Domain Adolescents weight and body mass index BMI percentile documentation e Percentage of patients with counseling for nutrition e Percentage of patients with counseling for physical activity CMS138 Preventive Percentage of patients aged 18 years and Population Care and older who were screened for tobacco use Public
70. igible Professional User Guide 25 li Subject display field iii Date Received display field the date the message was sent iv From display field the sender the message v Message Text section the message text 6 Workflow section Detailed further below located to the right of the page the Workflow section displays the following items that are visible on the home page a Year x tabs each tab represents a year in which you have completed an attestation The most current year s tab will always be the one visible when you log in Click other tabs to view a previous year s information Lhe b Sections each section has a Status icon 4 that indicates whether each page has been started whether the page has been completed or whether it is still locked A locked page cannot be accessed until the previous pages have been completed Each section will also have a description The title of each section provides a link to that section L About You il Confirm MO HealthNet Eligibility lil Attestation of EHR This link will not be active until you ve already completed your registration and eligibility iv Review and Sign Agreement This link will not be active until you have completed the Attestation of EHR section vV Send Year X Attestation This link will not be active until you ve reviewed signed and uploaded your signed attestation agreement Once you submit the attestation all of the other sections will b
71. in the 72 months preceding the eligibility Pernod Total MO HealthNet Panel g ag MO SLR Eligible Professional User Guide 7 Members Assiqned Panel members must participate in managed care a medical or home health program or similar provider structure with capitation and or case assignment and are seen in the 12 months preceding the 90 day eligibility period Do you have Medicaid Patients from more than one State radio buttons identify whether or not you practice in more than one state When you select the Yes radio button you must answer the question Do you want your volumes for all states to be used to determine eligibility 1 Do you want your volumes for all states to be used to determine eligibility radio buttons identify whether or not you want to use the other states volumes to determine your eligibility If you chose the Yes radio button the Add a State component will appear 2 Select the Add a State _ button to add another row to the table a State pull down column select a State to enter the encounter information for that State b Total Encounters column enter the encounters for the State and selected time period C Total Medicaid Encounters column d Total Panel Members column 32 MO SLR Eligible Professional User Guide e Total Medicaid Panel Members column f Insert link adds the numbers to the multi State table g Cancel link cancels the operation Remove link T
72. include but are not limited to blood tests microbiology urinalysis pathology tests radiology cardiac imaging nuclear medicine tests and pulmonary function tests Different Legal Entities A separate legal entity is an entity that has its own separate legal existence Indications that two entities are legally separate would include 1 they are each separately incorporated 2 they have separate Boards of Directors and 3 neither entity is owned or controlled by the other Discharge Instructions Any directions that the patient must follow after discharge to attend to any residual conditions that need to be addressed personally by the patient home care attendants and other clinicians on an outpatient basis Distinct Certified EHR Each instance of certified EHR technology must be able to be certified and Technology operate independently from all the others in order to be distinct Separate instances of certified EHR technology that must link to a common database in order to gain certification would not be considered distinct However instances of certified EHR technology that link to a common uncertified system or component would be considered distinct Instances of certified EHR tee NNDOgy can be from the same vendor and still be considered distinct EHR Provider Incentive The EHR Provider Incentive Portal SLR is a Xerox application created for Portal SLR the capture and maintenance of state mandated information relate
73. include Exclusion Yes and No radio buttons The measure s data fields will appear if the Exclusion does not apply There can also be more than one Exclusion per Measure MO SLR Eligible Professional User Guide 43 Questionnaire 1 of 17 2 Red asterisk indicates a required field Objective Use computerized provider order entry CPOE for medication laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure 1 More than 60 of medication orders created by the EP during the EHR reporting period are recorded using CPOE Exclusion 1 Any EP who writes fewer than 100 medication orders during the EHR reporting period would be excluded from this requirement Exclusion from the requirement does not prevent the EP from achieving meaningful use Does this exclusion apply to you Yes No C Measure 2 More than 30 of laboratory orders created by the EP during the EHR reporting period are recorded using CPOE Exclusion 2 Any EP who writes fewer than 100 laboratory orders during the EHR reporting period would be excluded from this requirement Exclusion from the requirement does not prevent the EP from achieving meaningful use Does this exclusion apply to you Yes No Measure 3 More than 30 of radiology orders created by the EP during the EHR reporting period are recorded using CPOE Exclusion 3 Any EP who
74. ing Reports Reports for Eligible Professionals Located to the left of the page the Reports section displays the following items 1 Reports message the following message appears if you don t have any data in the system to run a report Reports will be available once your information is saved 2 Registration and Attestation Summary Report link once some information has been saved to the MO SLR web application this link appears Clicking this link opens a pop up window with the Registration and Attestation Summary report results This report prints all of the Attestation information that you have already entered The Registration and Attestation Summary report displays the following a Identifying Information section displays the information you entered when you created your MO SLR account b Filing Information displays the Program Year and status of the Attestation association c About You section displays the information saved when you completed the About You section d Confirmation of Eligibility section displays the information saved when you completed the Confirm MO HealthNet Eligibility section e Summary of Meaningful Use Core Measures displays Core Objective measures if these were entered f Summary of Meaningful Use Menu Measures g Summary of Core Clinical Quality Measures Summary of Alternate Core Clinical Quality Measures MO SLR Eligible Professional User Guide 65 I Summary of Additional Cli
75. ing the measurement year with a minimum of 90 days between each visit Percentage of patients aged 6 weeks and older with a diagnosis of HIV AIDS who were prescribed Pneumocystis jiroveci pneumonia PCP prophylaxis Percentage of patients aged 13 years and older with a diagnosis of HIV AIDS with at least two visits during the measurement year with at least 90 days between each visit whose most recent HIV RNA level is lt 200 copies mL Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best corrected visual acuity of 20 40 or better distance or near achieved within 90 days following the cataract surgery This measure identifies pregnant women who had a HBsAg hepatitis B test during their pregnancy Adult patients age 18 and older with major depression or dysthymia and an initial PHQ 9 score gt 9 who demonstrate remission at twelve months defined as PHQ 9 score less than 5 This measure applies to both patients with newly diagnosed and existing depression whose current PHQ 9 score indicates a need for treatment Adult patients age 18 and older with the diagnosis of major depression or dysthemia who have a PHQ 9 tool administered at least once during a 4 month period in which there was a qualifying visit Percentage of children ages 0 20 years who have had tooth decay or cav
