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USVI EHR Incentive Hospital User Manual

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1. mom Clinical Mar Cero Ischemic stroke paetien prescribed arr rombeotic therapy ai ospita Process EFFectiveness discharge CRS Ties Tithe Stroke 3 Ischemic Stroke Anmticoaqulation Therapy for Atrial Fibrillation Flutter Clinical MOF O436 DBescripthome Ischemic stroke patients with atrial fibrillation flutter who are prescribed I E rec brem rmm anticoagulation therapy at hospital discharge i Tithe Stroke 4 Ischemic Stroke Thrermbeoehkytic Therapy CCPASSEKL Description Acute ischemic stroke patients who arriba at this hospital within 2 leurs 020 Clinical r BF Og minutes of time last known well and for hona Iv t PA weas initiated at this hospital within 3 Process Effectiveness hours C120 minutes of time last known well Tithe Stroke 3 Ischernic Strobe Antithrarmbetic Therapy Ew Enc of Hospital Day Tar Climbs BDescriptian Ischernic stroke patients adrmoinistered antithrornbetic therapy by the ened of m I 0438 ER nee Process Effectiveness Tithe Stroke 6 Ischemic Stroke Discharged omn Statin hledication CMS OSs Description Ischernic stroke patients with LOL greater than or equal te LOO or LOL Clinical MOF 04359 not measured cr ce were on a lipid lowering poedication prior te hospital arrival are Process Effectiveness prescribed statin medication at hospital discharge Tithe Stroke 8 Ischemic or Hemorrhagic Stroke S
2. Changes Status Submitted to USVI for review after 1 16 15 Karla Battle modifying for the 2013 and 2014 Active CMS changes Confidential and Proprietary Page 3 Provider Incentive Program Hospitals Table of Contents Quies 2 UM SPEI 3 OE OT UE E i E A E 4 6 E ETT TEE 10 1 1 NS TOS BANS T 10 1 2 ler I CMS E 11 2s MMPOPMAGON Needed 13 2 1 Eligible Hospital Attestation Workbook Overview 13 2 2 Eligible Hospital Attestation Workbook Provider 15 2 3 Eligible Hospital Attestation Workbook Medicaid Volume Information 16 2 4 Eligible Hospital Attestation Workbook EHR Certification Information 18 2 5 Eligible Hospital Attestation Workbook Out of State Volume Entries 19 2 6 Eligible Hospital Attestation Workbook Meaningful Use Measures 19 3 Required Supporting Documentation ccce ecce eee e eee eee eee eee eee e e eaaet ette eese sss ss sanos 20 By COSURPDOPIS
3. 21 5 Obtaining an USVI Medicaid Management Information System VIMMIS Login 22 6 Enrolhine m US VI MediICal 23 7 Finding EHR Certification Number eoo e see eee EE Fea REESE 24 6 System RCO E CES eaaa enera 25 26 9 1 Dreade utis E 26 9 2 Use or the Navigation PealllfeS occi eo gode UP 26 924 Help Luk quom E 26 9 2 2 USVI Medicaid EHR Incentive Program Attestation Application Account Hyperlink 27 923 Back to USV EMMIS Portal nk sea 27 21 Roa TT E A A E A A EE 28 A 4 29 Oa PNG SAIN a 31 10 Using the USVI Medicaid EHR Incentive Program Attestation Application 32 10 1 Pre eligibility Check on Receipt of CMS Registration ID 33 10 2 Login to the USVI Medicaid EHR Incentive Program 34 10 2 1 Starting USVI Medicaid EHR Incentive Program Attestation Application 34 10 3 Registering a Provider within USVI Medicaid E
4. Please select at least one public health measure MESSAGE 2 User receives the following error and cannot continue attestation process until error is fixed e If the user selects less than 5 items which includes a public health question the following error message displays Meoarngrful Use Menu Measures Attestations gt Attest gt Meaningful Use Menu Measures Questionnaire You must resoive the following error s to continue Please select 5 menu measures The application will only display the questions that were selected The navigation is the same as was outlined in the Meaningful Use Core Measures section as shown again below The application will not validate if the required score has been met at the time of entry it will only tell the user if the appropriate questions have been completed or not The validation of meaningful use measures percentages is done after the attestation is submitted Page 70 Confidential and Proprietary Provider Incentive Program Hospitals Link to CMS definition Each meaningful use measure screen has a link to the CMS definition for the applicable requirements and detail of each measure for the EP to access and review the specific requirements for completing the numerator denominator for each measure and if applicable the criteria for being exempt from the particular meaningful use measure Save and Continue Button When selected a check is executed to det
5. state of the art HIPAA comphant MeScad Masegemert Leformsabon System that wil process Medad charms when fully enplemented 2013 The Medicaid Program has beer developed Sertnersho with Noina Medcad who serves as the fiscal agect Thus new web portal wil serve as your B locaton for prowder enrolment updates to provider informaton dems submission and further informabon regardeg Medicad bong We bebeve you wa find the web porta process to be user friendly and streambed If you are short on ime and ts Cannot complete the ebre appbcabo you will be able to save your work and return a a more converert bre Contact Us ICD 10 Transition I you have amy quesboos please comtect us at 340 712 6929 Provider Directory j Releresce Companion Guides Thank you for your servece to members and we look forward to our contiewed partnership i moeroving Fors the health of Virgin Islande obzens Freguenty Asked Quessons Newsietters Powder Manus Regetered Ding Agencies an Oearnghouses User Guides Trang zj Core J Trusted ates Protected Mode Off L1 gt Figure 15 USVI Provider Portal Login Screen Example 2 Prepare to Logon by entering in Logon Name and Password in the appropriate entry boxes and select Submit Enter Provider Web portal user ID Enter Provider Web portal password O Select Submit button 3 On the Welcome window select the USVI EHR Incentive Program option to display the Pr
6. 200 1 Year 2 1 500 000 2 000 000 1 021 1 149 200 75 Year 3 1 000 000 2 000 000 1 043 1 149 200 50 Year 4 500 000 2 000 000 1 065 1 149 200 25 Overall EHR Amount 5 000 000 Medicaid Share 0 60 200 100 divided by 500 x 995 000 51 000 000 Aggregate EHR Amount 5 000 000 x 0 60 3 015 075 38 PREVIOUS PAGE Figure 36 Payment Schedule Example 1 Select Continue button to display the Certified EHR Technology page 2 Select Previous Page button to display the Eligibility page 10 4 4 Certified EHR Technology The Office of the National Coordinator Authorized Testing and Certification Body ONC ATCB 1s the body that tests and certifies electronic health record EHR systems If the EHR system is approved it is assigned a certification number The website below is the Certified Health IT Product List website http onc chpl force com ehrcert to look up your certified EHR technologies CEHRT add them to the cart and then check out to obtain a EHR Certification Number for your CEHRT The figure below is the attestation screen to enter in the EHR certification number for the system you are using Confidential and Proprietary Page 61 Provider Incentive Program Hospitals Certified EHR Technology Attestations gt Attest gt Certified EHR Technology Red asterisk indicates a required field Instructions The Medica
7. Record Advanced Directives 113 2013 Meaningful Use Menu Measure Question 6 Clinical Lab Test Results 114 2013 Meaningful Use Menu Measure Question 7 Patient 4 8 8 115 2013 Meaningful Use Menu Measure Question 8 Patient specific Education Resources 116 2013 Meaningful Use Menu Measure Question 9 Medication Reconciliation 117 2013 Meaningful Use Menu Measure Question 10 Transition of Care Summary 118 2013 Clinical Quality Measures Question 1 nnne eene 119 2013 Clinical Quality Measures Question 2 eese eene nnne nennen 119 2013 Clinical Quality Measures Question 3 120 Page 8 Confidential and Proprietary Provider Incentive Program Hospitals 2013 Clinical Quality Measures Question 4 120 2013 Clinical Quality Measures Question 5 cccccccccccsssssssseeecceeeeeaeeseeecceeeeeaeeeeeeeeceseeeeeaeenses 121 2013 Clinical Quality Measures Question 121 2015 Clinical Quality Measures Question T sevscececvsssncecenenenesamacowesadenenecintendesanenenencmacauededeueretinieos 122 2013 Clinical Quality Measures Question 8 122 2013 Clinical Quality Measures Question 9 123 2013 Clinical Quality Measures Q
8. Irmmunization Registries Data Subitiission Objective Capability to submit electronic data to immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice Measure Performed at least one test of certified technology s capacity to submit electronic data to Immunization registries and follow up submission if the test is successful unless none of the Immunization registries ta which the EP eligible hospital or CAH submits such information have the capacity to receive the information electronically EXCLUSION Based on ALL patient records If eligible hospital or does not perform Immunizations during the reporting period or if there is no immunization registry that has the capacity to receive the information electronically then the eligible hospital or would be excluded from this requirement Does this exclusion apply to you Yes Wo If you answered YES then complete the following information Please select one of the statements listed below that best describes the reason for the exclusion Immunizations were not provided during the reporting period e There was no entity capable of testing during the reporting period e Please select the PRE YIOUS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Menu Measure Question
9. Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Hh Page 82 Confidential and Proprietary Provider Incentive Program Hospitals 15 Submitted Attestation Email This email is sent after submitting the attestation The Attestation Application will allow EHs to make changes to a submitted attestation for 48 hours After 48 hours have passed from the last attestation change the system will execute its final edits From PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 20 To IMichael giHealthcare com Cc Subject PIP Attestation submitted Your PIP attestation has been successfully submitted you have two more days to change the attestation details before it will be processed NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Confidential and Proprietary Page 83 Provider Incentive Program Hospitals 16 Error occurred when processin
10. Thank you for using the PIP system Version 1 0 0 1 Page 94 Confidential and Proprietary Provider Incentive Program Hospitals 27 2013 Meaningful Use Core Measures Screen Shots CMS requires that all questions have responses Questionnaire 1 of 12 Red asterisk indicates a required field CPOE for Medication Orders Objective Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional quidelines MEASURE Please select which measure you would like to use for your attestation cO More than 30 of unique patients with at least one medication list admitted to the eligible hospital s or C amp H s inpatient or emergency department POS 21 or 23 have at least one medication order entered using CPOE More than 30 percent of medication orders created by the EP or authorized providers of the eligible hospital s or CAH s inpatient or emergency department POS 21 or 233 during the EHR reporting period are recorded using CPOE Please select the PRE YIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE E3 2013 Meaningful Use Core Question 1 CPOE for Medication Orders Questionnaire 1 of 12 Red asterisk indicates a required field CPOE for Medication Orders Objective Use CPOE for medication orders directly entered by any license
11. e To modify out of state entry Confidential and Proprietary Page 53 Provider Incentive Program Hospitals 1 Select Edit 2 OOS screen displays with current entries enter the correct patient encounters count 3 Select Update button e To delete out of state entry 1 Select Remove 2 Respond appropriately to the displayed question Select Save and Continue button to save all entries and changes including any out of state entries The system validates 1f all fields have data entered If any errors occur check the dates numerator and denominator Please enter the appropriate data If no errors occur the Payment Calculation Pages displays 10 4 2 Attestation Payment Amount The payment amount is calculated during the eligible hospital s year attestation The Payment Schedule displays the amount that was calculated at that time 50 in the first year 40 in the second year 10 in the third year Page 54 Confidential and Proprietary Provider Incentive Program Hospitals Payments Attestations gt Attest gt Payments Medicaid Incentive Payment Calculation 1 of 2 Red asterisk indicates a required field Selecting Cost Report 42 CFR 495 31 g 1 1 B states that the discharge related data amount must be calculated using 12 month period that ends in the Federal fiscal year before the hospital s fiscal year that serves as the first payment year To assist hospit
12. ME CIS Description Surgical patients who received prophylactic antibiotics consistent with current piii iin s FM r guidelines specific te each type cf surgical proceduraj i 2 i i Tithe cIF IPFJF 59 Urinary Catheter Remowed on Postoperative Day 1 POOL of CMIS Fees Postoperative Day 2 PODZ with Day of Surgery Being Day Zero Pati t Saf rm BOF 0453 Description Surgical patients with urinary catheter rerco ved on Postoperative Day i r gt Postoperative Day 2 with day of surgery being day zero Tithe ED 3 PAedian Time from EO Arrival to EOD Departure for Discharged ED Patients NOF Description Median time from emergency department arrival to time of departure from Care Coordination the emergency reor for patients discharged from the emergency department CNIS2EVIL Tithe Horne Managermnent Plan of Care HME Decurment Cien te Patient Caregiver eae Mar 0338 Bescription An assessment that there is documentation in the medical record that a Home E E f Management Plan of Care document wes cierto the pediatric asthma patient carergier See Tithe Exclusive Breast RAilke Feeding Clinical r Mor camo Description Exclusive breast roilk feeding during the newborn s entire hespitalization Process Effectiveness Tithe Healthy Term Mewbornm lt 51 65 2 Description Percent of term singleton lire births excluding those with diaqnoses Patient Safet ro MOF OF 16 Originating in the fetal period whe OO MOT have
13. National Marne Tax Identifier Provider Program Year Payment Wear Status Action Identifier MPT CY2014 L 1 2014 12 51 2014 Provider Name Figure 28 Attestation Selection Example Page 46 Confidential and Proprietary Provider Incentive Program Hospitals 1 Review the Attestation status displayed on the Attestation Topics Page If the provider is not listed please select the Status tab The Status tab will display attestations that are not actionable Locate the provider in the list to see the error that prevented the provider from executing the attestation process 2 The topics available on this page are as follows Topics for this Attestation Registration ID 16000001653 Reason for Attestation You are a Medicaid Eligible Professional completing an attestation for the EHR Incentive Program You are completing an attestation for the Incentive Program on behalf of a Medicaid Eligible Professional Topics The data required for this attestation i grouped inte topscs In order to complete your attestabi n you must complete ALL of the following topics Select the START ATTESTATION button to modify any previously entered information The system wil show checks for each item when completed Completed Topics Eligibility Payments Certified EHR Technology Topic Meaningful Use Core Measures listing Meaningful Use Menu Measures Clinical Quality Measures Hate When al
14. Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities Measure Conduct ar review a security risk analysis per 45 CFR 164 308 a 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk management process Complete the following information Eligible hospitals and CAHS must attest YES to having conducted or reviewed a security risk analysis in accordance with the requirements under 45 CFR 154 308 and implemented security updates as necessary and corrected identified security deficiencies prior to or during the EHR reporting period to meet this measure C Yes C Wo Please select the PREVIOUS PAGE button to go back or the SAVE CONTINUE button to proceed 8 PREVIOUS PAGE SAVE AND CONTINUE 8 2013 Meaningful Use Core Question 12 Protect Electronic Health Information Page 106 Confidential and Proprietary Provider Incentive Program Hospitals Confidential and Proprietary Page 107 Provider Incentive Program Hospitals 28 2013 Meaningful Use Menu Measures Questions Screen Shots CMS require that a minimum of five questions are selected One of the five must be a selection of Question 1 2 or 3 which are public health questions All questions are displayed for the review Questionnaire 1 of 70 Red asterisk indicates a required field
15. and emergency room services In other words an eligible hospital should count the following as a patient encounter One to many claims for the same patient where the claim has the same DOS and the same rendering attending provider All claims related to the actual encounter with the patient for the same date and same provider The USVI Medicaid EHR Incentive Program Attestation Application includes a calculation to derive the number of unduplicated encounters for a provider by reviewing all Medicaid paid and reversed claims for the provider within the VIMMIS for the selected 90 day patient volume period The USVI Medicaid EHR Incentive Program Attestation Application will run a report from the MMIS to validate the fee for service claim and managed care encounter count entered If the hospital has significant Medicaid encounters from other state Medicaid agencies then it may add to its in state encounter count to meet the required encounter volume The Volume page provides functionality to add and maintain out of state OOS volume counts When an Confidential and Proprietary Page 49 Provider Incentive Program Hospitals attestation with OOS entries is submitted the attestation will be placed in a Pend status provided the in state volume counts are validated The USVI Medicaid EHR Incentive Program staff will review the attestation to ensure the appropriate documentation was provided and also to review the documentation to det
16. provider must visit https www vimmis com or contact USVI Medicaid Provider Services staff at 855 248 7536 option 2 Page 22 Confidential and Proprietary Provider Incentive Program Hospitals 6 Enrolling in USVI Medicaid Healthcare providers supporting USVI Medicaid patients must be active Medicaid enrolled providers for the timeframe that they will attest to the Medicaid patient volume and Electronic Health Record usage as it pertains to meeting the regulations If a practicing provider meets the appropriate provider type and Medicaid volume requirements and not actively enrolled as a USVI Medicaid provider at the time of attestation then the provider must enroll with Medicaid to proceed with USVI Medicaid EHR Provider Incentive Payment application Please contact the USVI Medicaid Provider Services Help Desk at 855 248 7536 option 3 between the hours of 8am and 5pm EST Providers that enroll new to Medicaid will not be immediately eligible under the regulations and must wait the appropriate time to meet both the meaningful usage timeframes and Medicaid patient volume timeframes Providers who have questions concerning current enrollment status enrollment dates and enrolled type and specialty may also contact this number for assistance with enrollment Confidential and Proprietary Page 23 Provider Incentive Program Hospitals 7 Finding EHR Certification Number The Office of the National Coordinator Authorized Testing and
17. 1 Immunization Registry Page 108 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 1 of 10 Red asterisk indicates a required field Immunization Registries Data Submission Objective Capability to submit electronic data to immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice Measure Performed at least test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful cunless of the immunization registries ta which the EP eligible hospital or submits such information have the capacity to receive the information electronically Complete the follawing information Eligible hospitals and CAHs must attest YES to having performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test was successful unless of the immunization registries to which the eligible hospital or CAH submits such information has the capacity to receive the information electronically ta meet this measure C Yes C No If you performed at least one test then complete the following information Enter the name of the immunization registry used Was the test successful Yes C No If the test was successful then complete the fo
18. Average Annual Growth Rate Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE amp Figure 34 Payment Calculation Question 1 Example Confidential and Proprietary Page 55 Provider Incentive Program Hospitals Please refer the following instructions to find the most recent year of available discharge data to determine your average annual growth percentage 42 CFR 495 31 g 1 G B states that the discharge related data amount must be calculated using a 12 month period that ends in the Federal fiscal year before the hospital s fiscal year that serves as the first payment year To assist hospitals in determining the correct cost reporting period s to utilize in entering discharge and Medicaid share data used in calculating their USVI Medicaid EHR incentive payment the following reference 15 provided 1 Enter the current federal fiscal year in which you are applying If applying prior to 9 30 11 enter FY2011 1 applying 10 1 11 enter FY2012 2 Subtract from the date entered in Step 1 one fiscal year Assuming FFY 2011 is entered the date entered would be FFY 2010 Screen Entry Instructions l 2 7 Select the most recent year of available data from the dropdown field Enter total hospital discharges in FY20XX where XX is the appropriate year Do not add commas System will format with commas after entry Enter total