76. iod who were screened for high blood pressure AND a recommended follow up plan is documented based on the current blood pressure BP reading as indicated Patient and Family Engagement Domain CMS157 CMS66 MO SLR Eligible Professional User Guide Oncology Medical and Radiation Pain Intensity Quantified Functional status assessment for Percentage of patient visits regardless of patient age with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified Percentage of patients aged 18 years and older with primary total knee arthroplasty TKA who completed baseline and follow up Health Population Public Health Population Public Health Population Public Health Population Public Health Population Public Health Patient and Family Engageme nt and Family 56 ee patient reported functional status Engageme replacement assessments nt CMS56_ Functional Percentage of patients aged 18 years and Patient status older with primary total hip arthroplasty and assessment for THA who completed baseline and follow up Family hip patient reported functional status Engageme replacement assessments nt CMS90 Functional Percentage of patients aged 65 years and Patient status older with heart failure who completed and assessment for baseline and follow up patient reported Family complex functional status assessments
77. ite Ifyou do not agree to abide by this Agreement your access to any other pages ofthis Site will be denied Clicking on the Agree button at the end of this Agreement and accessing this Site constitutes your acceptance of this Agreement Continued access to this Site will constitute your acceptance of any amendments to this Agreement Your failure to follow the terms and conditions for use ofthis Site whether listed below or in bulletins posted at t various points in this Site may resultin suspension or termination of your 1 Agree with the End User License Agreement Print EULA Cancel and return to Log in Continue p MO SLR Eligible Professional User Guide 19 Changing Your Password Your password will be effective for 60 days When you log in and 60 days have passed since you created the previous password a Reset Password page will appear You can change your password on this page 1 After 60 days the Reset Password page displays a b O New Password text field enter a new password Confirm New Password text field enter the password again Save button selecting this button saves your new password Cancel button clears entries made into the two text fields above and no change is made to your password 2 Voluntary Password Change To change your password before the 60 days have passed select the My Account link in the top right hand corner of the MO SLR Home page In addition to changing your p
78. ities during the measurement period Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness 53 CMS74 CMS61 CMS64 CMS149 CMS65 Primary Caries Prevention Intervention as Offered by Primary Care Providers including Dentists Preventive Care and Screening Cholesterol Fasting Low Density Lipoprotein LDL C Test Performed Preventive Care and Screening Risk Stratified Cholesterol Fasting Low Density Lipoprotein LDL C Dementia Cognitive Assessment Hypertension Improvement in blood pressure Percentage of children ages 0 20 years who received a fluoride varnish application during the measurement period Percentage of patients aged 20 through 79 years whose risk factors have been assessed and a fasting LDL C test has been performed Percentage of patients aged 20 through 79 years who had a fasting LDL C test performed and whose risk stratified fasting LDL C is at or below the recommended LDL C goal Percentage of patients regardless of age with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period Percentage of patients aged 18 8
79. ive Simplification Standard The NPI is a unique identification number for covered health care Providers EULA Webopedia QuinStreet Inc Date accessed November 22 2010 12 Health Insurance Portability and Accountability Act of 1996 CMS Centers for Medicare amp Medicaid services Public Law 104 191 104 Congress Date accessed November 22 2010 13 HITECH and Funding Opportunities The Office of the National Coordinator for Health Information Technology United States Department of Health amp Human Services Date accessed November 22 2010 14 National Provider Identifier Standard NPI Overview CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 MO SLR Eligible Professional User Guide Term Acronym Explanation Expansion Observation Services The denominator should include the following visits to the ED Method e The patient is admitted to the inpatient setting place of service POS 21 through the ED In this situation the orders entered in the ED using certified EHR technology would count for purposes of determining the computerized provider order entry CPOE Meaningful Use measure Similarly other actions taken within the ED would count for purposes of determining Meaningful Use e The patient initially presented to the ED and is treated in the ED s observation unit or otherwise receives observation
80. lated message opens a pop up window that shows your payment for the current year This will appear after you enter information in the Confirm MO HealthNet Eligibility section 4 Reports section Located on the left of the home page the Reports section displays the following items when selected a Reports message you will see the following message when you don t have any data in the system to run a report on Reports will be available once your information is saved b Report Titles the titles of available reports will appear here For example the Registration and Attestation Summary Report link will appear after you have saved at least some information in the MO SLR Web application Clicking this link opens a pop up window displaying the report in PDF format 5 Messages section Located to the left side of the home page the Messages section displays the following items a Audit section provides access to Audit messages display field indicates the number of unread messages that you have b Appeals section provides access to Appeals messages display field indicates the number of unread messages that you have c System Messages section provides access to System messages display field indicates the number of unread messages that you have d Individual messages Clicking on one of the individual message links will reveal a message The first line indicates the window title MO SLR El
81. n 3 A type of provider that includes all organizations receiving grants under Section 330 of the Public Health Service Act Advantages include grant funding enhanced Medicare and Medicaid reimbursement medical malpractice coverage through the Federal Tort Claims Act reduced cost for medications for outpatients etc The purpose of the Health Insurance Portability and Accountability Act is to improve the Medicaid program and the efficiency and effectiveness of the health care system by encouraging the development of a health information system through the establishment of standards and requirements for the electronic transmission of certain health information Health Information Technology HIT refers to the use of technology in managing health information For example the use of electronic health records instead of paper medical records The Health Information Technology for Economic and Clinical Health Act of 2009 HITECH amends the Public Health Service Act by adding a number of funding opportunities to advance health information technology The process of identifying the most accurate list of all medications that the patient is taking including name dosage frequency and route by comparing the medical record to an external list of medications obtained from a patient hospital or other provider The National Provider Identifier NPI is a Health Insurance Portability and Accountability Act HIPAA Administrat
82. n 28 days of the diagnosis Percentage of women 16 24 years of age who were identified as sexually active and who had at least one test for Chlamydia during the measurement period Percentage of patients 5 64 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement period Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR three H influenza type B HiB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV one hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday Percentage of children 3 months 18 years of age who were diagnosed with upper respiratory infection URI and were not dispensed an antibiotic prescription on or three days after the episode Percentage of children 6 12 years of age and newly dispensed a medication for attention deficit hyperactivity disorder ADHD who had appropriate follow up care Two rates are reported a Percentage of children who had one follow up visit with a practitioner with Care Coordina tion Efficient Use of Healthcare Resources Efficient Use of Healthcare Resources Population Public Health Clinical Process Effective ness Population Public Health Efficient Use of Healthcare Resources Clinical
83. nary interventions PCI in the 12 Control months prior to the measurement period or who had an active diagnosis of ischemic vascular disease IVD during the measurement period and who had a complete lipid profile performed during the measurement period and whose LDL C was adequately controlled lt 100mg dL MS135 Heart Failure Percentage of patients 18 years of age and Clinical HF older with a diagnosis of heart failure HF Process Angiotensin with a current or prior left ventricular ejection Effective Converting fraction LVEF lt 40 who were prescribed ness Enzyme ACE ACE inhibitor or ARB therapy either within a Inhibitor or 12 month period when seen in the outpatient Angiotensin setting OR at each hospital discharge Receptor Blocker ARB Therapy for Left Ventricular Systolic Dysfunction LVSD C CMS144 Heart Failure Percentage of patients 18 years of age and Clinical HF Beta older with a diagnosis of heart failure HF Process Blocker with a current or prior left ventricular ejection Effective Therapy for fraction LVEF lt 40 who were prescribed ness C Left Ventricular beta blocker therapy either within a 12 month Systolic period when seen in the outpatient setting Dysfunction OR at each hospital discharge LVSD MS143 Primary Open Percentage of patients aged 18 years and Clinical Angle older with a diagnosis of POAG who have Process Glaucoma had an optic nerve head evalua
84. nd providing patient empowerment In order for a healthcare provider to receive an incentive payment they must show Meaningful Use of their EHR by meeting thresholds for certain objectives as established by CMS The following are the three primary components of Meaningful Use 1 Use of certified EHR in a meaningful manner 2 Use of certified EHR technology to enable the electronic exchange of health information to improve quality of healthcare 3 Use of certified EHR technology to submit clinical quality measures into SLR To attest for Meaningful Use MU providers will enter data that has been captured by their EHR Software A report within your EHR system should be available to help you enter the correct information in the MU fields In the provider s second participation year clicking the 3 Attestation of EHR link will open the EHR Certification page directly as the user has the option to adopt implement or upgrade their software only in the first year of participation Providers may elect to enter Meaningful Use data during their first year of Attestation but must enter MU information during each year after their first year The first year of MU is called Stage 1 and fields are grouped into a series of Objectives and Clinical Quality Measures Stage 2 of the Meaningful Use program begins in 2014 and this will require more fields to be populated and data to be captured When providers attest for MU they will enter the data
85. nected in a manner that provides for the electronic exchange of health information to improved the quality of care and 3 Using certified EHR technology to submit information on clinical quality measures and other such measures of Meaningful Use more info Note if the user has already completed their first year they must enter MU data and will receive the following message Attest To Meaningful Use Eligible Professionals attesting to Meaningful Use for the first time need to report Meaningful Use for a 90 day period in the current payment calendar year In this case the earliest date an Eligible Professional can submit an attestation for Meaningful Use for calendar year 2012 is April 1 2012 Please return to the site on April 1 2072 to complete your Meaningful Use attestation MO SLR Eligible Professional User Guide 35 AIU Method Page Once the Attest to Adopt Implement Upgrade button is selected two new navigation options appear in the Navigation Menu AIU Method and EHR Certification The AIU Method page is opened This page allows you to choose the method of your AIU attestation and provide any supporting details for that choice 1 More info link opens a PDF document titled Attestation of AIU that explains how documentation would be attached for the selected attestation method 2 AIU Method pull down menu select Adopt Implement or Upgrade from the menu to best describe your EHR Technology use at this poi
86. nformation _ f Enter your license information below Red asterisk indicates a required field Missouri Professional License 29095013758 Number Licensing Board Name MO Board of Registration for Healing Arts MO HealthNet Managed Care Health Plam ET Aa et le eel HealthCare USA if you participate in MO HealthNet Managed Care Plans please select all applicable plans Hold down the Cir key to select multiple plans Regional Extension Center Missouri HIT Assistance Center REC Affiliation 6 Contact Person This section allows you to enter an additional contact besides the one listed as the Eligible Professional L Contact Person Name text field enter the name of the contact MO SLR Eligible Professional User Guide 28 il Title text field enter the title of the individual jii Phone Number text field enter the phone number as ten digits with no spaces dashes or parentheses IV Email Address text field enter the contact s email address Initially this defaults to the address that was entered when the User Account was first created Contact Person Changing the contact information here does not change the contact information set up under the My Account page or the contact information provided to CMS in the registration process SLR generated messages will be sent to all email accounts recorded for this provider af Enter your contact information below Contact Person Name Vicki Roberts
87. ng statement BQ more info 7 m I understand that it is my responsibility as the provider to ensure that my certified EHR technology code is listed on the ONC public web service before submitting my attestation to the State understand that failing to ensure my code is listed may result in a false negative result that may disqualify me from receiving payment MU Import E MU Core Objectives ae Your EHR Certification Information EHR Certification Number A0H1301DAYUCEA3 ly e Prescribing eRx SAS V 1 confirm this is my correct EHR Certification ID To meet the criteria for Stage 2 of Meaningful Use CMS requires that all providers have Certified EHR Technology that meets the ONC 2014 Certification Criteria You must enter a new EHR Certification ID for 2014 as part of your attestation Record Demographics Vital Signs Smoking Status 1 Go to the ONC website http onc chpl force com ehrcert Clinical Decision Support 2 Search for your product s and add each to the shopping cart by clicking Add to Cart Clinical Lab Test Results Condition List Patient Reminders View Patient Data Clinical Patient Summaries Patient Education Resources Electronic Messaging Medication Reconciliation Transition of Care Immunization Registry Protect Health Info MU Menu Objectives CQM Import CQM 3 When you have added all product s to your shopping cart click the View Cart link 4 Click Get CMS EHR Certification ID
88. ng this removes file reference from the window It will not be imported 8 Add button adds another File field and Select button to allow the user to attach another file The file will be added under the same subject as the file above it 9 Attach button adds the document or documents that were selected 10 File s Attached X message allows you to know the number of files currently attached for this specific page 11 Cancel and lose file changes button this will close the window discarding any changes Add Files You may attach files with multiple subjects using this function Select the subject for the first attachment from the drop down list Use the Select function to choose your file Click the Add button to add another file Select the subject for the second attachment from the drop down fist Use the Select function to choose your file When all documents are attached click the Attach button LA Allowed File Types bmp pdf jpeg jpg gif png doc docx xis xlsx Subject MAAA A File s Subject Filename Select 3t Remove Timing Out SLR pages have a session timeout occur at 9 minutes and 30 seconds If no field has been modified or a page accessed during that time a pop up window shall appear asking if you wish to log out or continue to use MO SLR The pop up window itself will disappear in 30 seconds if no action is taken MO SLR Eligible Professional User Guide 70 Troubleshooting