19. CAH s inpatient department POS 21 or 23 have an indication of an advance directive status recorded Complete the following information Numerator The number of patients in the denominator with an indication of an advanced directive entered using structured data Denominator Number of unique patients age 65 or older admitted to an eligible hospital s or CAH s inpatient department POS 21 during the EHR reporting periad Numerator Denominatar lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE B8 2013 Meaningful Use Menu Measure Question 5 Record Advanced Directives Confidential and Proprietary Page 113 Provider Incentive Program Hospitals Questionnaire 6 of 10 Red asterisk indicates a required field Clinical Lab Test Results Objective Incorporate clinical lab test results into certified EHR technology as structured data Measure than 40 of all clinical lab tests results ordered by the EP or by an authorized provider of the eligible hospital or CAH for patients admitted to its inpatient or emergency department POS 21 23 during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data Complete the following information Numerator Number of lab test results whose results are expressed in a positve o
20. Certification Body ONC ATCB 15 the body that tests and certifies electronic health record EHR systems If the EHR system is approved it is assigned a certification number The website below 15 the Certified Health IT Product List website http onc chpl force com ehrcert to look up your certified EHR technologies CEHRT add them to the cart and then check out to obtain a EHR Certification Number for your CEHRT NN Certified Health IT Product List N 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 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 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 C
21. DBDescripthonme This measure assesses the nmurnber of patients diaqnosed with confirmed WTE who receied an overlap ef parenteral Cintravenous Iv er subcutaneous sube u CMS ae anticoagulation and warfarin therapy For patients who recerred less than fire days of Chimical Mor 0373 overlap therapy they must be discharged cn both roecdications or have a reason for Pu ss Effecti I cliscentinmuatien of overlap therapy Chlesrlap therapy miust be adroinistered for at least fixe E days with an international normalized ratio IMR greater than or equal to 2 prior te discontinuation of the parenteral anticoagulation therapy discharged on both medications or hawe s reason for discontinuation of overlap therapy Tithe YTE 4 VTE Patients Receiving Unfractionated Heparin UFH with Dosages Platelet A DE Count hAonitoring by Protocol for om edgram uu Description This measure assesses the nurnber of patients diagnosed with confirmed WTE s ct 3 who recebecd intravenous Ww Lirik therapy dosages AMD had their platelet counts ae mentored using defined pararneters such as a ferme gran cr pretoe ct Tithe WTE 5S WTE Discharge Instructions Description This measure assesses the number of patients diagnosed with confirmed VTE CP that are discharged te home home care court law enforcement or home on hospice care Patient and Farmihk r1 MOF O75 en waerlerin with written discharge instructions that address all Tour criteria caormmpliance
22. EHR Modules that have been tested and certified under the lor Health IT ONC ee omplete EMR and EHR Mocute Mow has been cerimted Oniy the product versions that are inchuded on the CHPL are hed under the ONC comrments regarding the Certified Heath IT Product List CHPL to ONC cenificatoneenns coy with CHPL in the subpect tine with questions about their products listing shoulc contact me ONC Autnonzed Testing and Certification OtiC ATCB that certified their product USING THE CHPL WEBSITE To browse the CMPL and review tho comprehensive Nie tinmg of centifiod products follow the steps outlied betow 1 Select your practice type by Selecting tme Ambulatory oc Inpatient buttons below 2 Select the Browse button to wiew the list of CHPL products To obtain a CI S EHR Certification ID follow the steps outlined below our practice type SF Sucts b ning D earcning criteria met n STEP 1 SELECT YOUR PRACTICE TYPE Pracuce Tope Inpetent Pracuce 1 vrensite Privacy Polis Last Modified Date 12 23 2010 The information on this page is currently hosted by the HITRC and its Partners under contract with the Office of tne National Coordinator for Health Information Technology Adopt Only in the first year of participation and only in the Medicaid EHR Incentive Program eligible professionals EPs and eligible hospitals can receive incentive payments through an option called
23. EP or by an authorized provider of the eligible hospital or CAH for patients admitted to its inpatient or emergency department POS 21 or 23 during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data Incorporate clinical lab test results into certified technology as structured data Generate lists of patients by specific conditions to Generate at least one report listing patients of the eligible hospital or CAH disparities research or outreach Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate The EP eligible hospital or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation The eligible hospital or who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral with a specific condition More than 10 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 are provided patient specific education resources The eligible hospital or CAH performs medication reconciliation for more than 50 of transitions of care
24. HealthPas User ID and Password Registration ID receive from CMS after registering CMS Certification Number for your EHR EMR system Access http onc chpl force com ehrcert website to find the number Have a reliable internet connection Web brower Microsoft Internet Explorer version 8 or higher is recommended It is highly recommended all documentation used is retained in case of audit Figure 1 Eligible Hospital Workbook Instructions Page 14 Confidential and Proprietary Provider Incentive Program Hospitals 2 2 Eligible Hospital Attestation Workbook Provider Information The second tab of the workbook request from the hospital provider the identification requirements provider type specialty requirements and enrollment requirements for the USVI Medicaid EHR Incentive payment attestation The figure below shows an example of this worksheet page and displays the questions and details for the hospital provider s representative to utilize d USVI Electronic Health Record Provider Incentive Program Hospital Attestation Provider Worksheet Attesting Provider Information Question Response instructions to Complete Your CMS Registration number is used to identify your registration with CMS This should motch your user id and CMS NLR Registration Number NPI in the application H Question Response Instructions te Complete Your facility NPI from your CMS registration record with the NLR attes
25. Hospitals Questionnaire 7 of 15 Red asterisk indicates 4 required field STK 10 0441 Tithe Assessed for Rehabilitation Description Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services Numerator L Denominator m Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed GJ PREVIOUS PAGE SAVE AND CONTINUE 8 2013 Clinical Quality Measures Question 7 Questionnaire 8 of 15 Red asterisk indicates a required field VTE 1 NQF 0371 Title VTE Prophylaxis Description This measure assesses the number of patients who received VTE prophylaxis or have documentation why prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission Numeratar Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Clinical Quality Measures Question 8 Page 122 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 9 of 15 Red asterisk indicates a required field VTE 2 NQF 0372 Title Intensive Care Unit ICU VTE Prophylaxis Description This measure assesses the number of patients who received VTE prophylaxis or have documentation w
26. NO _ O Figure 4 Eligible Hospital Workbook EHR Certification Information Page 18 Confidential and Proprietary Provider Incentive Program Hospitals 2 5 Eligible Hospital Attestation Workbook Out of State Volume Entries The fifth tab of the worksheet captures the out of state volumes if needed Ae USVI Electronic Health Record Provider Incentive Professional Provider Attestation Worksheet Attesting Provider Information If the provider has significant Medicaid encounters from another State payer then you may add to your in State encounter count to achieve the required encounter volume USVI Medicaid department will review the attestation to ensure the appropriate documentation has been provided and also to review the documentation to determine if the attestation will be accepted The provider must obtain the counts from the out of State s Medicaid MMIS and be prepared to submit the following documentation e Certification on official letter head from the State Medicaid agency declaring the numbers obtained were derived from the State s MMIS and are accurate Report generated by the State Medicaid agency with the total Fee for Service and Managed Care Organization encounter count and reporting period Out of State Volume You are not limited to four states STATE Needy Out of State Volume you are not limited to four States Received Medicaid Medical Assistance Assistance Uncompensated Care Sliding Sc
27. OOS encounters must match the reporting period indicated during registration Add Docurnent Date and Time File Mame Description This is a test document Reason s for Submission You are an Eligible Hospital attesting for a payment year in the incentive program You have decided to resubmit your attestation information PREVIOUS PAGE SUBMIT Figure 45 Reason to Submit Attestation Example Confidential and Proprietary Page 75 Provider Incentive Program Hospitals 11 4 1 Supporting Documentation Documents supporting any of the information entered into the Attestation Application may be uploaded here Documents may be in the form of PDF Jpeg Microsoft Excel and Microsoft Word files and must be 4 megabytes or smaller Section 3 of this document lists required documentation If you have entered out of state encounters you are required to upload two documents which are a certification letter that patient volumes entered are from the other state s MMIS and the report from the state s MMIS To add a document Select Add Document to display the following screen Supporting Documentation Please upload supporting documentation PDF Word Excel or JPG related ta out of state numbers Cif provided and or EHR documentation Supporting documentation of Qut of State encounters claimed are required to be uploaded for validation Any registration claiming Out of State encounters will su
28. Remove next to the desired document Answer Are you sure question appropriately Select Submit button This displays the Successful Submission Page An example 15 below Confidential and Proprietary Page 77 Provider Incentive Program Hospitals Submission Receipt Attestations gt Attest gt Submission Receipt Successful Submission You have successfully attested for the Medicaid EHR Incentive Program IMPORTANT Please Note e This attestation has been submitted you have 48 hours to return to this attestation and make any needed edits if necessary After 48 hours you will not be able to make changes unless the system or a Provider Services representative unlocks your attestation for edit The system will nat process and validate your attestation until 48 hours have passed e The solution will send update messages to the e mail address provided during attestation and NLR registration regarding the status of processing and validating the attestation and attestation payment Attestation Tracking Information Registration ID 10C Payment Tear Mare HOSPITAL INC Submitted Date 2 13 2012 Reason s for Submission e You are an Eligible Hospital attesting for a payment year in the incentive program e You have decided to resubmit your attestation information PRINT RETURNTOHOME Figure 47 Submission Receipt Window Example Upon the successful submission of the uploaded documents
29. USVI Medicaid Incentive Payment Solution accessible from Vimmis com Please complete the questions as needed on the Provider Information Tab Medicaid Valume Tab and EHR Certification Number Tab West Virginia Medicaid Eligible Hospital Actively Enrolled enrolled with Medicaid as an Acute Care Hospital Critical Access Hospital a Children s Hospital have at least 10 Medicaid patient volume except for Children s Hospitals which have no volume requirement have an average length of stay of 25 days or fewer have a CMS Certification Number CCN that ends with a number between 0001 0879 1300 1399 or 3300 3399 Acute Care Hospitals Critical Access Hospitals and Children s Hospitals may be eligible for Medicaid and Medicare incentive payments CMS recommends registering as dual eligible for both Medicaid and Medicare incentive payment even if the facility only plans to attest for Medicaid payment only to prevent the need to change their attestation registration at a later date Dually eligible hospitals can then attest through CMS for their Medicare EHR incentive payment at a later date or not at all Please remember that facilities cannot change to a dual status once a payment has been initiated This worksheet addresses Medicaid attestation process and questions only Please refer to the CMS site for the Medicare process USVI Medicaid Additional Requirements Additional items that you will need are listed here eUSVI
30. annual payment may exceed 50 of the total calculation no 2 year payment may exceed 90 The payment schedule will display on the Payment Schedule screen as shown below in Figure 36 Page 60 Confidential and Proprietary Provider Incentive Program Hospitals Eligibility Attestations gt Attest gt Payment Schedule Payment Schedule Based on the values entered for the Incentive Payment calculation in the previous screen the Eligible Hospital HOSPITAL l may receive an incentive payment of 3 015 075 38 The Payment will be broken down into three fiscal years and the hospital will receive the payment in parts as shown below Program Year Payment Year Incentive Payment Amount 51 206 030 15 301 507 54 The aggregate EHR hospital incentive amount is calculated using an overall EHR amount multiplied by the Medicaid share The overall EHR amount is equal to the sum over 4 years of I a the base amount defined by statute as 2 000 000 plus b the discharge related amount defined as 200 for the 1 150th through the 23 000th discharge for the first year for subsequent years States must assume discharges increase by the provider s average annual rate of growth for the most recent 3 years for which data are available per year year 4 Average annual growth rate 0214 Initial Amount with annual growth rate factored in to the number of discharges Transition Factor Year 1 2 000 000 2 000 000 1 000 1 149
31. business days EXCLUSION Based on ALL patient records An EH who has no requests from patients or their agents for an electronic copy of patient health information during the reporting period would be excluded from this requirement EHS must enter O in the Exclusian box to attest to exclusion from this requirement Does this exclusion apply to you Please select the PREVIOUS PAGE button to qo back or the SAVE amp CONTINUE button to proceed GJ PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 10 Electronic Copy of Health Information Questionnaire 10 of 12 Red asterisk indicates a required field p no Electronic Copy of Health Information Objective Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists medication allergies discharge summary procedures upon request Measure More than 50 of all patients of the EP or the inpatient or emergency departments of the eligible hospital or POS 21 or 23 who request an electronic copy of their health information are provided it within 3 business days Complete the follawing information All information entered will be subject audit that could result in payment recoupment Numerator Number af patients in the denominator who receive an electronic copy of their electronic health information within three business days Denominator Number of pat
32. correct select the SAVE AND CONTINUE button to proceed with attestation If the information is incorrect then please return to the CMS websitel to edit the information Registration ID 1000018396 Business Address Name HOSPITAL R 90 Estate TIN 660573t EIN St Thomas VI 00802 5440 1487699 Phone 3407768383 CCN 510002 E Mail mipnealthcare com Incentive Program Medicare Medicaid VI Registration Status Active Please select the Medicaid ID associated with NPI 1487699 Medicaid ID 8 1 2013 12 31 2078 HOSPTAL 7 Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE Figure 30 Verify Registration Information Example Select the appropriate Medicaid ID using the dropdown box Select the Medicaid ID to be associated with this attestation A hospital can have one to many Medicaid IDs on file matching to the facility s single NPI The designated NPI for institutional providers should match the Medicaid ID the facility wishes to have the payment sent to in order to ensure an appropriate match to the local Medicaid payee records Select Continue button if after selecting the correct registration ID Page 48 Confidential and Proprietary Provider Incentive Program Hospitals Select Previous Page if an incorrect registration ID was selected or if the user needs to return to the Attestations Instructions page or se
33. fy PREVIOUS PAGE SAVE AND CONTINUE f Figure 13 Standard Buttons Confidential and Proprietary Page 31 Provider Incentive Program Hospitals 10 Using the USVI Medicaid EHR Incentive Program Attestation Application The USVI Medicaid EHR Incentive Program Attestation Application guides the user through the CMS required questions to determine if a provider is eligible to receive EHR Incentive Program payments A workbook that contains the questions and the rules outlined by CMS is available and provides areas where answers may be recorded A provider may enter the information or assign someone to enter the information on their behalf A provider may enter the information or assign someone to enter the information on their behalf The list below is the different sections Each section will be discussed in detail O Pre eligibility Checks which is done on the receipt of a registration id from CMS O Login Instructions How to register a provider O Entry of eligibility responses Respond with Medicaid volume and determine if the amount is accurate If not then determine if certain criteria are met O Payment Schedule O Entry of CMS EHR information If meaningful use selected entry of meaningful use objectives and clinical quality measures information 1s required g Submit attestation The figure below is a pictorial view of the USVI Medicaid EHR Incentive Program Attestation Application steps Page 32 Confide
34. implemented upgraded or meaningful use based on your EHR usage 3 Select the 90 day period that the EHR system was adopted implemented or upgraded If AIU select then Page 62 Confidential and Proprietary Provider Incentive Program Hospitals 4 Select Save and Continue The system validates if all fields have data entered Error message displays if the user did not Supply EHR Certification number select an option supply a 90 day start and end date enter the appropriate data If no errors occur the Attestation Topic page displays If all topics have been answered the Submit button will be available If Meaningful Use 2013 or Meaningful Use 2014 is selected then 4 Using the EHR Certification number the system will validate if the EHR system is O 2011 Edition USelect Meaningful Use 2013 Stage 1 in dropdown Combination of 2011 and 2014 Editions OSelect either Meaningful Use 2013 Stage 1 or Meaningful Use 2014 Stage 1 in dropdown O 2014 Edition Select Meaningful Use 2014 Stage 1 in dropdown 5 Answer questions as shown in the figure below Confidential and Proprietary Page 63 Provider Incentive Program Hospitals Certified EHR Technology Attestations gt Attest gt Certified EHR Technology EHR Meaningful Use Red asterisk indicates a required field Your Certified EHR Technology CEHRT is T combination of 2011 and 2014 Edition Do you attest that
35. in which the patient is admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 The eligible hospital or CAH who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50565 of transitions of care and referrals Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed EJ PREVIOUS PAGE SAVE AND CONTINUE Figure 42 2014 Meaningful Use Menu Measures Confidential and Proprietary Page 69 Provider Incentive Program Hospitals 11 2 3 Meaningful Use Question General Workflow Functionality e User must select at least one public health question and remaining questions to respond to by clicking in the box under the SELECT column for each question e checkmark indicates that you have selected that question The application will allow you to select more than the minimum 5 questions The following are the error messages if the minimum requirements are not meant MESSAGE 1 User receives the following error and cannot continue attestation process until error is fixed e If user does not select any questions e If user does not select any public health question hears Lise MICR stations gt Attest gt Meaningful Use Menu Measures Jere Ee orr rprE amp S E resofiwe the KFodKFe aanePrkz amp cy error s o contine
36. list Maintain active medication allergy list Record demographics preferred lanquage gender race ethnicity date of birth date and preliminary cause of death in the event of mortality in the eligible hospital or CAH Record and chart changes in vital signs Height Weight Blood pressure Calculate and display BMI Plot and display growth charts for children 2 20 years including BMI Record smoking status for patients 13 years old or older Implement one clinical decision support rule relevant to a high priority hospital condition along with the ability to track compliance with that rule Provide patients the ability to view online download and transmit information about a hospital admission Protect electronic health information created or rnaintained by the certified EHR technology through the implementation of appropriate technical capabilities Measure More than 30 of unique patients with at least one medication list admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one medication order entered using CPOE The eligible hospital CAH has enabled this functionality for the entire EHR More than 80 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one entry or an indication that no problems are known for the patient recorded as structured data More than 80 of all unique patients a
37. objectives from outside the public health menu measures The eligible hospital should first select the menu measure objectives that are relevant to their scope of practice If the eligible hospital is unable to choose the required number of menu measure objectives that are relevant to their scope of practice then the eligible hospital can choose menu measure objective s with an exclusion until the required number of menu measure objectives is chosen However an eligible hospital should not claim an exclusion for a menu measure objective if there are the required number of menu measure objectives that are relevant to their scope of practice and for which they are able to meet the measures You must submit at least one Meaningful Use Menu Measure from the public health list below even if an Exclusion applies to both Objective Measure Capability to submit electronic data to Performed at least one test of certified EHR technology s capacity to submit Immunization registries or immunization electronic data to immunization registries and follow up submission if the test is information systems except where prohibited successful unless none of the immunization registries to which the EP eligible and in accordance with applicable law and hospital or CAH submits such information have the capacity to receive the practice information electronically c Performed at least one test of certified EHR technology s capacity to provide Tate piscis nui uias e
38. or 2014 MU Stage 1 Confidential and Proprietary Page 67 Provider Incentive Program Hospitals 11 2 1 2013 Meaningful Use Menu Measures Meaningful Use Menu Measures Atbestations gt Attest gt Meaningful Use Menu Measures Questionnaire Instructions When selecting five objectives from the Meaningful Use Menu Measure Objectives an eligible hospital may choose either one public health objective and four 4 additional objectives or both public health objectives and three 3 additional objectives Should the eligible hospital be able to meet the measure for one of these public health menu measure objectives and can attest that an exclusion applies for the other the eligible hospital is required to select and report on the public health menu measure objectives they are able to meet If the eligible hospital can attest to an exclusion from both public health menu measure objectives the eligible hospital must choose one of the two public health menu measure objectives and attest to the exclusion After completing the public health menu measure objectives the eligible hospital must report on additional menu measure objectives from outside the public health menu measures The eligible hospital should first select the menu measure objectives that are relewant to their scope of practice If the eligible hospital its unable to choose the required number of menu measure objectives that are relevant to their scope of pr
39. patient to another setting of care or provider of care prowides a summary of care record for more than 50 of transitions of care and referrals Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed EJ PREVIOUS PAGE SAVE AND CONTINUE Figure 41 2013 Meaningful Use Menu Measures Page 68 Confidential and Proprietary Provider Incentive Program Hospitals 11 2 2 2014 Meaningful Use Menu Measures Meaningful Use Menu Measures Attestationz gt Attest gt Meaningful Use Menu Measures Questionnaire Instructions When selecting five objectives from the Meaningful Use Menu Measure Objectives an eligible hospital may choose either one public health objective and four 4 additional objectives or both public health objectives and three 3 additional objectives Should the eligible hospital be able to meet the measure for one of these public health menu measure objectives and can attest that an exclusion applies for the other the eligible hospital is required to select and report on the public health menu measure objectives they are able to meet If the eligible hospital can attest to an exclusion from both public health menu measure objectives the eligible hospital must choose one of the two public health menu measure objectives and attest to the exclusion After completing the public health menu measure objectives the eligible hospital must report on additional menu measure
40. please return to the CMS website IG to edit the information To make changes to your Attestation Details click the PREVIOUS button Registration Data Registration ID 1396 18 Business Address HOSPITAL 90 Estate TIN 6605 EIN 5t Thomas VI 00802 5440 148 Phone 34077 CCN 510002 E Mail Incentive Program Medicare Medicaid VI mibihealthcare corr 1 Registration Status Active Verify Email Address If you would like to add an additional notification email address to the original address you registered with please clear the email address field and reenter your additional email Email Address mgihealthcare cor Supporting Documentation Please upload supporting documentation PDF Word Excel or JPG related to out of state numbers if provided and or EHR documentation Supporting documentation of Out of State encounters claimed are required to be uploaded for validation Any registration claiming Out of State encounters will suspend until supporting documentation has been uploaded and validated Supporting documentation is defined as Certification on official letter head from the state Medicaid agency to the provider declaring the information provided was derived from their MMIS and is accurate An accompanying report generated by the state Medicaid agency which identifies the total encounters and the reporting period used in the development of the report Mote The reporting period for
41. please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Confidential and Proprietary Page 93 Provider Incentive Program Hospitals 26 Attestation Failed Meaningful Use If a submitted attestation did not pass the meaningful use questions the email is sent to inform the EH From PIP Administrator VI lt pip admin vi mmis gov gt Sent Mon 12 22 2014 11 36 A To Michael Masterton amp MolinaHealthcare com Cc Subject PIP Registration Medicaid Eligibility Check Failed Attestation not allowed The provider whose details are listed below is not allowed to participate in the payment incentive program at the current time for the reason listed below NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Reason for rejection Failed Meaningful Use For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk
42. provide electronic submission of reportable lab results to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which eligible hospital or CAH submits such information have the capacity to receive the information electronically Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an eligible hospital or CAH submits such information have the capacity to receive the information electronically You must submit additional Meaningful Use Menu Measures from the list below Objective Implement drug formulary checks Record advance directives for patients 65 years old or older Incorporate clinical lab test results inte certified EMR technology as structured data Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach The eligible hospital CAH has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period than 50 of all unique patients 65 years old or older admitted to the eligible hospital s or CAH s inpatient department POS 21 have an indication of an advance directive status recorded More than 4056 of all clinical lab te
43. select the Status tab to display their current attestation status Confidential and Proprietary Page 79 Provider Incentive Program Hospitals 12 References Page 80 Confidential and Proprietary Provider Incentive Program Hospitals 13 Status Grid The table lists the attestation status that may occur Provider Screen Status Description Provider Anestaton Not Alowed Attestanon Not Allowed Provders eg staton dd not pass the ntal elgmity check Anestaton Not Stared Attestation Not Started Provider s veg straton has processed successful but the prowder has ect yet logged into the PIP soluton and begun ther ailestator Aneststen in Progress Attestanon in Progress Provider has opened ther atiestaton ands aciwely edans 4 Submited Submited Tha status aopean after sub maso for 46 hrs tl fins prowder ebgidty check a run Prowdercen cancel an stiesiaton and re edit for2 days shersubmeson peorto t beng fraiced Pended Pesded Provder sees Pended Provderhas fasedfealEg Resubmit Peovdersees Resubmit and the check D2 OQ Me mason message forthe POS Erge elg b ty error Volume error Pay hold enor Accepted Accepted Provder wl see ther atiesiator on t e Status ted The status wil be Accected re Locked ForPsyment Attestation remains on the Status tab only Excluded from Excioded FromPayment Waiting for payment validation from NLR payment Figure 48 Attestation Status Grid Example C
44. the CMS EHR incentive program registration process Also enter the NPI of the provider associated with the registration WARNING If the registration is for a provider other than yourself you must receive authonzation from the provider associated with the registration before adding the registration to your list Registration ID NPI cancel _ Department of Health amp Human Services ce Bureau for Medical Services Web Policies amp Important Links Accessibility WV Medicaid Provider Services PO Box 2002 Charleston WV 25327 2002 Figure 22 Add Registration Example 1 Select the Add Registration button on the Registration Home Page Confidential and Proprietary Page 41 Provider Incentive Program Hospitals 2 Enter registration id obtained from the CMS web site 3 Enter the NPI 4 Select the Add button The system validates that the Registration ID is a valid id assigned by CMS and that the correct NPI was entered with it If valid the registration ID and NPI is associated with the user ID The Registration Information Page displays with the registration information that was entered Figure 23 is an example of the screen 5 The Previous Page button returns to the Registration Home Page Home ITI T Attestation Status Regis trations Registration Information Please review the regustrabon summary below to ensure this is the correct registrab
45. the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 3 Maintain Problem List Confidential and Proprietary Page 97 Provider Incentive Program Hospitals Questionnaire 4 of 12 Red asterisk indicates a required field Active Medication List Objective Maintain active medication list Measure More than 8056 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or Z3 have at least entry Cor an indication that the patient is not currently prescribed any medication recorded as structured data Complete the following information All information entered will be subject ta audit that could result in payment recoupment Nurmeratar Number of patients in the denominator who have a medication cor an indication that the patient is not currently prescribed any medication recorded as structured data Denominator Number of unique patients admitted to the eligible hospital s or CAH s inpatient ar emergency department POS 21 or 23 during the reporting period AUMerator Denominator L 3 Please select the PREVIOLIS PAGE button to go back or the SAYE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 4 Active Medication List Page 98 Confidential and Proprietary Pro
46. the first payment year To assist hospitals in determining the correct cost reporting period s to utilize in entering discharge and Medicaid share data used in calculating the facility s overall Medicaid EHR Incentive Program payment the following reference 1s provided STEP 1 Enter the current federal fiscal year in which you are applying If applying prior to 9 30 15 enter FY2014 1f applying on or after 10 1 15 enter FY2015 STEP 2 Subtract from the date entered in Step 1 one fiscal year Assuming FFY 2014 is entered the date entered would be FFY 2013 STEP 3 Select the year end cost report that falls within the FFY identified in Step 2 a If Hospital A YE 12 31 Hospital A must report discharge and Medicaid share data using the cost report ending 12 31 2012 b If Hospital B YE 6 30 Hospital B must report discharge and Medicaid share data using the cost report ending 6 30 2013 c If Hospital C YE 9 30 Hospital C must report discharge and Medicaid share data using the cost report ending 9 30 2013 Confidential and Proprietary Page 21 Provider Incentive Program Hospitals 5 Obtaining an USVI Medicaid Management Information System VIMMIS Login USVI Medicaid providers must first have an account with the USVI Provider web portal www vimmis com in order to gain access to the USVI Medicaid Provider Incentive payment system To sign up for a login and password to the USVI Provider Web portal a Medicaid enrolled
47. the overall EHR amount is multiplied is essentially the percentage of a hospital s inpatient non charity care days that are attributable to Medicaid inpatients More specifically the Medicaid share is a fraction expressed as Estimated Medicaid inpatient bed days plus estimated Medicaid managed care inpatient bed days Divided by Estimated total inpatient bed days multiplied by estimated total charges minus charity care charges divided by estimated total charges Medicaid Share To determine the Medicaid Share and calculate the eligible hospital or CAH incentive payment amount please enter information using data from the most recently completed hospital fiscal year Complete the following information All information entered will be subject to audit that could result in payment recoupment Total discharges Total inpatient bed days Medicaid inpatient bed days excluding Medicaid managed care Medicaid managed care inpatient bed days Total hospital charges including charity care charges Charity care charges Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed GJ PREVIOUS PAGE SAVE AND CONTINUE amp Figure 35 Payment Calculation Question 2 Example 1 Enter Total discharges Do not add commas System will format with commas after entry Confidential and Proprietary Page 57 Provider Incentive Program Hospitals 2 Enter total
48. vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 92 Confidential and Proprietary Provider Incentive Program Hospitals 25 Attestation Pended for Out of State Entries If a submitted attestation has passed volume checks and has out of state entries the attestation will be pended The USVI Medicaid and USVI Medicaid Provider Services staff will review the required documentation and determine if the attestation is acceptable or not The following email indicates that the attestation was pended To find out more information please contact the Medicaid Provider Services staff at 855 248 7536 option 2 From PIP Administrator VI pip admin vi mmis gov gt Sent Mon 12 22 2014 11 To Michael Masterton amp MolinaHealthcare com Cc Subject PIP Attestation pended for review The attestation whose details are listed below is being reviewed by the state NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for pending review Attestation contains Out of State Patient volumes For more information on eligible providers for the EHR Provider Incentive Program
49. 12 22 2014 11 29 To Michael Masterton amp MolinaHealthcare com Cc Subject Your VI EHR Incentive payment has been created Attestation Paid The attestation whose details are listed below has been paid NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Attestation Submitted Date 9 30 2014 12 52 41 PM Amount Paid 8 500 00 Payment Date 9 30 2014 12 53 52 PM For more information on payment or eligibility for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding payment or eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Hh Confidential and Proprietary Page 89 Provider Incentive Program Hospitals 22 Attestation Payment Denied Pay Hold found Payment is denied if the provider is on pay hold and this email is sent if it is found Sent Mon 12 22 2014 11 30 From PIP Administrator VI lt pip admin vi mmis gov gt To Michael Masterton MolinaHealthcare com Cc Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NPI ID 1902003502 Provider Name Jeffrey Clinton Baker O
50. 15 of 15 Red asterisk indicates a required field ED 2 NOF 0497 Title Admit Decision Time to ED Departure Time for Admitted ED Patients Description Median time in minutes from admit decision time to time of departure from the emergency department for emergency department patients admitted to inpatient status Measurement lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE 3 2013 Clinical Quality Measures Question 15 Page 126 Confidential and Proprietary
51. 3 Meaningful Use Core Question 9 Clinical Decision Support Rule 103 2013 Meaningful Use Core Question 10 Electronic Copy of Health Information 104 2013 Meaningful Use Core Question 10 Answered No to Electronic Copy of Health Info 23 46 E TEE 104 2013 Meaningful Use Core Question 11 Electronic Copy of Discharge Instructions 105 2013 Meaningful Use Core Question 11 Answered No to Electronic Copy of Discharge TSEC TIONG CXC COON sonde s dues qus used su E 105 2013 Meaningful Use Core Question 12 Protect Electronic Health Information 106 2013 Meaningful Use Menu Measure Question 1 Immunization Registry 108 2013 Meaningful Use Menu Measure Question 1 Answered No to Immunization Registry Ex MOE EET mm 109 2013 Meaningful Use Menu Measure Question 2 Lab Results Submission 110 2013 Meaningful Use Menu Measure Question 2 Lab Results Submission exclusion do not 2013 Meaningful Use Menu Measure Question 3 Syndromic Surveillance Data Submission 111 2013 Meaningful Use Menu Measure Question 3 Syndromic Surveillance Data Submission ex BOn CO MOE BD TT 111 2013 Meaningful Use Menu Measure Question 4 Drug Formulary Checks 112 2013 Meaningful Use Menu Measure Question 5
52. 8 Error Occurred While Processing Registration Medicaid Enrollment failed Email The following checks are made when an attestation is received from the NLR The email below displays all the possible error messages for the following checks 8 Check if the provider is enrolled in Medicaid program during the attestation period 9 Check if the provider type that was selected when registering on the CMS site matches the provider type on the provider s enrollment record 10 Check if the payee NPI entered when registering on the CMS site is found when validating the attesting provider s payees on the Medicaid record Sent Mon 12 22 2014 11 25 From PIP Administrator VI pip admin vi mmis gov gt To Michael Masterton MolinaHealthcare com Cc Subject PIP Registration Medicaid Eligibility Check Failed Attestation not allowed The provider whose details are listed below is not allowed to participate in the payment incentive program at the current time for the reason listed below NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Reason for rejection Provider is not enrolled with Medicaid for the current MU attestation period or selected Medicaid volume attestation period For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding e
53. EDO XXX Xx 5399 PS 13356 Act Please select the ADD REGISTRATION button to add a regestraton to the list Figure 26 Registration Remove Example The Remove hyperlink next to a registration ID removes the registration ID from the user ID The registration ID no longer displays in the registration and in the Attestation page Refer to Figure 20 The registration ID is still available for the user to reassign by executing the add registration steps described in section 10 3 1 The data that was entered is saved NOTE If someone else also registered the hospital the data that was entered by this user will display 10 4 Attestation The provider selects a registration and continues with populating the hospital s attestation for that year The solution will walk the provider through a series of screens with a questionnaire on Medicaid population and if applicable meaningful use and clinical quality measure questions The provider must complete these questions in order to proceed with submitting an attestation and potentially receiving payment The attestation workflow consists of the following topics The application will guide the user through the topics A topic does not become active until the prerequisite topic 1s completed Each topic will be addressed O Verify Registration Information Verify the provider information 1s the correct provider O Ability to indicate proxy usage Eligibility Screens These screens walk the pro
54. Engagement issues dietary adice Follow up moonitering and information about the potential for achrerse drug reactions interactions Tithe VWTE 6 Incidence of Potentialhy Preventable VTE PS beet Descriptitam This rmoeasure assesses the murmber of patients diagnosed with cerntfirrmed wTE Patient Safet rm MOF 0376 during hospitalization cnet present at aclerissiern who did net receive YTE prophylaxis 2d between hospital adrnission and the day before the YTE diagnostic testing order date coe Tithe 4AR11 2 4 5pirin Prescribed at Discharge for ARAL Clinical ro MOF Olga Description AMI patients who are prescribed aspirin at hospital discharge Process Efectiveness Tithe PC O1 Elective Delivery Prior to 39 Cooernpletec Weeks Gestation CM A bur Description Patients with elective waginal deliveries or elective cesarean sections at 37 Clinical m MOF 0465 Process Effectiveness and 39 weeks of qestation completed Tithe Fibrinolytic Therapy Viithin 30 Alinutes of Hospital Arrival CCP Descriptian Acute myocardial infarction LAMAID patients with ST segment elevation or LBBB Clinical r MOF O64 on the ECG closest to arrival tire receiving fiberinoebtic therapy during the hospital stay and Process Effectiveness having a time from hospital arrival to fibrinok sis of 30 minutes or less Tithe A MI Se Primary PCr Received Vrithin 90 Mlinutes of Hospital Arrival MZ Description Acut
55. Exchange HIE and the National Health Information Network NHIN D DODO Incentives will be available through both Medicaid and Medicare Hospitals may be able to receive incentive payments for both programs The Department of Health Services DHS will administer the Medicaid EHR Incentive Payment for USVI using an application called USVI Medicaid EHR Incentive Program 1 1 Eligible Hospitals To be eligible for the USVI Medicaid EHR Incentive Program a hospital must be actively enrolled with USVI Medicaid and fall into one of the following categories Acute Care Hospitals Includes general hospitals cancer hospitals and critical access hospitals Must have a CMS Certification Number CCN with the last four digits 1n the series 0001 0879 and 1300 1399 Must have an average length of patient stay of 25 days or fewer Must have 10 Medicaid Patient Volume based on encounters Children s Hospitals Must have a CMS Certification Number CCN with the last four digits 1n the series 3300 3399 Page 10 Confidential and Proprietary Provider Incentive Program Hospitals No average length of stay or patient volume requirements A hospital must also be either actively enrolled with Medicaid as an acute care hospital including critical access hospitals or cancer hospitals or a Medicaid enrolled children s hospital Eligible Hospitals are able to attest for Fiscal Year FY 2014 or 2015 Below is the at