89. nical Quality Measures You can print this report after you have saved any of your information in the MO SLR Web application If you print the report before all of the areas have been completed only those sections with saved information will print on the report You can also filter the report by year MO SLR Eligible Professional User Guide 66 Viewing Payment Status Payment Calculations Payment Information and Calculations for Eligible Professionals Payment Information section located on the left of the home page the Payment section will display the following item on the Home page 1 How your payment is calculated message opens a pop up window that shows your payment for the current year Any Recoupment or Adjustment information is also displayed here 2 Payment Status message check on the status of your payment in this area Appeals Adjustments and Recoupments Appeals Providers are able to appeal a rejection of their Attestation The rules and details are specified by the State of Missouri and will follow guidelines established by CMS All communications and the progression of each Appeal will be handled by State representatives Adjustments An Adjustment in SLR is an official change in the payment amount of a provider s EHR Incentive payment For EPs an Adjustment is more likely for Pediatricians than other Provider Types because they can still qualify for an EHR Incentive payment at a 20 Medicaid volume If a
90. nt 3 more info link opens a pop up window explaining the type of documentation that needs to be attached for the selected attestation method 4 Please describe briefly how you meet text area allows you to describe how you meet the criteria for the AIU method selected 5 Attach Documentation section Missouri requires a fully executed contract with an EHR Vendor to be attached to the page An Invoice Receipt or Vendor Letter can also be added 6 Save amp Continue button selecting this will open the EHR Certification page after MO SLR ensures that all fields on this page are populated a ar T sett contin amp GS amp s http mtsirtst arraincentive com Secure EP CertifyEHRInfoEP aspx 3 amp PIP SLR Version 2 Team I Suggested Sites Web Slice Gallery Sign into CAS amp C5 20Process 20Flow Warning you are working in the TEST Environment oe es 2 Confirm Montana Medicaid Program Eligibility It is the provider s responsibility to generate an EHR Certification ID that accurately reflects the complete EHR or combination of modules representing a complete EHR used by the El 3 Attestation of EHR provider before attesting to the State Failure to do so could result in a false negative result that may disqualify the provider from receiving payment 2 EHR Certification EHR Reporting Period To proceed please indicate your understanding of this responsibility by agreeing to the followi
91. ntage of patients aged 18 through 80 years with AJCC Stage III colon cancer who are referred for adjuvant chemotherapy prescribed adjuvant chemotherapy or have previously received adjuvant chemotherapy within the 12 month reporting period Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness CMS140 Breast Cancer Percentage of female patients aged 18 years Hormonal and older with Stage IC through IIIC ER or Process MO SLR Eligible Professional User Guide 52 CMS158 CMS159 CMS160 CMS75 MO SLR Eligible Professional User Guide Therapy for Stage IC IIIC Estrogen Receptor Prog esterone Receptor ER PR Positive Breast Cancer HIV AIDS Medical Visit HIV AIDS Pneumocystis jiroveci pneumonia PCP Prophylaxis HIV AIDS RNA control for Patients with HIV Cataracts 20 40 or Better Visual Acuity within 90 Days Following Cataract Surgery Pregnant women that had HBsAg testing Depression Remission at Twelve Months Depression Utilization of the PHQ 9 Tool Children who have dental decay or cavities PR positive breast cancer who were prescribed tamoxifen or aromatase inhibitor Al during the 12 month reporting period Percentage of patients regardless of age with a diagnosis of HIV AIDS with at least two medical visits dur
92. o upload documents related to your EHR Software enter its certification number and enter other information 3 Attestation of EHR The first step of completing this section is to choose the type of attestation You will be able to access this section once you complete the About You and Confirm MO HealthNet Eligibility pages This page displays the following 1 Attest to Adopt Implement Upgrade button opens the AIU workflow This option is available only in your first year of participating This section contains three pages the AIU Method page and the EHR Certification page in addition to the Attestation of EHR page 2 More info link opens the Attestation of AIU information pop up 3 Attest to Meaningful Use bution opens the MU workflow This section contains four to five different sections depending on your selections Each of these sections contains three to 38 pages though not all are required 3 Attestation of EHR Attest to Adopt Implement Upgrade Attest to Meaningful Use Select this option to attest to your Adoption Select this option to attest to demonstrating Meaningful Implementation or Upgrade of certified EHR technology Use of certified EHR technology by AIU is available for your first year of participation only and does not require entering data for a specific 1 Use of certified EHR technology in a meaningful reporting period manner such as e prescribing 2 That the certified EHR technology is con
93. ome page Send Attestation to State x You have completed all the necessary information for sending your attestation to the State of Missouri After you click Send you will no longer be able to make changes to your attestation information After your attestation is successfully submitted it will be validated by the State of Missouri lf there are no problems with your attestation and you are eligible to receive incentive payment the State of Missouri will then release your attestation to CMS for review and payment PLEASE NOTE The validation process may take up to 17 33 business days before the payment process is initiated ou will be notified by email as your attestation progresses through the process Please check back periodically for information about the status of your attestation in the Message area of the home page Send Attestation lt Cancel and do not send After sending the Attestation Agreement a System Message will arrive that designates the time and date MO SLR Eligible Professional User Guide 58 Subject Date Received From Your attestation has been submitted 11 30 2014 4 45 27 Phil Applying for the Incentive as a Group Administrator A Group is a practice or clinic that is comprised of multiple Eligible Professionals All of these individual providers may decide to apply for the EHR Incentive Payment using the patient encounter numbers of the practice or clinic A representative from your Group will se
94. on the page Help text instructs you on how to respond to a particular field or it provides some additional information about the field or the page The blue text from the below example Enter phone number without dashes This is help text MO SLR Eligible Professional User Guide 71 MO SLR Eligible Professional User Guide Phone Number 09 a Enter phone number without dashes Email Address name domain com 72 Definitions This section lists any glossary terms specifically applicable to this document Term Acronym Active Medication List Adjustment Admitted to the Emergency Department All ED Visits Method Allergy American Reinvestment and Recovery Act of 2009 ARRA Explanation Expansion A list of medications that a given patient is currently taking An official change in the payment amount of a provider s EHR Incentive payment This can be a positive or negative change There are two methods for calculating ED admissions for the denominators for measures associated with Stage 1 of Meaningful Use objectives Eligible hospitals and CAHs must select one of the methods below for calculating ED admissions to be applied consistently to all denominators for the measures That is eligible hospitals and CAHs must choose either the Observation Services method or the All ED Visits method to be used with all measures Providers cannot calculate the denominator of some measures using the
95. open the file 2 Subject column the subject of the uploaded file selected by the user when the file was attached 3 Selecting a checkbox in the unnamed column and clicking the Remove Selected button will remove the file from the list and delete the file from SLR Attach Documentation The following attachments are optional oF Eligibility Workbook Practice Management Report Other Please Describe a File Name Subject meres blank doc docx Practice Management Report E Clicking the Add Files button opens the Add Files pop up window 1 Close icon clicking the blue X in the upper right hand corner closes the Add Files window without attaching a file 2 Subject pull down menu select an option to identify what type of document or documents you are attaching These will be restricted to subjects that are appropriate for the section of SLR you are viewing 3 File s Subject display field this displays the default subject This is populated when a document is selected MO SLR Eligible Professional User Guide 69 4 Description text field if the Other Please Describe option is selected from the Subject pull down menu this field will appear It requires the user to enter a brief description of the document being attached 5 File Name text field the file name will display once it is selected 6 Select button allows you to select the file you would like to attach from a local drive 7 Remove icon clicki