56. HPL and review the comprehensive listing of certified products follow the steps outlined below 1 Select your practice type by selecting the Ambulatory or Inpatient buttons below 2 Selectthe Browse button to view the list of CHPL products To obtain a CMS EHR Certification ID follow the steps outlined below Select your practice type by selecting the Ambulatory or Inpatient buttons below Search for EHR Products by browsing all products searching by product name or searching by criteria met Add product s to your cart to determine if your product s meet 100 of the required criteria Request a CMS EHR Certification ID for CMS registration or attestation from your cart page STEP 1 SELECT YOUR PRACTICE TYPE ONC HIT Website Privacy Policy Last Modified Date 12 23 2010 The information on this page is currently hosted by the HITRC and its Partners under contract with the Office of the National Coordinator for Health Information Technology Figure 6 CMS ONC Certification EHR Product Screen Page 24 Confidential and Proprietary Provider Incentive Program Hospitals 8 System Requirements To successfully use all features of the USVI Medicaid EHR Incentive Program Attestation application ensure that the computer system meets the following minimum requirements O PC with a reliable internet connection Web browser The latest version of Microsoft Internet Explorer IE is recommended or at least IE8 Earli
57. HR Incentive Program 39 10 3 1 Registration Add Option seisiccsadsasazsswsoassaeerectgssaseietaatanadsoevevusrawunecaueacsaiedeaeiaeseurseessessunaeees 41 10 3 2 ReCiStration Select Opi OM sazeicnsatacecstssstceaaternspvudeeasotatanccsiaent cdeustevasebsdwiaseendavodeddintispasiets 43 10 3 3 Registration Remove Option ccssssssssssssseeeeecccccceeeeceeceeeessseseeeeeececceeeeessseeceeeasseees 44 4 Confidential and Proprietary Provider Incentive Program Hospitals o ee ee eee ee eee 44 10 4 1 Attestation POON luos 49 10 4 2 Attestation Payment AMOuDL c cscsseceeecceceecceeeceaasseesseseeeeecceeeeesessesauaasssssseseeeeeeeess 54 10 4 3 Attestation Payment Schedule 58 10 4 4 EHR Technology ETT P 61 Il nut mee OTHER NEED III IEEE ETE 65 ILI JMiamnotul Use Core Measure 65 11 1 1 2013 Meaningful Use Core Measufes ccccccccccccccccceeeeeaeeseesseeeeeececeeeeseeeeeeaaaaaeesesees 65 11 1 2 2014 Meaningful Use Core 66 11 1 3 Meaningful Use Core Question General Workflow Functionality 67 IL2 Meaningful Use Menu Meas Utes oz sccsccvssevescsavepecerstaresctcontascwesavasasduntassteteseenssayradc
58. OUS PAGE button to go back or the SAYE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Menu Measure Question 2 Lab Results Submission Questionnaire 2 of 10 Red asterisk indicates a required field Lab Results Submission Objective Capability to submit electronic reportable laboratory results to public health agencies except where prohibited and in accordance with applicable law and practice Measure Performed at least one test of certified EHR technology s capacity to provide electronic submission of reportable lab results ta public health agencies and follow up submission if the test Is successful unless none of the public health agencies to which eligible hospital or submits such information have the capacity to receive the information electranically Complete the fallawing information Eligible hospitals and C amp Hs must attest YES to having performed at least one test of certified EHR technology s capacity to provide electronic submission of reportable lab results to public health agencies and follaw up submission if the test is successful unless none of the public health agencies to which eligible hospital or CAH submits such information have the capacity to receive the information electronically to meet this measure Yes C No If you performed at least one test then complete the following information Enter the name of the public he
59. Provider Incentive Program Hospitals amp United States Virgin Island Eligible Hospital EHR Incentive Program Application Manual Date of Publication 02 03 15 Document Version 1 0 Confidential and Proprietary Page 1 Provider Incentive Program Hospitals Privacy Rules The Health Insurance Portability and Accountability Act of 1996 HIPAA Public Law 104 191 and the HIPAA Privacy Final Rule and the American Recovery and Reinvestment Act ARRA of 2009 provides protection for personal health information Protected health information PHI includes any health information and confidential information whether verbal written or electronic created received or maintained by Molina Healthcare It is healthcare data plus identifying information that would allow the data to tie the medical information to a particular person PHI relates to the past present and future physical or mental health of any individual or recipient the provision of health care to an individual or the past present or future payment for the provision of health care to an individual Claims data prior authorization information and attachments such as medical records and consent forms are all PHI 45 CFR Parts 160 and 164 Standards for Privacy of Individually Identifiable Health Information Final Rule Page 2 Confidential and Proprietary Provider Incentive Program Hospitals Revision History Version Date Author
60. Reporting Period Name CY2013 Attestation Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Confidential and Proprietary Page 91 Provider Incentive Program Hospitals 24 Attestation Rejected Email USVI Medicaid and USVI Medicaid Provider Services staff has the ability to review attestation and reject a submitted attestation When the attestation is rejected an email is sent to notify the user of the status change To find out more information please contact the Medicaid Provider Services staff at 855 248 7536 option 2 From PIP Administrator VI lt pip admin vi mmis gov gt Sent Mon 12 22 2014 11 32 To Michael Masterton amp MolinaHealthcare com cc Subject PIP Attestation rejected The attestation whose details are listed below has been rejected during an internal audit NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www
61. Workbook Eligibility Confidential and Proprietary Page 15 Provider Incentive Program Hospitals 2 3 Eligible Hospital Attestation Workbook Medicaid Volume Information The third tab of the workbook requests from the hospital provider the Medicaid Volume requirements for the USVI Medicaid EHR Incentive payment attestation The figure below displays the questions and details on this tab for the hospital provider s representative to utilize Page 16 Confidential and Proprietary Provider Incentive Program Hospitals USVI Electronic Health Record Provider Incentive Program Hospital Attestation Provider Worksheet Volume Validation Question Response The Hospital Provider must meet Medicaid patient volume criteria for a appropriate period This does not include Children s Hospitals INSTRUCTIONS The Hospital must selecta date range in the prior fiscal year to demonstrate their patient Medicaid encounter volume Haospital time frames are based on a fiscal year starting with Oct You are not allowed to entera date range outside of the fiscal year Please nate that the provider must be an active Medicaid provider during the selected time frame and have claims within the MIS solution to validate their Medicaid volume attestation Overall Medicaid Patient Volume Qwestion Response INSTRUCTIONS ENCOUNTER DEFINITION An encounter should be a reflected in the count as One or mare claims f
62. actice then the eligible hospital can choose menu measure objective s with an exclusion until the required number of menu measure objectives is chosen However an eligible hospital should not claim an exclusion for a menu measure objective if there are the required number of menu measure objectives that are relewant to their scope of practice and for which they are able to meet the measures You must submit at least one Meaningful Use Menu Measure from the public health list below even if an Exclusion applies to both Objective Measure Capability to submit electronic data to Immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice Capability to submit electronic reportable laboratory results to public health agencies except where prohibited and in accordance with applicable law and practice Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited and in accordance with applicable law and practice Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP eligible hospital or CAH submits such information have the capacity to recene the information electronically Performed at least one test of certified EHR technology s capacity to
63. adopt implement or upgrade commonly known as AIU The AIU option is offered in recognition of EPs and hospitals that may not be ready to Meaningfully Use certified EHR technology in the first payment year and additionally may require initial up front resources to adopt implement or upgrade the certified EHR technology required to participate in the Briefly the EHR final rule and regulations define AIU as follows Adopt To acquire purchase or secure access to certified EHR technology There is evidence that a provider demonstrated actual installation prior to the incentive rather than efforts to install This evidence would serve to differentiate between mplementation o install or commence utilization of certified EHR technology The provider has installed certified EHR technology and has started using the certified EHR technology in his or her clinical practice Implementation activities would include staff training in the certified EHR technology the data entry of their patients demographic data into the EHR or establishing data exchange agreements and relationships between the provider s certified EHR technology and other providers such as laboratories and pharmacies To the certified EHR er The provider has added clinical decision support e prescribing functionality or other enhancements that facilitate the meaningful use of certified EHR technology An example of upgrading that would qualify for the EHR in
64. ale Total Encounters Received CHIP Medical Figure 5 Eligible Hospital Workbook Out of State Entries 2 6 Eligible Hospital Attestation Workbook Meaningful Use Measures The remaining tabs in the workbook display the meaningful use Core Measures the Menu Measures and the Clinical Quality Measures for meaningful use 2013 Stage 1 and 2014 Stage 1 Confidential and Proprietary Page 19 Provider Incentive Program Hospitals 3 Required Supporting Documentation CMS and the DHS recommend documentation supporting hospital attestations are retained in case of audit Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits The hospital must make all records and documentation available upon request to DHS DHHS or contracted entities acting on their behalf Such records and documentation should include but not be limited to the following Hospital Information credentials Identification of Service Sites Supporting material used to measure Medicaid patient volume including Excel spreadsheets or any other report identifying discharge dates and emergency department information used to count patient encounters Invoices lease agreements contract or other documentation supporting adoption implementation or upgrading of ONC certified EHR technology EHR reports supporting Meaningful Use meaningful use objectives and clinical quality measure i
65. als in determining the correct cost reporting period s to utilize in entering discharge and Medicaid share data used in calculating their HIT incentive payment the following reference 15 provided 1 Enter the current federal fiscal year in which you are applying If applying prior to 9 30 11 enter FY2011 if applying 10 1 11 enter FY2012 2 Subtract from the date entered in Step 1 one fiscal year Assuming FFY 2011 is entered the date entered would be FFY 2010 3 Select the year end cost report that falls within the FFY identified in Step 2 a If Hospital YE 12 31 Hospital A must report discharge and Medicaid share data using their cost report ending 12 31 2009 b If Hospital B YE 6 30 Hospital B must report discharge and Medicaid share data using their cost report ending 6 30 2010 c If Hospital C YE 6 30 Hospital C must report discharge and Medicaid share data using their cost report ending 9 30 2010 Average Annual Growth Rate To determine the average annual growth rate of the eligible hospital or CAH please enter the number of discharges in the four most recent years of available data Complete the following information All information entered will be subject to audit that could result in payment recoupment Most recent year of available data Total hospital discharges in FY2014 Total hospital discharges in FY2013 Total hospital discharges in FY2012 Total hospital discharges in FY2011
66. alth agency you used for reportable lab data Was the test successful Yes No If the test was successful then complete the follawing information Date MM DD YY Time HH MM Example 09 15 PM Was a follow up submission done Yes Please select the PREVIOLIS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp 2013 Meaningful Use Menu Measure Question 2 Lab Results Submission exclusion do not apply Page 110 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 3 of 10 Red asterisk indicates a required field Syndromic Surveillance Data Submission Objective Capability ta submit electronic syndromic surveillance data public health agencies except where prohibited and in accordance with applicable law and practice Measure Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an eligible hospital or submits such information have the capacity to receive the information electronically EXCLLUSIOTR Based on ALL patient records If no public health agency to which the eligible hospital ar submits such information has the capacity to receive the information electronically then the eligible hospita
67. ameters such as a nomogram or protocol Title Venous Thromboembolism Discharge Instructions Description This measure assesses the number of patients diagnosed with confirmed VTE that are discharged to home to home with home health or home hospice on warfarin with written discharge instructions that address all four criteria compliance issues dietary advice follow up monitoring and information about the potential for adverse drug reactions interactions Title Incidence of Potentially Preventable Venous Thromboembolism Description This measure assesses the number of patients diagnosed with confirmed VTE during hospitalization not present on arrival who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnostic testing order date Title Median Time from ED Arrival to ED Departure for Admitted ED Patients Description Median time in minutes from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department Title Admit Decision Time to ED Departure Time for Admitted ED Patients Description Median time in minutes from admit decision time to time of departure from the emergency department for emergency department patients admitted to inpatient status Please select the PREVIOUS PAGE button to go back or the CONTINUE button to proceed 9 PREVIOUS PAGE CONTINUE Figure 43 2013 Meaningful Use Clinical Qua
68. ansitions of care in which the patient is admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 Complete the following information Numerator Number of transitions of care in the denominator where medication reconciliation was performed Denominator Number of transitions of care during the EHR reporting period for which the eligible haspital s or CAH s inpatient or emergency department POS 21 or 23 was the receiving party of the transition Numerator Denominatar lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed SAVE AND CONTINUE gt E PREVIOUS PAGE 2013 Meaningful Use Menu Measure Question 9 Medication Reconciliation Confidential and Proprietary Page 117 Provider Incentive Program Hospitals Questionnaire 10 of 10 Red asterisk indicates a required field Transition of Care Summary Objective The eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral Measure The eligible hospital or CAH who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 of transitions of care and referrals Complete the following information Numerator Number of transitio
69. atients age 2 and over admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 233 height weight and blood pressure are recorded as structured data Complete the follawing information All information entered will be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who have at least one entry of their height weight and blood pressure recorded as structured data Denominator Number of unique patients age 2 or over admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 23 during the reporting period Wumerator t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 7 Record Vital Signs Confidential and Proprietary Page 101 Provider Incentive Program Hospitals Questionnaire 8 of 12 Red asterisk indicates a required field Record Smoking Status Objective Record smoking status for patients 13 years old or older Measure More than 5096 of all unique patients 13 years old or older admitted to the eligible hospital s ar CAH s inpatient or emergency department POS 21 or 233 have smoking status recorded as structured data EXCLUSION Based on ALL patient records eligible hospital or that sees no patients 13 years or older would be excluded fro
70. ation Adjust the payment calculation data for a paid hospital registration Attestation Tab Please select the Attestation tab abowe to perform any of the following actions Attest for the Incentive Program Continue Incomplete Attestation Modify Existing Attestation Discontinue Attestation Note You can attest for any registration associated with your user account Status Tab Please select the Status tab abowe to perform any of the following actions Wiew current status of your Attestation and Payments s for the Incentive Program Note You can wiew the status of any registration associated with your user account Figure 18 Home Page Example Page 38 Confidential and Proprietary Provider Incentive Program Hospitals 10 3 Registering a Provider within USVI Medicaid EHR Incentive Program A registration number is a key component to the process It is used along with the National Provider Identifier NPI to uniquely identify the provider It is used within the CMS NLR environment to identify the provider and the provider incentive status A registration ID is required in order to register and execute the attestation steps A registration ID is obtained after using the CMS website to register the provider The URL to CMS registration site is below Please contact CMS if additional help is needed when using this URL https ehrincentives cms gov hitech login action After executing the CMS regi
71. ation is no longer accessible for changes within the application The attestation details will be sent to the NLR to check if any other EHR Incentive Program payments have been made for the attesting for the given payment year From PIP Administrator VI lt pip admin vi mmis gov gt Sent Mon 12 22 2014 11 22 To Michael Masterton MolinaHealthcare com Cc Subject PIP Attestation accepted The attestation whose details are listed below has now been accepted by the EHR Incentive Solution after validation process or by the BMS Provider Services staff after an internal review The attestation will now proceed to the next stage of the validation process that checks whether a duplicate payment for Medicaid attestation was made in this State or another State during the current attestation period NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Confidential and Proprietary Page 85 Provider Incentive Program Hospitals 1
72. ave adopted mplemented upgraded or are meaningfully using certified EHR technology The Incentive Program ts designed to support providers in this period of Health IT transibon and instill the use of EHRs in meaningful ways to help our nation improve the quality safety and efficiency of patient health care This system will allow ebgible professionals and hospitals to provide the necessary miformation to begin receiving U S Virgm Islands Medicaid EHR Incentive Program payments Additional Resources U S Virgin Island providers should refer to the VI Ekg Hospstal Provider Attestabon Workbook and Provider Incentive Payment User manuals for mstructons on completing ther local registration and attestation These manuals can be found by returmng to the vimmes portal For mformaton on the EHR Provider Incentive Program natonwide provider eligibdity and registration rules a kst of EHR technology that s certified for this program specification sheets with additional information on each Meaningful Use objective and other general resources that w help you complete state level regstrabon and attestation please visit CMS website Eligible to Participate There are two types of groups who can participate in the program For detailed information visit CMS website Figure 17 Provider Incentive About This Site Example 4 On the Provider Incentive About This Site window select the Continue button to display the Provider Incentive Pr
73. centive payment would be upgrading from an existing EHR to a newer version that is certified per the EHR certification criteria promulgated by the Office of the National Coordinator ONC related to meaningful use Upgrading may also mean expanding the functionality of an EHR in order to render it certifiable per the ONC EHR certification criteria http healthit hhs gov portal server pt community healthit hhs gov home 1204 2013 Meaningful use your EHR Edition is either IF EHR is 2011 Edition or Combination of 2013 2014 Edition you will be required to response to 2013 Meaningful use measures 2014 Meaningful use If your EHR Edition is either IF EHR is 2014 Edition or Combination of 2013 and 2014 Edition you will be required to response to 2014 Meaningful use measures Field Value Description Adopt Implement Upgrade Select Adopt Implement or Upgrade for YEAR 1 attestation See Definition Above for Help with Selection 2013 Meaningful Use Meaningful Use 2013 Stage 1 IF EHR is 2011 Edition or Combination of 2013 and 2014 Edition 2014 Meaningful Use Meaningful Use 2014 Stage 1 If EHR is 2014 EHR Edition or Combination of 2013 and 2014 Edition Question required if not using a 2014 EHR Edition Do you attest that you are unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability If yes explain delay Questions required regardless of EHR Edition 8096 of patients information in an EHR YES or
74. cordance with Federal regulations for a period of 5 years or 3 years after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS The provider must make all records and documentation available upon request to your state s Medicaid office and or DHHS Such records and documentation must include but not be limited to Financial Records Practicing Provider Information credentials Identification of Service Sites Dates of Service for Each Service Component by Patient Patient Records Invoices lease agreement supporting Adopt Implementation Utilization AIU EMR Reports supporting Meaningful Use attestation FOR AIU evidence CMS and State recommends that a least one or more of the following documentation is retained a signed contract a user agreement purchase order purchase receipt or license agreement CMS and your state s Medicaid office recommends documentation are retained in case of audit Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS Attestation Selection Identify the desired attestation and select the Action you would like to perform Please note only one Action can be performed at a time on this page
75. d Days The payment calcuation needs the information form the cost reports Please provide the following numbers for cost reports found Payment Calcuation Item Value Location on Cost Report Total hospital charges for the most recent fiscal year Total charity care changes for most recent fiscal year Figure 3 Eligible Hospital Workbook Payment Calculation Confidential and Proprietary Page 17 Provider Incentive Program Hospitals 2 4 Eligible Hospital Attestation Workbook EHR Certification Information The fourth tab of the workbook outlines the EHR Certification information requirements for the USVI Medicaid EHR Incentive payment attestation This also informs the user where to find the EHR Certification number for the EHR system the facility is attesting to using implementing upgrading or meaningful use The figure below shows an example of this workbook page USVI Electronic Health Record Provider Incentive Program Professional Provider Attestation Worksheet Start Date End Date Please select a 90 day period in the current year if you meet at least one of the following AIU 2013 Meaningful use 2014 Meaningful use CMS EHR Certification Number will check the ONC site to make sure this is a valid solution prior to allowing you to submit your attestation ERBEN gt Office of the National Coordinator for Health Information Technology HeaithiT HHsS Gov of Comptete EHRs and
76. d detail of each measure for the EP to access and review the specific requirements for completing the numerator denominator for each measure and if applicable the criteria for being exempt from the particular clinical quality measure Save and Continue Button When selected a check is executed to determine if all required fields have information entered o If required fields are not completed the page will continue to display until required fields are corrected o If required fields are completed the next screen displays Previous Button Displays the previous screen 11 4 Submit Attestation and payment status The Submit Attestation button remains disabled if the attestation fails any eligibility checks or not all required questions have been answered If the attestation passes all eligibility checks and all required questions are answered the Submit Attestation button is available On selection of the Submit Attestation button the following screen displays Page 74 Confidential and Proprietary Provider Incentive Program Hospitals Attestation Attestations gt Attest gt Submit Attestation Attestation Information Red asterisk indicates a required field Please review the summary below to ensure this ts the correct attestation information and reason you wish to submit If the summary below is correct select the SUBMIT button at the bottom of this page For changes to the Registration Data you need to
77. d healthcare professional who can enter orders into the medical record per state local and professional quidelines Measure More than 30 percent of medication orders created by the EP or authorized providers of the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the reporting period are recorded using CPOE Complete the follawing information All information entered will be subject to audit that could result in payment recoupment Nunmerator The number of patients in the denominator that have at least medication order entered using CPOE Denominator Number of medication orders created by authorized providers of the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the reporting period NIumeratar Denominator Please select the PRE YIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE E3 2013 Meaningful Use Core Question 1 CPOE for Medication Orders Numerator and Denominator entry Confidential and Proprietary Page 95 Provider Incentive Program Hospitals Questionnaire 2 of 12 Red asterisk indicates a required field Drug Interaction Checks Objective Implement drug drug and drug allergy interaction checks Measure The eligible hospital CA amp H has enabled this functionality for the entire EHR reporting period Complete the follawing informati
78. data are FY 2005 022 annual growth rate FY 2006 025 annual growth rate FY 2007 017 annual growth rate The average growth rate is 022 025 017 3 0213 Total discharges are calculated as 2000 1 0213 2043 2043 1 0213 2087 2087 1 0213 2131 Hospital A s aggregate EHR amount would be 2 069 936 00 It was calculated as follows Initial Amount with annual growth rate factored in to the number of discharges Transition Factor Year 1 2 170 200 2 000 000 2 000 1 149 200 1 Year 2 1 634 100 2 000 000 2 043 1 149 200 75 Year 3 1 093 800 2 000 000 2 087 1 149 200 50 Confidential and Proprietary Page 59 Provider Incentive Program Hospitals Year 4 549 100 2 000 000 2 131 1 149 200 25 Overall EHR Amount 5 447 200 Medicaid Share 0 38 5 000 2 000 divided by 21 000 x 8 700 000 10 000 000 Aggregate Amount 5 447 200 x 0 38 2 069 936 00 Please note that DHS elected to have the total payment paid over a three year period utilizing the following Yearl 50 Year2 40 Year3 10 Payments also have the following rules applied in the DHS Solution e The last year a hospital may begin receiving Medicaid incentive payments is 2016 e Payments made over a minimum of 3 years and a maximum of 6 years e No annual payment may exceed 50 of the total calculation no 2 year payment may exceed 90 e No
79. dential and Proprietary Page 123 Provider Incentive Program Hospitals Questionnaire 11 of 15 Red asterisk indicates a required field VTE 4 NOF 0374 Title venous Thromboembolism VTE Patients Receiving Unfractionated Heparin with Dosages Platelet Count Monitoring by Protocol or Nomogram Description This measure assesses the number of patients diagnosed with confirmed who received intravenous IV therapy dosages AND had their platelet counts monitored using defined parameters such as a nomogram or protocol Numerator Denominator _ Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed SAVE AND CONTINUE 3 0 PREVIOUS PAGE 2013 Clinical Quality Measures Question 11 Questionnaire 12 of 15 Red asterisk indicates a required field VTE 5 NQF 0375 Title venous Thromboembolism Discharge Instructions Description This measure assesses the number of patients diagnosed with confirmed VTE that are discharged to home to home with home health or home hospice on warfarin with written discharge instructions that address all four criteria compliance issues dietary advice follow up monitoring and information about the potential for adverse drug reactions interactions Numeratar Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to pr
80. dmitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 43 have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data More than 80 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one entry or an indication that the patient is not currently prescribed any medication allergies recorded as structured data More than 50 of all unique patients admitted to the eligible hospital s or inpatient or emergency department POS 21 or 23 have demographics recorded as structured data For more than 50 of all unique patients age 2 and over admitted to the eligible hospital s or C 4H s inpatient or emergency department POS 21 or 23 height weight and blood pressure are recorded as structured data More than 50 of all unique patients 13 years old or older admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have smoking status recorded as structured data Implement one clinical decision support rule More than 50 percent of all unique patients discharged from the inpatient or emergency departments of the eligible hospital or POS 21 or 23 during the EHR reporting period have their information available online within 36 hours of discharge Conduct or review a security risk analysis per 45 CFR 164 308 a 1 and
81. ds in accordance with Federal regulations for period of 5 years or 3 years after audits with any and all exceptions having been declared resolved by your state s Medicaid office ar the U S Department of Health and Human Services DHHS Attestation Selection Identify the desired attestation and select the Action you would like to perform Please note only one Action can be performed at a time on this page Mational Provider Identifier he Program Year Status Action FY2011 Provider Name c1 07112010 armes Figure 12 Attestation Instructions Page Page 30 Confidential and Proprietary Provider Incentive Program Hospitals 9 27 The Standard Buttons There are certain buttons found below the fields of each functional window that enables certain actions The available actions depend on the purpose of the window The most common buttons associated with USVI Medicaid EHR Incentive Payment Program are the Previous Page and the Save and Continue buttons The Previous Page button displays the previous page in page sequence The Save and Continue button must be selected If not any entries in the window are lost and must be reentered The Submit button is also an option and is used when the user is ready to submit the answers for review and possible payment Refer to Figure 13 Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed
82. e high managed cone patiernr participation or by the direct enraliment of the Facility only with a managed core organization and mot to Medicaid Question Response Instructions te Complete WEAR 1 If you are no longer actively enrolled as Medicaid provider If na the provider is not eligible for provider incentive amp have you been an active Medicaid Provider with USWI Medicaid for any YES OR NO poyment for this fiscal year and would need to re enroll in SO day period ower the last fiscal year Medicoid to continue to complete their attestation Question Response Instructions to Complete YEARS 2 6 Were you an active Medicaid Provider with Medicaid 9 during the entire fiscal year last year in order to be eligible for MU ES OR NO ifne the provider is not eligible for provider incentive demonstration during the full attestation period required by the payment for this fiscal wear regulations Question Response Instructions to Complete 10 Please note that providers should designate their Poy to Provider as a provider that is an active Mfedicoid Provider WES OR NO with a current Pay to Affiliation within the MUS Providers who are not set up as potential Pay to Providers within the system will not be able to receive a payment from the system Should the provider wish to add themselves as a possible pay to provider within the MAIS solution they will need to contact USVI Provider Services Figure 2 Eligible Hospital
83. e instructions are prevwided it Conduct of review a security risk analysis per 45 CER 164 308 2a 0 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk management process the CONTINUE button to proceed with attestation Figure 39 2013 Meaningful Use Core Measures Confidential and Proprietary Page 65 Provider Incentive Program Hospitals 11 1 2 2014 Meaningful Use Core Measures Meaningful Use Core Measures Attestations gt Attest gt Meaningful Use Core Measures Questionnaire Instructions For eligible hospitals and critical access hospitals CAHSs there are a total of 21 meaningful use objectives To qualify for an incentive payment eligible hospitals and CAHs must report on 16 of these 21 objectives There are 11 required core objectives The remaining 5 objectives may be chosen from the list of 10 menu set objectives In addition eligible hospitals and CAHs must report on 16 of the approved 29 clinical quality measures This attestation will begin with the 11 required core objectives listed below Objective Use CPOE for medication orders directhy entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Implement drug drug and drug allergy interaction checks Maintain an up to date problem list of current and active diagnoses Maintain active medication
84. e 30 Verify Registration Information Example 48 Figure 31 Medicaid Volume 51 Pisure 22 OuUt oI 5tate Screen Example 02 Figure 33 Out of State Add Screen 1 53 Figure 34 Payment Calculation Question 1 55 Figure 35 Payment Calculation Question 2 57 Figure 30 Payment Schedule Example euii aeria aT NEEE 6l Figure CMS EHR Entry neee EEES SEE 62 Figure 38 EHR Certification Question Example eeeeeessessssssssssseeeeererresessssssssssseseeeeereeessssss 64 Figure 39 2013 Meaningful Use Core 65 Figure 40 2014 Meaningful Use Core 66 Figure 41 2013 Meaningful Use Menu Measures nnne eene eene nennen nnns 68 Figure 42 2014 Meaningful Use Menu Measures eene eene eene 69 Figure 43 2013 Meaningful Use Clinical Quality Measures essen 42 Figure 44 2014 Meaningful Use Clinical Quality Measures essen 73 Figure 45 Reason to S
85. e Hospital Workbook Eligibility cccccnsncnteeteeeeseseeeeeeeeeeeeeeeenaaeaas 15 Figure 3 Eligible Hospital Workbook Payment 1 17 Figure 4 Eligible Hospital Workbook EHR Certification Information sssse 18 Figure 5 Eligible Hospital Workbook Out of State Entries esses 19 Figure 6 CMS ONC Certification EHR Product Screen 24 Pare 7 D he ACCU 26 Figure 8 Navipgation Features Example aen Re oaa epus 26 Figure 9 Update Account Screen Example 27 L0 Home 28 Figure 11 Registration Instructions eene eene eene nennen nnns 29 Figure 12 Attestation Instructions Page ssssssssssssseecccccccccccccseeeeesssssssssseeeccssceeeeeeeeaaaeoes 30 Figure 13 Standard Buttons ccccccccccccccccsscscsssssssssessesessecccccccceessscccecnasssscsesssseescccceaseonaes 31 Eroure l4 Work HOw 33 Figure 15 USVI Provider Portal Login Screen Example 35 Figure 16 USVI Provider Portal Welcome Page 36 Figure 17 Pr
86. e myocardial infarction AMID Patients with ST segment elevation or LBBB Clinical r3 MOF O36 cmn the ECG closest to arrival timme receiving primary PCI during the hospital stay with a tire Process Effectiveness from hospital arrival to PCI of 90 minutes or less Tithe PD MI LO Statin Prescribed at Discharge Clinical NOF 0639 Description Acute Polyccardial Infarction AMT patients who are prescribed a statin at Pr hospital discharge cuess Effecticeness Tithe P E I Initial Antibiotic Selection for Communite Acquired Pneumonia CP im CMIS Immuneocompetent Patients Efficient Use of r Moar O14 Description Irmmmunecompetent patients with CAP who recente an initial antibiotic Healthcare Resources regimen during the first 24 uci that is consistent with current quidelines Tithe SCIP I MF 1 Prophylactic Antibiotic Received within 1 Hour Prior to Surgical Incision Bescription Surgical patients with prophylactic antibiotics imitiated within one hour prior CCMTSRITIVLA to surgical incision Patients who recered Vancemycin er a Flocragquinclons for Patient Safet MOF prophylactic antibiotics should hawe the antibiotics initiated within 2 hours prior to surgical incision Due te the longer infusion tinme required for Vancormm ycim er a Fluocoroequingclonm it is acceptable to start these antibiotics within 2 hours prior te incision tire TAISI Tithe SCIP INF Z Prophylactic Antibiotic Selection for Surgical Patients FFici Lu
87. e their attestation and receive incentive payments using this system You will need to demonstrate adoption implementation upgrading or meaningful use of certified EHR technology in your first year and demonstrate meaningful use for the remaining years in the program Instructions Select any tab to continue Registration Tab Please select the Registration tab above to perform any of the following actions e Associate one or more Incentive Program Registrations with your user account e Venfy the content of an associated registration Attestation Tab Please select the Attestation tab above to perform any of the following actions e Attest for the Incentive Program e Continue Incomplete Attestation e Modify Existing Attestation e Discontinue Attestation Note You can attest for any registration associated with your user account Status Tab Please select the Status tab above to perform any of the following actions e View current status of your Attestation and Payments s for the Incentive Program Note You can view the status of any registration associated with your user account Department of Health amp Human Services Bureau for Medical Services rey Web Policies amp Important Links Accessibility 1 h WY Medicaid Provider Services Box 2002 Charleston WV 25327 2002 Figure 10 Home Page Example 9 2 5 Registration Tab The Registration tab displays the Registration Instruction
88. ect and Add Example The Registration Instructions Home Page lists all registrations that you have added If you have not added any the Registration Selection section will display No records to display as shown in the figure below Page 40 Confidential and Proprietary Provider Incentive Program Hospitals Registration Selection Identify the desired reqestrabon and select the Action you would kke to per fonm Action Harme ELIT Provider Idertifier MPT HUR Status select the ADD REGISTRATION button to add a registration to the list ADD REGISTRATION Figure 21 Registration Selection No records to display example The sections below explains the options that are available on the Registration Home Page which Add Registration Select and Remove 10 3 1 Registration Add Option Home Log Out Tete Attestation Status Registrations Add Registration Red asterisk indicates a required field Add a registration to your registrations list so that you can attest for the associated provider or simply view the attestation status and payment status of the registration account The registration must have been completed at the CMS Website and received by the State Please allow at least 24 hours for the State to receive and process a new or updated registration Enter the Registration ID you received in the submission receipt at the end of
89. emic stroke patients with atrial fibrillation flutter who are prescribed anticoagulation therapy at hospital discharge Title Thrombolytic Therapy Description Acute ischemic stroke patients who arrive at this hospital within 2 hours of time last known well and for whom IV t PA was initiated at this hospital within 3 hours of time last known well Title Antithrombolytic Therapy By End of Hospital Day 2 Description Ischemic stroke patients administered antithrombolytic therapy by the end of hospital day 2 Title Discharged on Statin Medication Description Ischemic stroke patients with LDL gt 100 mg dL or LDL not measured or who were on a lipid lowering medication prior to hospital arrival are prescribed statin medication at hospital discharge Title Stroke Education Description Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following activation of emergency medical system need for follow up after discharge medications prescribed at discharge risk factors for stroke and warning signs and symptoms of stroke Title Assessed for Rehabilitation Description Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services Title VTE Prophylaxis Description This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after ho
90. ent Encounters Mo Medicaid patient volume records Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed EJ PREVIOUS PAGE SAVE AND CONTINUE amp Figure 31 Medicaid Volume Example Confidential and Proprietary Page 51 Provider Incentive Program Hospitals NOTE An encounter for hospitals is defined as the number of inpatient discharges and the number of emergency room encounters over a 90 day period in the federal fiscal year proceeding the attestation federal fiscal year Enter start date by typing in the date or selecting the calendar icon The system will automatically calculate the 90 day patient volume period end date 1 Select the attestation period date range 2 Enter the numerator Enter in the Medicaid Fee for Service encounters Enter in Medicaid Managed Care paid encounters Do not add commas System will format with commas after entry 3 Enter the denominator Do not add commas System will format with commas after entry 4 Enter out of state counts optional The screen allows for entry of out of state entries The following is a sample of a screen to display the different options available to the user Each option s instructions are bulleted sections following this screen shot Out of State Medicaid Patient Volume If vou or your proxy provider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards
91. er information or need to submit transactions please invite the users and set security permissions by selecting Manage Users under Account Maintenance Associate Billing Providers to Your Trading Partner Account When you created this account you were required to link the trading partner account to a billing provider If you have additional billing providers please select Provider Associations under Account Maintenance to add your remaining billing providers Billing Providers must be associated to your trading partner account to use the web form entry features of this site X12 Submission HIPAA X12 transactions may be submitted using the X12 Upload feature under File Exchange the left navigation menu You must be certified to submit production transactions For each transaction you intend to submit 837P Professional Claims 276 Claim Status Requests 270 Eligibility Requests etc you are required to upload at least three test files indicated by a T in the element ISA15 Usage Indicator with at minimum 15 transactions per file that receive no validation errors Upon passing the testing requirements you will automatically be certified to submit production transactions View your EDI transaction certification status by selecting Trading Partner Status under Account Maintenance Please note your Trading Partner ID was assigned at the time of registration and is displayed at the top of this page Interchange Acknowledgeme