96. or fundus exam at least once within 12 months Percentage of patients aged 18 years and older with a new diagnosis of major depressive disorder MDD with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified Percentage of patients 18 years of age and older who were diagnosed with major depression and treated with antidepressant medication and who remained on antidepressant medication treatment Two rates are reported a Percentage of patients who remained on an antidepressant medication for at least 84 days 12 weeks b Percentage of patients who remained on an antidepressant medication for at least 180 days 6 months Percentage of children 6 12 years of age and newly dispensed a medication for attention deficit nyperactivity disorder ADHD who had appropriate follow up care Two rates are reported a Percentage of children who had one follow up visit with a practitioner with prescribing authority during the 30 Day Initiation Phase b Percentage of children who remained on ADHD medication for at least 210 days and who in addition to the visit in the initiation Phase had at least two additional follow up visits with a practitioner within 270 days 9 months after the Initiation Phase ended Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol or chemical substance use Perce
97. or occurs with the import If all required data is not populated for the Core and Menu objective you will be required to manually enter and save Meaningful Use Import Instructions Use the MU Import functionality to import your Core and Menu objective data The import function will import all records in the file or none of the records if an error occurs with the import The data imported will display on the individual Core and Menu Objective detail pages as read only data All validations performed on the individual Core and Menu Objective Detail pages shall apply and shall be used to display the appropriate visual indicators in the navigation tree If all required data is not populated for the Core and Menu objective then you will be required to manually enter and Save The MU import specification control document defines the format required to import Core and MU objective data 7 MU Import Specification Control Document File Import Please select the Previous Screen button to go back or the Continue button to proceed Continue Navigation Menu The left hand Navigation Menu will contain page titles that serve as links associated with the MU pages that must be completed The majority of MU pages are collected in four or five subgroups Clicking the name of a subgroup or clicking the expand icon will reveal all the pages in the subgroup all of which must be completed by the user Once all the pages in a navigation group have been
98. our phone number Initially it defaults to the phone number that you entered while creating your User Account a 9999999999 no spaces dashes parentheses This shows you how the system would like you to enter your phone number 3 Email Address text field enter your email address Initially it defaults to the email address that you entered while creating User Account b name domain com displays the correct format for your email address 4 Save amp Continue button saves the information you have just entered If you have left a required field blank or entered information incorrectly you will receive a system message Once all required fields are completed this section will be marked as complete 5 Cancel and Lose About Your Group changes link clears the page of any information you have just entered Step 2 Confirm Group Medicaid Eligibility The Confirm Group Eligibility page is identical to the associated page for EPs except that it has an additional section at the top the Group Medicaid Volumes section 1 See Section 3 6 4 Step 2 Confirm Medicaid Eligibility above for a complete description of the rest of the fields on this page 2 The Group Medicaid Volumes section allows to user to select whether to use Group Medicaid volumes for the entire Group Group Medicaid Volumes Do you want to use Group Medicaid volumes for all providers associated with the group MO SLR Eligible Professional User Guide 61 The sys
99. pitals no Medicaid patient volume requirements Eligible Professional EP For the purposes of the Medicaid EHR Incentive Program and SLR application documentation an eligible professional EP is defined as the following Physicians primarily doctors of medicine and doctors of osteopathy Nurse practitioner Certified nurse midwife Dentist Physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant To qualify for an incentive payment under the Medicaid EHR Incentive Program an EP must meet one of the following criteria Have a minimum 30 Medicaid patient volume Have a minimum 20 Medicaid patient volume and is a pediatrician Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30 patient volume attributable to needy individuals Children s Health Insurance Program CHIP patients do not count toward the Medicaid patient volume criteria Electronic Health Records Overview CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 Electronic medical record Wikipedia The Free Encyclopedia Wikimedia Foundation Inc Last modified November 5 2010 Date accessed November 22 2010 EHR Incentive Programs Eligibility Eligible Hospitals CMS Centers for Medicare
100. red and opens the End User License Agreement EULA 4 Forgot User ID link selecting this will open a Forgot User ID pop up asking you for your National Provider Identifier NPI and Tax Identification Number TIN as well as the answer to the Challenge Question you selected when you first created the account Once you have entered those correctly the system will email the User ID to the email address entered when you created your account MO SLR Eligible Professional User Guide 12 Forgot User ID Identify Yourself Select the user role for which you registered then enter the appropriate IDs and click Continue Red asterisk indicates required fields What is your role Select a role NPI TIN 5 Forgot Password link select when you have forgotten your password The system will ask you for your User ID as well as the answer to the Challenge Question you picked when creating your account Once you have entered those correctly the system will email a link to reset your password to the email address you entered when you created your account 6 Create Account button select this if you need to create a new MO SLR account Existing Users Need to Create an Account Enter the User ID and password you created to login to the SLR If you have not already created a User ID o if you are an Eligible Professional Eligible Hospital Representative please select the Create Account option to create a new User ID
101. rve as the Group Administrator and provide a single point of contact for the State Level Registration of the Medicaid EHR Incentive Payment process This individual will enter the volume information for the Group and this information will appear on each Group member s Confirm Medicaid Eligibility page Each member of the Group will still need to review and sign the Attestation form to ensure that the numbers are correct Group administrators will select the Group user type when they first create a MO SLR account Group Home Page The MO SLR Home page for Groups is similar to the home pages for EP and EH users See the EP Home page section for more information about the parts of this page The links in the Header and Footer sections the Reports and Messages sections and the Year tabs are all identical to the EP Home page except the messages will now include Group messages The only visible difference on the page for Group users is the Workflow section though it will still have five steps As with the EP Home page each of these is a link to the page representing that Step in the MO SLR process and each will have a completion icon that shows the status of the step The user is able to move unto the next step only after completing the first 1 About Your Group section allows you to enter information about the Group and yourself or the Group s primary contact By default this is populated with your user information 2 Confirm Group