92. er versions of IE may have display issues Adobe Acrobat Reader Confidential and Proprietary Page 25 Provider Incentive Program Hospitals 9 Navigation This section describes the different navigation options within the navigation section that are not discussed throughout the user guide 9 1 Breadcrumbs When a hyperlink is clicked the appropriate web page is displayed to the right of the navigation bar The breadcrumbs indicate the current position within the site Breadcrumbs are a visual representation of pages and sub pages followed to reach this page You may select the underlined name to return to the specific page For the example screen the breadcrumb translates to the following The gray text that is not underlined in the breadcrumb indicates the section that you are currently in In this case it 1s the Meaningful Core Measures questions The underlined text will display the page that it is assigned An example of the breadcrumb 15 as follows o Sse displays the Attestation Topics Page o Attesetions displays the Attestation Selection Page Status Meaningful Use Core Measures gt attest gt Meaninghul Use Core Measures Figure 7 Breadcrumb Example 9 2 Use of the Navigation Features Every screen of USVI Medicaid EHR Incentive Program Attestation application has a set of standard navigation features These are found on the upper right had corner of the applicat
93. ermine if all required fields have information entered o If required fields not completed the page will continue to display until required fields are corrected o If required fields are completed the next screen displays Previous Button Displays the previous screen 11 3 Meaningful Use Clinical Quality Measures CMS instructions for Clinical Quality Measure CQMs are for 2013 CQMs which the provider can select if they are using 2011 CEHRT or a combination of 2011 and 2014 CEHRT and they choose 2013 MU Stage 1 If the provider chooses 2014 MU Stage 1 the provider will address the 2014 CQMS Confidential and Proprietary Page 71 Provider Incentive Program Hospitals 11 3 1 2013 Meaningful Use Clinical Quality Measures Attestations gt Attest gt Clinical Quality Measures Questionnaire Instructions Eligible hospitals and CAHs must report all 15 Clinical Quality Measures You must report on the 15 required COMs listed below Identifier s STK 2 0435 STK 3 NQF 0436 STK 4 NQF 0437 STK 5 NQF 0438 STK 6 NQF 0439 STK 8 NQF 0440 VTE 2 NQF 0372 VTE 4 NQF 0374 VTE 6 NQF 0376 ED 1 NQF 0495 ED 2 NQF 0497 Clinical Quality Measure Title amp Description Title Discharged on Antithrombolytic Therapy Description Ischemic stroke patients prescribed antithrombolytic therapy at hospital discharge Title Anticoagulation Therapy for Atrial Fibrillation Flutter Description Isch
94. ermine if the attestation will be accepted The hospital must obtain the counts from the out of state Medicaid agency s MMIS and be prepared to submit the following documentation Certification on official letterhead from the other state Medicaid agency declaring the numbers obtained were derived from the state s MMIS and are accurate Report generated by the state Medicaid agency with the total fee for service count and reporting period Page 50 Confidential and Proprietary Provider Incentive Program Hospitals Eligibility Attestations gt Attest gt Eligibility Questionnaire 1 of 1 Red asterisk indicates a required field To be eligible to participate in the Medicaid EHR Incentive Program an eligible hospital must meet certain Medicaid patient volume threshold with in state Medicaid patients or visiting out of state Medicaid patients Medicaid Patient Volume Enter your Medicaid patient volume figures in the section below for the patients you see within the current Medicaid State If you see Medicaid patients from an out of state Medicaid Payer and wish to include those numbers in order to meet the eligibility threshold for 10 Medicaid volume please reflect those numbers in the Out of State Medicaid Patient Volume Section below Select any 90 day period in the previous Federal fiscal year for your patient volume figures Start Date 7 3 2013 End Date 9 30 2013 E Complete the following infor
95. g registration Email When the Attestation Application receives a registration from the National Level Repository NLR it must validate the EH s Medicaid EHR Incentive Program eligibility The email below is sent if the EH does not exist in the MMIS From PIP Administrator VI pip admin amp vi mmis gov gt Sent Mon 12 22 2014 11 To Michael Masterton MolinaHealthcare com GE Subject PIP Registration Medicaid Eligibility Check Failed Attestation not allowed The provider whose details are listed below is not allowed to participate in the payment incentive program at the current time for the reason listed below NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Reason for rejection Provider not found to participate in the state s Medicaid system For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 84 Confidential and Proprietary Provider Incentive Program Hospitals 17 Attestation Accepted Email This email is sent when the 48 hours allowed for attestation changes have expired The attest
96. her than yourself you must receive authorization from the provider associated with the registration before adding the registration to your list Registration ID passidk NPI Bs40304 Figure 24 Add Registration Error Message Example The most common reasons why an error occurs Information entered incorrectly If necessary access the CMS NLR website at ehrincentives cms gov to check the registration information or add a registration The registration ID will not be found if 48 hours has not expired after registering with CMS The Cancel button is an additional option that is available Selecting the Cancel button does not add the registration ID and the Registration Home Page displays No additional registration ID displays 10 3 2 Registration Select Option National enhn dh HPT HER Status XXX XX 535959 85D 15 Sev Please select the ADD REGISTRATION button to add a registration to the list ADO REGISTRATION Figure 25 Registration Select Example When the Select link is selected the registration details displays for the Registration ID selected Refer to Figure 23 Confidential and Proprietary Page 43 Provider Incentive Program Hospitals 10 3 3 Registration Remove Option Registration Selection Identify the desired fegetraben and select the Acton you would ike to perform Action identifier National Previder Identifier HET HLA Status Seen ALFR
97. hospital discharges in FY20XX where XX is the appropriate year Do not add commas System will format with commas after entry Enter total hospital discharges in FY20XX where XX is the appropriate year Do not add commas System will format with commas after entry Enter total hospital discharges in FY20XX where XX is the appropriate year Do not add commas System will format with commas after entry Step 6 System calculates the Average Annual Growth rate It is not modifiable DEFINITION The growth percentage is used in calculating potential incentive payment The fiscal year 1s calculated using the recent year entered above Using the discharge data selected for the four years preceding the most recent year of discharge data available via cost report the system will calculate the facility s growth percentage average as it 1s entered into the USVI Medicaid EHR Incentive Payment solution Step 7 Select Save and Continue The system validates if all fields have data entered Page 56 If errors occurs Confidential and Proprietary Provider Incentive Program Hospitals Supply numbers for each field Please enter the appropriate data Execute Step 7 If no errors occur the Payment Calculation Question 2 screen displays Payments Attestations gt Attest gt Payments Medicaid Incentive Payment Calculation 2 of 2 Red asterisk indicates a required field The Medicaid Share against which
98. hy no VTE prophylaxis was given the day of or the day after the initial admission or transfer to the Intensive Care Unit ICU or surgery end date for surgeries that start the day of or the day after ICU admission or transfer Numerator Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed SAVE AND CONTINUE PREVIOUS PAGE 2013 Clinical Quality Measures Question 9 Questionnaire 1 Red asterisk indicates a required field VTE 3 NQF 0373 Title venous Thromboembolism VTE Patients with Anticoagulation Overlap Therapy Description This measure assesses the number of patients diagnosed with confirmed VTE who received an overlap of parenteral intravenous Iv ar subcutaneous subcu anticoagulation and warfarin therapy For patients who received less than five days of overlap therapy they must be discharged on both medications Overlap therapy must be administered for at least five days with an international normalized ratio INR gt 2 prior to discontinuation of the parenteral anticoagulation therapy or the patient must be discharged on both medications Numerator Denominatar Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp 2013 Clinical Quality Measures Question 10 Confi
99. icaid office or the U S Department of Health and Human Services DHHS The prowider must make all records and documentation avaiable upon request to your state s Medicaid office and or DHHS Such records documentation must include but not be limited to Financial Records Practicing Prowider Information credentials Identification of Service Sites Dates of Service for Each Service Component by Patient Patient Records Inwoices flease agreement supporting Adopt Implementation Utilizationf ATW EMR Reports supporting Meaningful Use attestation FOR AIU evidence CMS and State recommends that a least one or more of the following documentation iz retained a signed contract a user agreement purchase order purchase receipt or license agreement CMs and your state s Medicaid office recommends documentation are retained in case of audit Prowiders must maintain records in accordance with Federal regulations for a period of S5 years or 3 years after audits with amy and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human 3erwices DHHS Select any tab to continue Registration T ab Please select the Registration tab abowe to perform any of the following actions Associate one or more Incentive Program Registrations with your user account WeriPy the content of an associated registration Weritw the content of an associated registr
100. ients of the EH who request an electronic copy of their electronic health information four business days prior to the end of the EHR reporting period Murmeratar e Denaminatar e Please select the PRE YIOUS PAGE button to qo back or the SAVE CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 10 Answered No to Electronic Copy of Health Info exception Page 104 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 11 of 12 Red asterisk indicates a required field Electronic Copy of Discharge Instructions Objective Provide patients with an electronic copy of their discharge instructions at time of discharge upon request Measure More than 50 of all patients who are discharged fram an eligible hospital or CAH s inpatient department or emergency department POS 21 23 and who request an electronic copy of their discharge instructions are provided it EXCLUSION Based on ALL patient records If the eligible hospital or CAH has no requests from patients or their agents for an electronic copy during the reporting period they would be excluded from this requirement Does this exclusion apply ta you Please select the PREYIOUS PAGE button to go back or the SAVE CONTINUE button to proceed SAVE CONTINUE 2013 Meaningful Use Core Question 11 Electronic Copy of Discharge Instructions Quest
101. ight Weight Blood pressure Calculate and display BMI Plot and display growth charts for children 2 20 years including BMI Measure For more than 50 of all unique patients age 2 and aver admitted to the eligible hospital s ar CAH s inpatient or emergency department POS 21 or 23 height weight and blood pressure are recorded as structured data Complete the following information All information entered will be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who have at least one entry of their height weight and blood pressure recorded as structured data Denominator Number of unique patients age 2 or over admitted to the eligible haspital s or CAH s Inpatient or emergency department POS 21 ar 23 during the EHR reporting Numesratar Denominatar Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 0 2013 Meaningful Use Core Question 6 Record Demographics Page 100 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 7 of 12 Red asterisk indicates a required field Record Vital Signs Objective Record and chart changes in vital signs Height Weight Blood pressure Calculate and display BMI Plot and display growth charts for children 2 20 years including BMI Measure For more than 50 of all unique p
102. implement security updates as necessary and correct identified security deficiencies as part of its risk management process Please select the PREVIOUS PAGE button to go back or the CONTINUE button to proceed with attestation EJ PREVIOUS PAGE Page 66 CONTINUE Figure 40 2014 Meaningful Use Core Measures Confidential and Proprietary Provider Incentive Program Hospitals 11 1 3 Meaningful Use Core Question General Workflow Functionality Link to CMS definition Regardless of 2013 or 2014 each meaningful use measure screen has a link to the CMS definition for the applicable requirements and detail of each measure for the EP to access and review the specific requirements for completing the numerator denominator for each measure and if applicable the criteria for being exempt from the particular meaningful use measure Save and Continue Button When selected a check is executed to determine if all required fields have information entered o If required fields not completed the page will continue to display until required fields are corrected o If required fields are completed the next screen displays Previous Button Q Displays the previous screen 11 2 Meaningful Use Menu Measures CMS requires that the provider must select a minimum of five questions and one question must be a public health question for any of the selected option of 2013 Meaningful Use 2011 CEHRT or a combination of 2011 and 2014 CEHRT
103. inpatient bed days Do not add commas System will format with commas after entry 3 Enter Medicaid inpatient bed days Do not add commas System will format with commas after entry 4 Enter Medicaid managed care inpatient bed days This is a required field Enter 0 if manage care inpatient bed days do not apply Do not add commas System will format with commas after entry 5 Enter total hospital charges Do not add commas System will format with commas after entry 6 Enter charity care changes Do not add commas System will format with commas after entry 7 Step 7 Select Save and Continue button The system validates if all fields have data entered If errors occur Supply numbers for each field Please enter the appropriate data Execute Step 7 If no errors occur the Payment Schedule screen displays 10 4 3 Attestation Payment Schedule This section identifies the steps to add the data to calculate the potential payment to the hospital A facility representative will enter in the required information in the payment screens which are described below The system will calculate the amount for the organization based on the information that was entered 10 4 3 1 Hospital Payment Calculation Formula The hospital payment calculation formula was created by CMS STEP 1 Calculate the EHR amount EHR Amount 2 000 000 200 00 Total Discharges transition factor The sum of the calculation will be performed in a hypo
104. ion screens as shown Figure 8 below My PIP Account Registration Attestation Status Figure 8 Navigation Features Example 9 2 1 Link Displays an electronic form of this document in a separate IE window Page 26 Confidential and Proprietary Provider Incentive Program Hospitals 9 2 2 USVI Medicaid EHR Incentive Program Attestation Application Account Hyperlink Displays a screen with an email address box USVI Medicaid EHR Incentive Program will use this email address to send notifications regarding the attestations You may enter a new address or update an existing one Save changes by selecting the Update button Press the Cancel button and changes will not be saved My PDIP Account Update Account Red asterisk indicates a required field First ame Mame Last Name LastName Email Address CANCEL UPDATE Figure 9 Update Account Screen Example 9 2 3 Back to USVI MMIS Portal link Q Displays the USVI MMIS Portal Login page Refer to Figure 15 USVI Login Page 9 2 4 Home Tab Displays the page as shown in Figure 10 Confidential and Proprietary Page 27 Provider Incentive Program Hospitals SCOT TE Registration Welcome First Successful Login Unsuccessful Login Attempts Notifications Welcome to the Provider Incentive Payment System Medicaid EHR incentive program participants can complet
105. ionnaire 11 of 12 Red asterisk indicates a required field Electronic Copy of Discharge Instructions Objective Provide patients with an electronic copy of their discharge instructions at time of discharge upan request Measure More than 50 of all patients who are discharged from an eligible hospital or CAH s inpatient department or emergency department POS 21 or 23 and who request an electronic copy of their discharge instructions are provided it Complete the following information All information entered will be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator who are provided an electronic copy af discharge instructions Denominator Number of patients discharged from an eligible hospital s or C amp H s inpatient or emergency department POS 21 ar 23 who request an electronic copy of their discharge instructions and procedures during the EHR reporting period Numeratar Denominator Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE E 2013 Meaningful Use Core Question 11 Answered No to Electronic Copy of Discharge Instructions exception Confidential and Proprietary Page 105 Provider Incentive Program Hospitals Questionnaire 12 of 12 Red asterisk indicates a required field Protect Electronic Health Information Objective
106. ith atrial fibrillation flutter who are prescribed anticoagulation therapy at hospital discharge Numeratar Denominator Exclusions j lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Clinical Quality Measures Question 2 Confidential and Proprietary Page 119 Provider Incentive Program Hospitals Questionnaire 3 of 15 Red asterisk indicates a required field STK 4 0437 Title Thrombolytic Therapy Description Acute ischemic stroke patients who arrive at this hospital within 2 hours of time last known well and for whom IV t PA was initiated at this hospital within 3 hours of time last known well Numerator Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE a 2013 Clinical Quality Measures Question 3 Questionnaire 4 of 15 Red asterisk indicates a required field STK 5 0438 Title Antithrombolytic Therapy By End of Hospital Day 2 Description Ischemic stroke patients administered antithrombolytic therapy by the end of hospital day 2 Numerator l Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE amp 2013 Clinical Q
107. k indicates a required field Patient specific Eduction Resources Objective Use certified EHR technology to identify patient specific education resources and provide those resources t the patient if appropriate Measure More than 10 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 ar 23 are provided patient specific education resources Complete the following information Numerator Number of patients in the denominator who are provided patient specific education resources Denominator Number of unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period Numerator Denominatar lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed Ej PREVIOUS PAGE SAVE AND CONTINUE 3 2013 Meaningful Use Menu Measure Question 8 Patient specific Education Resources Page 116 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 9 of 10 Red asterisk indicates a required field Medication Reconciliation Objective The EP eligible hospital or who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation Measure The eligible hospital or CAH performs medication reconciliation for more than 50 of tr
108. l contain the eligibility checks that were not met and information on contacting the USVI Provider Services Help Desk if the provider feels this is in error If the USVI Medicaid EHR Incentive Payment solution finds the provider ineligible a user attempting to add the provider s registration to the user account to continue the application process for EHR Incentive payment will not be able to add the registration for the ineligible provider The system prevents the provider from continuing with the attestation process unless the status 1s found to be eligible 10 2 Login to the USVI Medicaid EHR Incentive Program Solution This section provides instructions on how to start the USVI Medicaid EHR Incentive Program Attestation Application and log into the system to use the application Please obtain authorization from the registering provider to enter the data on their behalf 10 2 1 Starting USVI Medicaid EHR Incentive Program Attestation Application The application runs on the Internet Execute the following steps to start the application 1 Access the web portal main page As shown in the figure 15 below Page 34 Confidential and Proprietary Provider Incentive Program Hospitals wit IS ants OF Tet UnrtO STATES ment of Human Services Working Together to Mate Diference o Ms ier ical Assistance Program Trading Partner Sagn In User Marne Password Welcome to the USVI Medicaid Program