102. s mumps and rubella MMR three H influenza type B HiB three hepatitis B Hep B one chick pox VZV four pneumococcal conjugate PCV one hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive a follow up plan is documented on the date of the positive screen Percentage of patients aged 18 years and older with a documented BMI during the encounter or during the previous six months AND when the BMI is outside of normal parameters follow up plan is documented during the encounter or during the previous six months of the encounter Normal Parameters Age 65 years and older BMI gt 23 and lt 30 Age 18 64 years BMI gt 18 5 and lt 25 The percentage of children who turned 6 months of age during the measurement year who had a face to face visit between the clinician and the child during child s first 6 months and who had a maternal depression screening for the mother at least once between 0 and 6 months of life Percentage of patients aged 18 years and older seen during the reporting per
103. s grant to connect with claims database 2010 2011 Xerox Corporation and Affiliated Computer Services Inc All nights reserved To get to the login page from the Provider Outreach page click on the go directly to the State Level Registry for Provider Incentive Payments link located on the left side of the Provider Outreach webpage MO SLR Eligible Professional User Guide 11 Already have an SLR account Already have an SLR 3 N a Click here to go directly to the State Level Reaistry for Provider Incentive Payments site MO SLR login directly from the MO SLR login URL If you have already created an account you can also get to the MO SLR s Login page by entering the URL into your browser httos mo arraincentive com Type the Missouri State Level Registry URL in the address field and press the Enter key on your keyboard From here you will reach the MO SLR Web application Login page You ll have three chances to enter in the correct login information before the system locks your account If that happens call the Help Desk for assistance Throughout the MO SLR application red asterisks display on various fields This symbol indicates that this field is required to be completed in order to continue through the application The Login page displays the following 1 User ID field enter your User ID Password field enter your Password Log In button verifies the User ID and Password you ente
104. services Patients who receive observation services under both POS 22 and POS 23 should be included in the denominator Office of the National The Office of the National Coordinator for Health Information Technology Coordinator ONC for ONC is the principal Federal entity charged with coordination of Health Information nationwide efforts to implement and use the most advanced health Technology information technology and the electronic exchange of health information Office Visit Office visits include separate billable encounters that result from evaluation and management services provided to the patient and include 1 Concurrent care or transfer of care visits 2 Consultant visits or 3 Prolonged Physician Service without Direct Face To Face Patient Contact tele health A consultant visit occurs when a provider is asked to render an expert opinion service for a specific condition or problem by a referring provider Patient Authorized Entities Any individual or organization to which the patient has granted access to their clinical information Examples would include an insurance company that covers the patient an entity facilitating health information exchange among providers or a personal health record vendor identified by the patient A patient would have to affirmatively grant access to these entities 3 Patient Specific Education Resources identified through logic built into certified EHR technology which Resources evalu
105. t diagnoses relevant to the current care of the patient For the purposes of the EHR Provider Incentive Portal SLR application documentation a Provider refers to both EPs and EHs An entity under the jurisdiction of the U S Department of Health and Human Services tribal organization State level and or city county level administration that serves a public health function A Recoupment is a return to the State of the full amount paid to the provider for a Payment Year An encounter during which the provider performs a medication reconciliation due to new medication or long gaps in time between patient encounters or for other reasons determined appropriate by the provider Essentially an encounter is relevant if the provider judges it to be so Note Relevant encounters are not included in the numerator and denominator of the measure for this objective RHCs must be located in rural underserved areas and must use one or more physician assistants or nurse practitioners RHCs can be public private or non profit and are intended to increase primary care services for Medicaid and Medicare patients in rural communities An advantage of RHC status is enhanced reimbursement rates for providing Medicaid and Medicare services in rural areas Those conditions listed in the active patient problem list The State Level Registry SLR is a Xerox application created for the capture and maintenance of state mandated information relate
106. t to agree to one of the three statements in order to be eligible to continue Your agreement is confirmed by clicking the checkbox next to this statement b Why is this important link opens a pop up window explaining why you need to agree to this qualification CMS Medicaid EHR Incentive Program Registration Record Data has been received from the CMS Medicaid EHR Incentive Program Registration site View CMS Medicaid EHR Incentive Program Registration Data Visit CMS website a Attestations attest that DO NOT perform 90 or more of my MO HealthNet services in an inpatient hospital POS 21 emergency room POS 23 setting Why is this important attest that am a pediatrician yible a red d incentive pa eve 20 MC He e eligil atles at am a an AS a 3 d 3 3 PA led FOQHC DH 5 License Information section a Missouri Professional License Number text field enter the professional license number assigned by your Licensing Board 3 10 characters are allowed b Licensing Board Name pull down menu select the name of your Licensing Board c Taxonomy text field enter your Taxonomy Number d MO HealthNet Managed Care Health Plan pick list select all MO HealthNet Managed Care Plans in which you participate To select multiple plans hold down the CTRL key and select the plans in the list e Regional Extension Center REC Affiliation pull down menu if you are affiliated with the REC select it from this list License I
107. tem will move you onto Step 3 Group Certified EHR Information and the status icon on your home page will change to indicate that your eligibility information is complete Step 3 Group Certified EHR Information Clicking the Group Certified EHR Information link on the Group Home page directs you to Step 3 of the process This page allows you to enter your practice s EHR technology information 1 Do you wish to use Group Certified EHR Technology information for all providers you are managing radio button select the Yes radio button to apply the EHR Technology you enter on this page to all the members of the Group The Your Understanding section will appear 2 Your Understanding section click the checkbox to affirm your responsibility The Your EHR Certification Information section will appear e ONC public web service link 3 Your EHR Certification Information section contains a field and instructions for retrieving the correct EHR Certification Number from the ONC website e EHR Certification Number text field enter your group s EHR Software s Certification Number in the EHR Certification Number field The field will be validated when the Save Certified EHR Technology button is selected Your EHR Certification Information Please ente CMS EHR Certification ID EHR Certification Number Qo00000010C7MAA SG 4 Save Certified EHR Technology button saves the EHR system information Save Certified EHR Technology Al C
108. the 1 About You page allowing you to enter your registration information The About You page displays the following 1 lt Back to Dashboard link returns you to the Home page 2 Print Registration Information link opens a PDF that contains contact information filing information and license information 3 CMS Medicaid EHR Incentive Program Registration Record section Please note that it can take up to three days for the MO SLR to receive data from CMS a Data has not been received from the CMS Medicaid EHR Incentive Program Registration site message this message appears if your data has not been received by the MO SLR b Data has been received from the CMS Medicaid EHR Incentive Program Registration site message this message appears if the MO SLR has received your CMS data c View CMS Medicaid EHR Incentive Program Registration Data link this link is visible if your CMS data has been received Clicking the link opens a pop up window that displays the CMS data If you need to make a change to your CMS data you must make updates on the CMS site You cannot make changes to your CMS data through MO SLR and it takes between two and three days for changes at the CMS level to be applied to MO SLR d Visit CMS website link opens the CMS website The link is visible whether or not your data has been received 4 Attestations section MO SLR Eligible Professional User Guide 27 a lattest checkbox you mus