109. l or CAH would be excluded from this requirement Does this exclusion apply ta your Yes C No Please select the PREYIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Menu Measure Question 3 Syndromic Surveillance Data Submission Questionnaire 3 of 10 Red asterisk indicates a required field Syndromic Surveillance Data Submission Objective Capability to submit electronic syndramic surveillance data to public health agencies except where prohibited and in accordance with applicable law and practice Measure Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an eligible hospital or CAH submits such information have the capacity to receive the information electronically Complete the following information Eligible hospitals and C amp Hs must attest YES to having performed at least one test of certified EHR technology s capacity to submit electronic syndromic surveillance data to public health agencies and follow up submission if the test was successful unless none of the public health agencies to which the eligible hospital or CAH submits such information has the capacity to receive the information electronically to meet this measu
110. l topics are marked as completed or N A please select the SUBMIT amp ATTEST button to complete the attestation process PREVIOUS PAGE START ATTESTATION SUBMIT amp ATTEST Figure 29 Reason for Attestation Example The topic listing identifies the completed topic by placing an indicator next to the topic A topic 1s completed when the required answers are entered and saved Topics become available as prerequisite topics are completed Select the Start Attestation button to start the attestation process or to continue to add and modify data already entered Confidential and Proprietary Page 47 Provider Incentive Program Hospitals Select the Submit amp Attest button when satisfied with the data that is entered This submits the responses to determine eligibility for payment processing This submits the data to the State for review O The Submit amp Attest button is disabled on the initial selection of a registration id The Submit amp Attest button is disabled if the Eligibility check was set to Ineligible Select the Previous Page button to display the Attestation Instructions Page On selection of the Start Attestation button the Registration Information Page will display Verify Registration Information Red asterisk indicates a required field Please review the registration summary below to ensure this is the correct registration information If the information below is
111. lder Implement one clinical decision support rule relewant to a high priority hospital condition along with the ability to track compliance with that rule Provide patients with an electronic copy of their health information Cinclioding diagnostic test results problern list medication lists medication allergies discharge surmmary Procedures upon mequest Prowide patients with an electronic copy of their discharge ii E E instructions at tire of discharge upon request Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities 12 select the PREVIOUS PAGE button to go back or CONTINUE Please Ee PREVIOUS PAGE PAlore than 305 cf unique patients with at least one medication list admitted to the eligible hospitals cr AH s inpatient or emergency department POS 21 or 23 have at least one medication order entered using CPOE The eligible hospital AH has enabled this functionality for the entire reporting period More than 50 of all umique patients admitted to the eligible hospitals or CAH s inpatient or ermnergency departrnent POS 21 or 23 have at least ene entry or an indication that no problems are known for the patient recorded as structured data Biore than 80 of all unique patients admitted te the eligible hospital s or CAMs inpatient or emergency department POS 21 of 23 have at least one entr
112. lect the Attestation Tab 10 4 1 Attestation Eligibility When the facility representative selects the organization s registration number and continues with the attestation portion of the USVI Medicaid EHR Incentive Program attestation process the solution presents the user with a series of screens to complete the hospital s eligibility check and gather the appropriate data needed to calculate the hospital s overall USVI Medicaid EHR Incentive Program payment 10 4 1 1 Eligibility Screen 1 Volume Check The purpose of this screen is to determine if the facility s Medicaid patient volume meets the threshold necessary to be eligible for a USVI Medicaid EHR Incentive payment In order to be eligible for the Medicaid EHR Incentive Program the hospital must have CAH or Acute Care Hospitals must have at least 10 Medicaid volume O Children s hospitals are exempt from volume check USVI Medicaid EHR Incentive Program defines a hospital encounter as For purposes of calculating EP eligible patient volume a Medicaid encounter as defined by the USVI Medicaid EHR Incentive Program is An encounter should be a reflected in the count as one or more claims for the same patient for the same rendering physician for the same date of service DOS This should be a count of unduplicated per patient per date of service Medicaid Claim Based Encounters in the 90 day period This includes all Medicaid paid encounters including inpatient outpatient
113. lectronic submission of reportable lab results to public health agencies and posits Tuc I follow up submission if the test is successful unless none of the public health with ie agencies to which eligible hospital or CAH submits such information have the capacity to receive the information electronically Performed at least one test of certified EHR technology s capacity to provide electronic syndrornic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an eligible hospital or CAH submits such information have the capacity to receive the information electronically Capability to submit electronic syndrornic surveillance data to public health agencies except where prohibited and in accordance with applicable law and practice You must submit additional Meaningful Use Menu Measures from the list below Objective Measure The eligible hospital C AH has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Implement drug formulary checks More than 50 of all unique patients 65 years old or older admitted to the eligible hospital s or CAH s inpatient department POS 21 have an indication of an advance directive status recorded Record advance directives for patients 65 years old or older More than 40 of all clinical lab tests results ordered by the
114. ligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Mm Page 86 Confidential and Proprietary Provider Incentive Program Hospitals 19 Attestation Error Medicaid Claims count failed Email The solution will check the provider s Medicaid claims that were submitted during the attestation period If there were no claims found for the attestation period the following email will be sent Sent Mon 12 22 2014 11 27 From PIP Administrator VI lt pip admin vi mmis gov gt To Michael Masterton amp MolinaHealthcare com Cc Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for rejection Provider has no Medicaid claims in the State s Medicaid system For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program he
115. lity Measures Page 72 Confidential and Proprietary Provider Incentive Program Hospitals 11 3 2 2014 Meaningful Use Clinical Quality Measures Cnn X ar r R E yc Poe eS Attestations Attest clinical Quality Measures Owrestion naire Instructions Eligible hospitals and CAH must report on 2G of the LB Appro ed Cllimical Quality Pac a eres Tine selected OMS must cower at least CX of the National Quality Strategy domains Wou must submit De Clhinical Qusality Pian suras From thie list balho w cu hawe selected O J ft n Identifiert Clinical Cykuralrte Pleasure Title 8 Description Domain Tithe Emergency Department ED 3 1 Emergency Department Throughput Time 5532 from ED Arrival to EOD Departure for Admitted ED Patients Patient and Famiby rm Mar coques Description Median time from emergency department arrival to time of departure from Engagement the emergency rocni for patients adrnitted to the facility the departiment Tithe ED 2 Emergency Department Throughput Admitted Patients Admit Decision Time to ED Departure Time for Admitted Patients 1 PE pies Description Mledian time Cin minutes from admit decision time to time of departure from EE E y T the emergency departiment for department patients admitted te inpatient statin CMNISIOSez VS GRE a Vim ee res ee er
116. llowing information Date MM DD YY Time HH MM AM SPM Example 09 75 Was a follaw up submission done Yes C No Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed A Doce CAVE AKIN IE BRI 2013 Meaningful Use Menu Measure Question 1 Answered No to Immunization Registry Exemption Confidential and Proprietary Page 109 Provider Incentive Program Hospitals Questionnaire 2 of I0 Red asterisk indicates a required field lab Results Submission Objective Capability ta submit electronic reportable laboratory results ta public health agencies except where prohibited and in accordance with applicable law and practice Measure Performed at least test of certified technology s capacity to provide electronic submission of reportable lab results to public health agencies and follaw up submission if the test is successful unless none of the public health agencies to which eligible hospital or CAH submits such information have the capacity to receive the information electronically EXCLUSION Based on ALL patient records If no public health agency to which the eligible hospital or CAH submits such information has the capacity to receive the information electronically then the eligible hospital or would be excluded fram this requirement Does this exclusion apply to your Yes C Mo Please select the PREVI
117. lp desk Thank you for using the PIP system Version 1 0 0 1 If the solution found that claims counts could not be validated then the following email is sent Sent Mon 12 22 2014 11 29 From PIP Administrator VI lt pip admin vi mmis gov gt To Michael Masterton MolinaHealthcare com Cc Subject PIP Attestation rejected The provider whose details are listed below has been found to be not eligible for the payment incentive program due to the below reason NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name Submitted Date 9 30 2014 12 52 41 PM Medicaid Encounter volume is not able to be validated by the state s EHR Provider Incentive Payment solution s encounter count for the provider or their proxy within the MMIS system CY2013 Reason for rejection For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Confidential and Proprietary Page 87 Provider Incentive Program Hospitals 20 Attestation Paid Email If final eligibility checks pass and no payment issues occurred an email is sent indicati
118. m this requirement EPs must enter 0 in the Exclusion box to attest to exclusion from this requirement Does this exclusion apply to you Yes C No Exclusion Box fs Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 8 Record Smoking Status Page 102 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 8 of 12 Red asterisk indicates a required field Record Smoking Status Objective Record smoking status for patients 13 years old or older Measure More than 50 of all unique patients 13 years old or older admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 233 have smoking status recorded as structured data Complete the following information All information entered will be subject to audit that could result in payment recoupment Numerator Number of patients in the denominator with smoking status recorded as structured data Denominator Number of unique patients age 13 or older admitted to the eligible hospital s ar CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period Wumerator t Denominator Please select the PREVIOLIS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE amp 2013 Meaningful Use C
119. mation All information entered will be subject to audit that could result in payment recoupment Numerator Number of acute care patient encounters in which care was delivered under Medicaid fee for service FFS paid encounters managed care paid encounters the 90 day period Total number of Medicaid patient encounters treated during rid Denominator All patient encounters over the same 90 day period Note An encounter for a hospital is defined as acute care services rendered to an individual per inpatient discharge AND services rendered to an individual in an emergency department on any one day where Medicaid or a Medicaid demonstration paid for part or all of the service or paid all or part of their premiums co payments and or cost sharing Out of State Medicaid Patient Volume If you or your proxy prowider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You will be asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Add State Total Medicaid Encounters Total Pati
120. ne if the provider 1s eligible or not The system will access the provider s Medicaid Enrollment records that are stored within the databases to determine if the provider is actively enrolled in the Medicaid program Confidential and Proprietary Page 33 Provider Incentive Program Hospitals O Enrollment Check The solution will check if the provider was actively enrolled in Medicaid for the attestation period The attestation period is 90 days for AIU 90 days for the first year of MU and the entire calendar for all other MU years Provider Type Specialty Check The solution will check if the hospital s registration does not match its Medicaid enrollment with Acute Care Critical Access Hospital CAH or Children s Hospital The hospital must meet the system s preliminary eligibility checks to be eligible to continue with attestation for Incentive Payment If these checks are not met the hospital is considered to be ineligible The USVI Medicaid EHR Incentive Payment Solution will send the CMS NLR an update file with the preliminary determined eligibility status of the provider for the Incentive Program under Medicaid It will also send an email indicating the status of the USVI Provider s Medicaid registration eligibility check to the email address that was entered during registration This email will indicate eligibility status from these eligibility checks If the status shows the provider 1s ineligible the email wil
121. nformation Please review DHS requirements and applicable provider manuals for the specific service requirements retention periods and lists Out of State Documentation If the hospital plans to include encounter counts from another state this 1s optional the following documentation is required in an electronic format pdf Microsoft Word or Excel or jpeg and will need to be included with the electronic attestation Certification on official letterhead from the other state Medicaid agency or agencies declaring the numbers obtained were derived from the State s MMIS and are accurate Report generated by the other State Medicaid agency or agencies with the total Fee for Service and Managed Care Organization encounter count and reporting period Page 20 Confidential and Proprietary Provider Incentive Program Hospitals 4 Selecting Cost Reports If your hospital 1s choosing to use its Medicare cost reports to complete its USVI Medicaid EHR Incentive Program overall payment calculation it is imperative that the appropriate cost reports are selected The Eligible Hospital Attestation Workbook provides the location of the Medicare cost report data elements that are needed to complete a payment calculation Please be aware that 42 CFR 495 31 g 1 B states that the discharge related data amount must be calculated using a twelve month period that ends in the federal fiscal year before the hospital s fiscal year that serves as
122. ng that payment 15 approved and being processed The payment will continue with additional processing so payment arrival will take a few days From PIP Administrator VI pip admin vi mmis qov gt Sent Mon 12 22 2014 11 29 To Michael Masterton MolinaHealthcare com Subject Your VI EHR Incentive payment has been created Attestation Paid The attestation whose details are listed below has been paid NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 Attestation Submitted Date 9 30 2014 12 52 41 PM Amount Paid 8 500 00 Payment Date 9 30 2014 12 53 52 PM For more information on payment or eligibility for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding payment or eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 m Page 88 Confidential and Proprietary Provider Incentive Program Hospitals 21 Attestation Payment Denied Email If final eligibility checks did not pass and payment issues occurred an email indicating denial 15 sent The Medicaid Provider Services staff at 855 248 7536 option 2 may be able to address questions From PIP Administrator VI pip admin vi mmis gov gt Sent Mon
123. ns of care and referrals in the denominator where a summary of care record was provided Denominator Number af transitions of care and referrals during the EHR reporting period for which the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 was the transferring or referring provider Numerator Denominator lease select the PREVIOUS PAGE button to go back or the SAYE amp CONTINUE button to proceed 2013 Meaningful Use Menu Measure Question 10 Transition of Care Summary Page 118 Confidential and Proprietary Provider Incentive Program Hospitals 29 201 3 Clinical Quality Measures Questions Screen Shots CMS requires that the fifteen questions are responded to Each question s screen shot is below Questionnaire 1 of 15 Red asterisk indicates a required field STK 2 0435 Title Discharged on Antithrombolytic Therapy Description Ischemic stroke patients prescribed antithrombolytic therapy at hospital discharge Numerator Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Clinical Quality Measures Question 1 Questionnaire 2 of 15 Red asterisk indicates a required field STK 3 NQF 0436 Title Anticoagulation Therapy for Atrial Fibrillation Flutter Description Ischemic stroke patients w
124. nt TA1 responses are displayed at the time you upload your transactions Please be sure to check your EDI Responses WEDI SNIP levels 1 2 edits are returned on a 997 for 4010A1 transactions and on a 999 for 5010 transactions Levels 3 7 are returned on an 824 for most transaction types The responses may be accessed by selecting Responses under File Exchange Response email alerts may be scheduled by using the Alerts feature Web Form Entry You may use web forms to submit claims referrals and authorizations and verify eligibility claim status and payment status Billing providers must be associated to this trading partner account to use these features see Provider Associations above These features are available under Form Entry Rendering providers affiliated with your billing provider will automatically be populated on web forms If one of your rendering providers is not available please contact provider enrollment to check the status of the rendering provider s enrollment or for instructions to enroll the provider Figure 16 USVI Provider Portal Welcome Page Example Confidential and Proprietary Provider Incentive Program Hospitals Welcome to the Provider Incentive Payment System for the Medicaid EHR Incentive Program About This Site The U S Virgin Islands Medicaed Electronic Health Records Incentive Program provsdes incentive payments to ebgble professionals and ebgible hospitals that can demonstrate they h
125. ntial and Proprietary Provider Incentive Program Hospitals Accesses link to PIPsolution Logs into VIMMIS com Transferred to PIP solution Transferred to PIP Home Page gt Provider Portal Provider Portal PIP Provider Portal User Add Registration Screen Verifies Select attestation on Attestation Page Presented with Attestation Topics Screen Options Certified EHR_ Screen Attestation Status Screen Y MU Selected 20139 Respond to 2013 MU questions Payment Attestation history Details Screen Registration Association 4 2014 Provider Registration Confirmation Screen Attestation Questionnaire Volume Entry Y Payment Calculation amp Payment Schedule View Screen Respond to 2014 MU questions Attestation Submit Page Submission Confirmation Screen Figure 14 Workflow Diagram 10 1 Pre eligibility Check on Receipt of CMS Registration ID When a registration is completed on the NLR site the registration information is sent to the USVI Medicaid EHR Incentive Program application The system will receive the registration and execute the following checks The end result is that the pre eligibility checks will determi
126. ntive Payment solution will not require the volume entered fo be 10595 of greater before it allows a provider to proceed Question Response DENOMINATOR Total patient encounters TEM S INSTRUCTIONS This should be a repart from the Practice Ivanagernent System PMS thot supports the total number of encounters the provider hod far the period defined abave This should be a count af patient encounter services per patient per date of service per provider facility regardless of payer source The count af total patient encounters must be uplooded into the completed registrationyattestation submission screen af the West Virginia EHR Incentive Solution Hospital EHR Payment Calculation Data Average Annual Growth Rate Calculated using the total hospital discharge information for a DEFINITION The growth percentage is used in calculating your potential incentive payment The fiscal year is calculated using the recent year entered above Using the discharge data selected for the four years proceeding your most recent year of discharge dota the system will calculate the facility s growth percentage average as it is entered into the USVI Medicaid EHR Incentive Solution Questions Year Total of Dischi Total Number of discharges for the selected year E T ID Total Number of discharges for 2 year prior to the selected year Total Number of discharges for 3 year prior to the selected year Discharge and Be
127. o skip forward to screens or jump past a screen without entering data The user may edit answers until the attestation has been submitted To start the attestation process 1 Select the Attest option on the row showing the hospital registration information Confidential and Proprietary Page 45 Provider Incentive Program Hospitals Attestations Attestation Instructions Welcome to the Attestation Page Depending on the current status of your attestation please select one of the following actions Attest Please select the Attest link to start attestation Attest for an incentive programs payment year Continue an incomplete attestation Rescind Please select the Rescind link to Cancel processing of a submitted attestation Resubmit Please select the Resubmit link to Resubmit an attestation that was previously deemed ineligible Please follow along using the VI Provider Incentive Payment Hospital Provider Workbook as a companion quide as you complete the attestation process Questions on the application or the program overall can be directed to the VI Provider Services Help Desk at 888 483 0793 option 8 for the Provider Service EHR CMS and your state s Medicaid office recommends documentation are retained in case of audit Please review your state s Medicaid requirements and applicable provider manuals for the specific service requirements retention periods and lists Providers must maintain records in ac