109. through the ONC When you check the box before this statement you will be required to complete the other field on the page If you do not check the box before this statement the system will not allow you to continue b ONC public web service link opens the Office of the National Coordinator for Health Information Technology s Certified Health IT Product List site 2 The Your EHR Certification Information section When you select the EHR Certification option in the Navigation Menu and are a member of a Group the CMS EHR Certification ID field may already be populated containing a certification number entered by your Group s contact Otherwise you will have to enter the correct number 3 This section also includes instructions to access the ONC website find software and retrieve an EHR Certification Number http onc chpl force com ehrcert Once this number is entered into the EHR Certification Number field and the Save amp Continue button is clicked MO SLR will validate that the number represents approved software a Certified Health IT Product cue The Office of the National Coordinator for Health Information Technology HealthIT HHS Gov The Certified HIT Product List CHPL provides the authoritative comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT ONC Each Complete
110. tion during Effective POAG Optic one or more office visits within 12 months ness Nerve Evaluation CMS167 Diabetic Percentage of patients aged 18 years and Clinical Retinopathy older with a diagnosis of diabetic retinopathy Process Documentation who had a dilated macular or fundus exam Effective of Presence or performed which included documentation of ness Absence of the level of severity of retinopathy and Macular presence or absence of macular edema Edema and during one or more office visits within 12 Level of months Severity of Retinopathy CMS142 Diabetic Percentage of patients aged 18 years and Retinopathy older with a diagnosis of diabetic retinopathy Process MO SLR Eligible Professional User Guide 51 CMS161 CMS128 CMS136 CMS169 CMS141 Communicatio n with the Physician Managing Ongoing Diabetes Care Adult Major Depressive Disorder MDD Suicide Risk Assessment Anti depressant Medication Management ADHD Follow Up Care for Children Prescribed Attention Deficit Hyperac tivity Disorder ADHD Medication Bipolar Disorder and Major Depression Appraisal for alcohol or chemical substance use Colon Cancer Chemotherapy for AJCC Stage III Colon Cancer Patients who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular
111. tion you have just entered and opens the Home page Once you have successfully saved the signed attestation the status icon on your home page will change to indicate that Step 4 is complete The system will now let you move onto Step 5 MO SLR Eligible Professional User Guide 57 1 About You Additional Registration Information and NLR data 2 Confirm Medicaid Eligibility Practice Demographics and Volumes 3 Attestation of EHR Related to Adopting Implementing Upgrading or Meaningful Use 4 Review and Sign Agreement Review Print Sign and Upload the SLR Agreement c 5 Send Year 1 Submission a Send and lock all information to State Step 5 Send Year X Attestation Details Clicking the Send Year X Attestation link opens a pop up window allowing you to send your attestation to the State with X being the Program Year of the provider s participation in the incentive program The Send Attestation to State window displays the following 1 Send Attestation button clicking this will submit your attestation application to the State All steps in the workflow section of your home page will be locked down You will not be able to make any more changes to the section but can still view the information you entered on a report The Send Attestation to State window will appear displaying the expected time period for payment and other payment related information 2 Cancel and Do No Send link returns you to the H
112. tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user Percentage of patients 18 50 years of age with a diagnosis of low back pain who did not have an imaging study plain X ray MRI CT scan within 28 days of the diagnosis Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive a follow up plan is documented on the date of the positive screen Percentage of specified visits for patients aged 18 years and older for which the eligible professional attests to documenting a list of current medications to the best of his her knowledge and ability This list must include ALL prescriptions over the counters herbals and vitamin mineral dietary nutritional supplements AND must contain the medications name dosage frequency and route of administration Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current reporting period documented in the medical record AND if the most recent BMI is outside of normal parameters a follow up plan is documented within the past six months or during the current reporting period Normal Parameters e Age 65 years and older BMI 2 23 Domain Clinical Process Effective ness Patient Safety Popula tion Public Health Effici
113. ton to use only your own patient encounter numbers More info link opens a pop up explaining how Groups work in MO SLR The most important thing to remember is this CMS rules dictate that all professionals within a Group or clinic must use the same methodology for determining Medicaid eligibility If you elect to opt out of using the Group volumes all other professionals within your Group will be unable to use the Group volumes to determine their eligibility All providers associated with that Group will have to use individual volumes practice in more than one Group clinic and am electing to use volumes from Group pull down menu After clicking the checkbox select the Group you wish to be associated with practice in both a group clinic and my own practice radio button this field appears if the No radio button in the Group Practice Eligibility Information field is selected Users select this button to use patient volumes in their own practice rather than the group to which they are affiliated Clicking this radio button opens the Group Practice Eligibility gt gt Opt Out window 30 Group Practice Eligibility Opt Out x Are you sure you want to opt out because you elect to use volumes from your individual practice If you proceed by clicking OK you will be unable to utilize the group clinic volumes you may contact the ACS Help Desk at 866 379 0109 to discuss the implications Clicking Cancel will reset yo
114. ty measures that focus on high priority clinical conditions for Eligible Professionals for both Adult and Pediatric measures To select one of the recommended core measure sets please select the appropriate option below To select measures individually check the Select check box for the measure If you select measures individually you must ensure you select 9 measures that cover 3 National Quality Strategy domains wish to report on the Adult Recommended Core Measures O I wish to report on the Pediatric Recommended Core Measures wish to select 9 Measures from the list Import Clinical Quality Measure Data Efficient Use of Healthcare Resources Domain CMS eMeasure ID Title Description Domain CMS146 Appropriate Testing for Percentage of children 2 18 years of age Efficient Use of Children with Pharyngitis who were diagnosed with pharyngitis Healthcare ordered an antibiotic and received a group Resources A streptococcus strep test for the episode CMS166 Use of Imaging Studies for Percentage of patients 18 50 years of age Efficient Use of Low Back Pain with a diagnosis of low back pain who did Healthcare not have an imaging study plain X ray Resources MRI CT scan within 28 days of the diagnosis CMS154 Appropriate Treatment for Percentage of children 3 months 18 years Efficient Use of Children with Upper of age who were diagnosed with upper Healthcare Respiratory Infection URI respiratory infection URI and
115. uide to the MO SLR web application MO SLR Application Availability The application is available 24 hours a day 7 days a week and is accessible from the Internet Problem Reporting For general Help all MO SLR web pages have a Help Link that opens up a copy of this User Manual For MO SLR Web application assistance you can contact the Xerox Help Desk designated to support the MO SLR Phone 866 879 0109 Email SLRHelpdesk acs inc com MO SLR Eligible Professional User Guide 6 Overview As the healthcare landscape continues to modernize legislation was passed to encourage the adoption of Electronic Health Record EHR technology in documenting patient care Because of the American Recovery and Reinvestment Act ARRA of 2009 eligible Medicaid Providers are being offered financial incentives for the implementation and meaningful use of Health Information Technology HIT in the management of patient populations In support of this initiative Xerox has developed the EHR Provider Incentive Portal application called the State Level Registry MO SLR By using MO SLR you have access to a streamlined application for federally funded HIT incentives through an easy to use website With self service flexibility you can move through registration eligibility and attestation at your own pace while the MO SLR application stores your information in an organized manner This application provides the most direct path to your incentive payment
116. ur choice without saving any data f lam opting out of using any group clinic volumes and am electing to use my individual patient volumes radio button this field appears if the No radio button in the Group Practice Eligibility Information field is selected Users select this button to use their patient volumes with the group practice rather than the patient numbers of the group to which they are affiliated This will generally happen if overall the group does not qualify for an EHR Incentive payment by achieving the necessary 30 But one or two members of the group may still qualify using their own volume Clicking this radio button opens the Group Practice Eligibility gt gt Opt Out window 1 Reason for Opting Out field this time the window contains this field Enter the reason you have decided not to use the group volume and then click the OK button Group Practice Eligibility Opt Out x Are you ure you want to opt out of any group clinic volumes If you proceed by clicking OK all other providers associated with the group will be unable to use the group clinic volumes to determine their Medicaid volumes ou may contact the ACS Help Desk at 666 679 0109 to discuss the implications Clicking Cancel will reset your choice without saving any data Reason for opting out 4 Practice Eligibility Details section a Enter Representative Period pull down menu at this time Missouri has only a 90 day period option
117. us can be used to create an account If the information is not correct select the No Go Back button to return to the previous page From there you can either retry entering your NPI and TIN or call the Help Desk for assistance If the information is correct and you click the Yes Continue button The Create Login section will appear on the page 1 User ID text field enter a User ID Number This must be at least 8 letters and or numbers long but not more than 20 letters and numbers 2 Password text field enter a password Your password also needs to be at least 8 letters and numbers long and must be less than 20 letters numbers When you are choosing a password you also need to make sure to include the following At least one capital letter At least one lower case letter At least one number At least one of the following special characters or or Your password cannot be your User ID or your User ID spelled backwards 3 Confirm Password text field enter the password you entered above to confirm it 4 Select a Challenge Question pull down menu select an option from the pull down menu as a Challenge Question to answer 5 Your Answer to the Question text field enter an answer for the Challenge Question that you selected above You ll need this information if ever forget your User ID or password 6 Phone text field enter your phone number as a ten digit number with no spaces dashes or parentheses 7 Email addr
118. ves have been removed or combined and providers will no longer count measure exclusions toward meeting menu objectives Stage 1 EPs EHs and CAHs now need to provide more than 50 of unique patients with the ability to access their health information online to meet the new Stage 1 Core measure the View Download Transmit to Third Party objective 13 Stage 2 CQM In 2014 CQMs will change to a new Stage 2 list EPs must report on a total of nine measures that cover at least three of the National Quality Strategy Domains and should select CQMs that best apply to their scope of practice and or unique patient population If the EP s certified EHR software does not contain patient data for at least 9 CQMs covering in at least 3 domains then the EP must report the CQMs for which there is patient data The EP would place a zero in the denominator of any of the remaining required CQMs Clinical Quality Measures EPs must report on a total of nine 9 Clinical Quality Measures that cover at least three 3 of the National Quality Strategy domains EPs should select the COMs that best apply to their scope of practice and or unique patient population If the EP s CEHRT does not contain patient data for at least 9 COMs covering at least 3 domains then the EP must report the COMs for which there is patient data and report the remaining required COMs as zero denominators as displayed by the EP s CEHRT CMS has recommended core sets of clinical quali
119. were not Resources dispensed an antibiotic prescription on or three days after the episode Clinical Quality Measures have been renumbered as the NQF references are no longer used The list of CQMs for Eligible Hospitals is in the table below MO SLR Eligible Professional User Guide 46 eMeasu re ID Title Description a tec ga Recommended Measures r DEE 65 CMS156 CMS138 CMS166 CMS2 CMS68 CMS69 MO SLR Eligible Professional User Guide Controlling High Blood Pressure Use of High Risk Medications in the Elderly Preventive Care and Screening Tobacco Use Screening and Cessation Intervention Use of Imaging Studies for Low Back Pain Preventive Care and Screening Screening for Clinical Depression and Follow Up Plan Documentation of Current Medications in the Medical Record Preventive Care and Screening Body Mass Index BMI Screening and Follow Up Percentage of patients 18 85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled lt 140 90mmHg during the measurement period Percentage of patients 66 years of age and older who were ordered high risk medications Two rates are reported a Percentage of patients who were ordered at least one high risk medication b Percentage of patients who were ordered at least two different high risk medications Percentage of patients aged 18 years and older who were screened for
120. whose LDL C was adequately controlled lt 100 mg dL during the measurement period 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 coronary interventions PCI in the 12 months prior to the measurement period or who had an active diagnosis of ischemic vascular disease IVD during the measurement period and who had documentation of use of aspirin or another antithrombotic during the measurement period Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF lt 40 who were prescribed beta blocker therapy Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness Clinical Process Effective ness 50 Ventricular Systolic Dysfunction CMS182 Ischemic Percentage of patients 18 years of age and Clinical Vascular older who were discharged alive for acute Process Disease IVD myocardial infarction AMI coronary artery Effective Complete Lipid bypass graft CABG or percutaneous ness Panel and LDL coro
121. xerox Missouri State Level Registry for Provider Incentive Payments Eligible Professional User Manual December 2014 Version 3 3 2014 Xerox Corporation All rights reserved XEROX and XEROX and Design are trademarks of the Xerox Corporation in the United States and or other countries Other company trademarks are also acknowledged Document Version 3 3 December 2014 MO SLR Eligible Professional User Guide Revision History Version Number Date Description 11 16 2010 Draft document Annie Washington Madhuri Pamidipati David Morton content 9 22 2011 Add Group functionality material Will Graeter 2 17 2012 Version 2 material Will Graeter 2 21 2012 Added Xerox branding material Will Graeter 6 11 2012 Added Account Creation Is This You Will Graeter and EHR Reporting Period Add New Location instructions 2 4 11 1 2012 Release 2 4 updates including Will Graeter Meaningful Use 1 15 2013 Updates from the 2 5 release Will Graeter 8 8 2013 Updates from the 2 6 release including Will Graeter Appeals and expanded Recoupments and Adjustments 3 1 5 5 2014 New table of CQMs MU content Will Graeter changes and password period changes 3 3 12 15 2014 Added new screenshots and other Dhruv Patel changes Confidentiality Statement This document is produced for Xerox Government Health Solutions and its State clients and cannot be reproduced or distributed to any third party without prior written consent

User Manual - State Level Registry for Provider Incentive Payments

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