128. oceed PREVIOUS PAGE SAVE AND CONTINUE 3 2013 Clinical Quality Measures Question 12 Page 124 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 13 of 15 Red asterisk indicates a required field VTE 6 0376 Title Incidence of Potentially Preventable Venous Thromboembolism Description This measure assesses the number of patients diagnosed with confirmed VTE during hospitalization not present on arrival who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnostic testing order date Numeratar Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE 2013 Clinical Quality Measures Question 13 Questionnaire 14 of 15 Red asterisk indicates a required field ED 1 0495 Title Median Time from ED Arrival to ED Departure for Admitted ED Patients Description Median time in minutes from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department Measurement _ lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE 2013 Clinical Quality Measures Question 14 Confidential and Proprietary Page 125 Provider Incentive Program Hospitals Questionnaire
129. ogram Notifications window or also known as the Home page Refer to Figure 18 below Confidential and Proprietary Page 37 Provider Incentive Program Hospitals Welcome test prov Last Successful Login 1 6 2015 Unsuccessful Login Attempts 0 Notifications Welcome to the Provider Incentive Payment System Medicaid incentive program participants can complete their attestation and recetve incentive payments using this system You will need to demonstrate adoption implementation upgrading or meaningful use of certified technology in your first year and demonstrate meaningful use for the remaining years in the program Instructions Please follow along using the WI Provider Incentive Payment Hospital Provider Workbook as a companion guide as you complete the attestation process Questions on the application or the program overall can be directed to the WI Provider Services Help Desk at 888 483 0793 option 8 for the Provider Service CMS and your state s Medicaid office recommends documentation are retained in case of audit Please review your state s Medicaid requirements and applicable provider manuals for the specific service requirements retention periods and lists Providers must maintain records in accordance with Federal regulations for a period of 5 years or 3 years after audits with any and all exceptions having been declared resolwed by your state s Med
130. on Eligible hospitals and CAHs must attest YES to having enabled drug drug and druq alleray Interaction checks for the length of the reporting period ta meet this measure Yes C No Please select the PREYIOUS PAGE button to go back or the SAYE amp CONTINUE button to proceed E PREVIOUS PAGE SAVE AND CONTINUE amp 2013 Meaningful Use Core Question 2 Drug Interaction Checks Page 96 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire of 12 Red asterisk indicates a required field Pfonitcpni Probiers List Objective Maintain an up to date problem list of Current and active diagnoses Measure More than 8095 of all unique patients admitted to the eligible hospital s or CAH s inpatient emergency department POS 21 or 235 have at least entry or an indication that no problems are known for the patient recorded structured data Complete the following information All information entered will be subject to audit that could result in payment recoupment Numerator Number af patients in the denominator who have at least ane entry or an indication that no problems are known for the patient recorded as structured data in their problem list Denominator Humber of unique patients admitted to the eligible hospital s ar CAH s inpatient emergency department POS 21 or 233 during the reporting period RIUMMerator e Denominator Please select
131. on Application requires for the USVI attestation process The Workbook can be used to gather answers before logging in to the USVI Medicaid EHR Incentive Program Attestation Application 2 1 Eligible Hospital Attestation Workbook Overview The first tab of the workbook describes the eligibility requirements for the professional provider and web requirements for utilizing the USVI Medicaid EHR Incentive payment program application Confidential and Proprietary Page 13 Provider Incentive Program Hospitals USVI Electronic Health Record Provider Incentive Program Hospital Meaningful Use Attestation Provider Eligible Hospital EH worksheet for Eligibility for USVI Medicaid EHR Incentive Payment Program Overview This workbook is designed to help an Eligible Hospital collect the information needed ta complete the Eligibility Attestation and Meaningful Use MU and Clinical Quality Measures components of the USVI Medicaid EHR Incentive Solution STATE LEVEL REGISTRY Itis designed to gather detailed information regarding your practice and create summarized data for entry into the SLR This workbook can be used to help the provider calculate the necessary infarmation needed priar to completing the attestation online at vimmis com General instructions tor completing this workbook The provider should complete the questions contained in the workbook ahead of time and have it on hand while completing the online attestation within the
132. on information If any inl ormation is incorrect please update the information at the CMS Website Registration ID 10 Business Address Name General Hospital 1325 L Ave TIN 31 EIN Fairmont WV 21435 NPI 175 Phone 30 7130 100 Ext CCN 510047 E Mail abcZtest org Incentive Program Medicare Medicaid MD mks Accessibility S WY Medicaid Provider Services PO Box 2002 Charleston WV 25327 2002 Figure 23 Registration Information Example If invalid an error message displays The Add Registration Page continues to display until the information is entered correctly or a navigation option is selected Page 42 Confidential and Proprietary Provider Incentive Program Hospitals Registrations Add Registration Registration 0O495idk not found Red asterisk indicates a required field Add a registration to your registrations list so that you can attest for the associated provider or simply view the attestation status and payment status of the registration account The registration must have been completed at the CMS Website and received by the State Please allow at least 24 hours for the State to receive and process a new or updated registration Enter the Registration ID you received in the submission receipt at the end of the CMS EHR incentive program registration process Also enter the NPI of the provider associated with the registration WARNING If the registration is for a provider ot
133. onfidential and Proprietary Page 81 Provider Incentive Program Hospitals 14 Successful Registration with CMS Email After registering with CMS it may take 48 hours before this message is received e The delay is for CMS processing registration and sending them to the appropriate State repository The Provider Portal application will receive the registration in the State repository and process registration The Provider Portal application checks that the provider is a valid provider type and has active enrollment in Medicaid When this message is received log into the Provider Portal to register and attest Sent Mon12 22 2014 11 19 From PIP Administrator VI lt pip admin vi mmis gov gt To Michael giHealthcare com Cc Subject Medicaid Registration Received and Processed Successfully Proceed with Attestation Your NLR registration details have been successfully processed by VI Medicaid EHR Provider Incentive System NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name Reporting Period Name CY2013 You may now log into the VI EHR system at www vimmis com to download the instruction manual provider worksheets and frequently asked questions to document and attest that you have adopted implemented or upgraded a certified EHR technology system that demonstrates meaningful use If you need any other assistance regarding how to attest please contact 888 483 0793 option 8 for the Provider Service EHR
134. or the same patient far the same rendering physician for the same Date of service DOS NUMERATOR Input the facility s of Medicaid encounters for the period specified above This should be o count af unduplicated count per patient per date of service per facility provider Medicaid Encounters in the period A count of unduplicated count of Medicaid encounters for the provider in the period An encounter for a hospital is defined os services rendered o an individual per inpatient dischar AND services rendered to an individual in an emergency denortment on any one day where Medicaid or o Medicaid demonstration paid for part or all of the service or paid all or part of their premiums co payments andor cost sharing The USVI Medicaid EHR Incentive Payment solution will run a report fram the MMIS system to validate the FFS encounter count for the hospital within the numerator Please note if the hospital has significant Medicaid Managed Core volume the system may initially tigger a pend message for low Medicaid encounter volume to the hospital This can be resolved by contacting the USVI Provider Services EHR Incentive Program help desk ot 855 248 7536 between the hours of Sam and 5pm EST to review your Medicaid MECO Encounter information and request to be allowed to continue with attestation EXCEPTION Children s Hospitals are not required to determine volume Please note The USVI Medicaid ERR Ince
135. ore Question 8 Answer No to Record Smoking Status exclusion Questionnaire 9 of 12 Red asterisk indicates a required field Clinical Decision Support Rule Objective Implement clinical decision support rule relevant to a high priority hospital condition along with the ability to track compliance with that rule Measure Implement one clinical decision support rule Complete the following information Eligible hospitals and CAHs must attest YES to having implemented one clinical decision support rule for the length of the reporting period to meet the measure C Yes C No Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed 9 PREVIOUS PAGE SAVE AND CONTINUE 2013 Meaningful Use Core Question 9 Clinical Decision Support Rule Confidential and Proprietary Page 103 Provider Incentive Program Hospitals Questionnaire 10 of 12 Red asterisk indicates a required field Electronic Copy of Health Information Objective Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists medication allergies discharge summary procedures upon request Measure More than 50 of all patients of the EP or the inpatient or emergency departments of the eligible hospital or POS 21 or 23 who request an electronic copy of their health information are provided it within 3
136. ovider Incentive About This Site 1 37 19 Home Pase E Ud EI 38 Pisure 19 Registration Lab Example disrecrneccranonadsasinaosewessdasandsnedteancnadoustaeebenvessdaiunernedteancnedes 39 Figure 20 Registration Select and Add 40 Figure 21 Registration Selection No records to display example 4 Figure 22 dud EXamplee eeecscincentec cive santo E EE E kun Ada incre c dius 4 Figure 23 Registration Information Example cccccccccccccccceceeeeeeeeeesseeeeeeeeeeeeeeeeeeeeeeeeaqaaas 42 Figure 24 Add Registration Error Message 43 Figure 25 Registration Select EXamlple eet une uoo S EUR Va UU RUNE 43 Fig re 26 ReetstraHom Remove Example Fed dH E EUER NEUES 44 Fisure 27 Attestation Ex Ani Ci 45 Figure 28 Attestation Selection Example 46 Page 6 Confidential and Proprietary Provider Incentive Program Hospitals Figure 29 Reason for Attestation Example esses eene eene eene ener 47 Figur
137. ovider Incentive Program About This Site page Refer to Figure 16 below Confidential and Proprietary Page 35 Provider Incentive Program Hospitals Enable Accessibility Trading Partner ID VITPID000107 Welcome prov Provider i Account Maintenance 9 File Exchange i Form Entry m Claim Submission m Claim Status B Eligibility Verification Patient Roster W Provider Payment Status USVI EHR Incentive Program Alerts amp Notifications Contact Us Announcements Contact Us ICD 10 Transition Provider Directory Reference Companion Guides Forms Frequently Asked Questions a Newsletters a Provider Manual Registered Billing Agencies and Clearinghouses User Guides Training Training Calendar Training Documents USVI Medicaid Training Center USVI Medicaid Training Center Registration Page 36 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES Department of Human Services Working Together to Make a Difference This Site P Medical Assistance Program Tue Jan 6 2015 Secure Provider Homepage Welcome to Virgin edicaid Health PAS Online We thank you for Cipation in the Medicaid program and decision to submit electronic transactions Access to Your Trading Partner Account MAP trading partner accounts support multiple users in compliance with HIPAA security regulations If you have additional Employees that require access to your trading partn
138. page as shown in Figure 11 below Page 28 Confidential and Proprietary Provider Incentive Program Hospitals Registration Registrations Registration Instructions Welcome to the Registrabon Page Ekgible Professionals EP and E gible Hospital s can register for the Medicaid EHR Incentive Program at the CMS Website Please allow at least 24 hours for the State to recerve and process your registration Once the State has received and processed your registrabon you add the regstration to the list below Registrations imn thes kst will appear on the Attestation tab and the Status tab Select one of the following actions to manage the regsstrabons associated with your EHR Incentive Program user account Add Registration Please select the ADD REGISTRATION button to associate a regestrabon with your EHR Incentive Program user account for any of the following reasons You are an EP or ebgible hospital and have completed the Medicaid EHR Incentive Program registration at the CMS Website You want to associate the registrabon with your EHR Incentive Program account to begin attestabon You are working on behalf of an EP or ebgible hospital and want to view the provider s EHR Incentrve Program records and or attest on behalf of the provider Select Registration Please select the Select acbon next to the registrabon in the list to view the registration informabon that was entered at the CMS Website and manage hospital pa
139. pplication or the program overall can be directed to the ws Provider Services Help Desk at 8885 483 0793 option 8 for the Provider Service e CMS and your state s Medicaid office recommends documentation are retained in case of audit Please review your state s Medicaid requirements and applicable provider manuals for the specific service Providers must maintain records in accordance with Federal regulations for period of 5 years or 3 wears after audits with any and all exceptions having been declared resolved by your state s Medicaid office or the U S Department of Health and Human Services DHHS The provider must make all records and documentation available upon request to your state s Medicaid office and or DHHS Such records and documentation must include but not be limited ta o Financial Records o Practicing Provider Information credentials o Identification of Service Sites o Dates of Service for Each Service Component by Patient o Patient Records o Invoices lease agreement supporting Adopt Implementation Utilizationg AIL o EMR Reports supporting Meaningful Use attestation e FOR AIU evidence CMS and State recommends that a least or more of the following documentation is retained a signed contract a user agreement o purchase order o purchase receipt or o license agreement CMS and your state s Medicaid office recommends documentation are retained in case of audit Providers must maintain recor
140. r negative affirmation or as a number which is incorporated as structured data Denominator Number of lab test results ordered during the EHR reporting period by the EP whose results are expressed in a positive or negative affirmation or as a number Numeratar Denominator lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE 2013 Meaningful Use Menu Measure Question 6 Clinical Lab Test Results Page 114 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 7 of 10 Red asterisk indicates a required field Patient Lists Objective Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Measure Generate at least one report listing patients of the eligible hospital or CAH with a specific condition Complete the following information Eligible hospitals and CAHs must attest YES to having generated at least one report listing patients of the EP with a specific condition to meet this measure Yes C lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed SAVE AND CONTINUE gt E PREVIOUS PAGE 2013 Meaningful Use Menu Measure Question 7 Patient Lists Confidential and Proprietary Page 115 Provider Incentive Program Hospitals Questionnaire 8 of 10 Red asteris
141. re C Yes C No Please select the PREYIOUS PAGE button to go back or the SAVE CONTINUE button to proceed EG PREVIOUS PAGE SAVE AND CONTINUE 0 2013 Meaningful Use Menu Measure Question 3 Syndromic Surveillance Data Submission exclusion do not apply Confidential and Proprietary Page 111 Provider Incentive Program Hospitals Questionnaire 4 of 10 Red asterisk indicates a required field Drug Formulary Checks Objective Implement drug formulary checks Measure The eligible hospital CAH has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Complete the following information Eligible hospitals and C amp Hs must attest YES to having enabled this functionality and having had access to at least one internal or external formulary for the entire EHR reporting period to meet this measure Yes Wo lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed 2013 Meaningful Use Menu Measure Question 4 Drug Formulary Checks Page 112 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 5 of 10 Red asterisk indicates a required field Record Advanced Directives Objective Record advance directives for patients 65 years old or older Measure More than 50 of all unique patients 65 years old or older admitted to the eligible hospital s or
142. re and Medicaid EHR Incentive Programs require the use of certified EHR technology Standards implementation specifications and certification criteria for EHR technology have been adopted by the Secretary of the Department of Health and Human Services EHR technology must be tested and certified by an Office of the National Coordinator ONC Authorized Testing and Certification Body ATCB in order for a provider to qualify for EHR incentive payments REMEMBER You do not need to have your certified EHR technology in place to register for the EHR Incentive programs However you must adopt implement upgrade or successfully demonstrate meaningful use of certified EHR technology under the Medicaid EHR Incentive Program before you can receive an EHR incentive payment Enter the CMS EHR Certification ID you received from the ONC EHR CHPL Web site CMS EHR Certification Number Current EHR System Usage Status Adopt I certify that I adopted implemented upgraded or meaningfully used the above EHR for a 90 day period in the current payment year starting on the following datae Please select a 90 day period in the current payment year Start Date 107 2010 E End Date 12729 2010 E G PREVIOUS PAGE SAVE AND CONTINUE gl inks i Accessibility WY Medicaid Provider Services PO Box 2002 Charleston WY 25327 2002 Figure 37 CMS EHR Entry Example 1 Enter the ONC EHR Certification number 2 Select the option of adopted
143. rganization Name Reporting Period Name CY2013 Submitted Date 9 30 2014 12 52 41 PM Reason for rejection Provider is on pay hold and not eligible for payment at this time For more information on eligible providers for the EHR Provider Incentive Program please visit www vimmis com and refer to the instructions and FAQ s If you need any other assistance regarding eligibility for the EHR s Provider Incentive Program please contact 888 483 0793 option 8 for the Provider Service EHR Provider Incentive Program help desk Thank you for using the PIP system Version 1 0 0 1 Page 90 Confidential and Proprietary Provider Incentive Program Hospitals 23 Attestation excluded from Payment Email This email indicates that CMS has already has a payment on record from this provider Please contact the CMS NLR for questions and concerns Sent Mon 12 22 2014 11 31 From PIP Administrator VI lt pip admin amp vi mmis gov gt To Michael Masterton amp MolinaHealthcare com Subject PIP Attestation excluded from payment The attestation whose details are listed below has been excluded from payment by CMS due to a record of duplicate payment for Medicaid attestation in this State or another State during the current attestation period If you think your payment is not duplicated at the national level please work with the NLR to resolve NPI ID 1902003502 Provider Name Jeffrey Clinton Baker Organization Name
144. s gt Attest gt Meaningful Use Core Measures Questionnaire Instructions Por eligible hospitals and critical access hospitals qo CAH there are a total of 22 meaningful us objectives To qualify for an incentive payment eligible hospitals and CAHs must report on 17 of these 22 objectives There are 17 required core objectives The remaining gt objectives may be chosen from the list of 10 menu set objectives In addition eligible hospitals and CAHS must report on all 15 of their clinical quality measures This attestation will begin with the 227 required core objectives Hh ted below Use CPOE for medication orders directh entered by amy licensed healthcare professional who can enter orders inta the medical record per state local and professional guidelines Implement drog druog and drug allerngy interaction checks PMaintain an up te date problern list of current and active diagnoses Miaintain active medication list Miaintain active medication allergy list Record dernographics preferred language gender race ethnicity date of birth date and preliminary cause of death in the event of mortality im the eligible hospital er CAH Record and chart changes in wital signs Height Weight Blood pressure Calculate and display BRI Piot and display growth charts for children 2 20 years including Brit Record smoking status for patients 13 years old or o
145. significant cormmplications during birth or in murcery care Tithe ELFLDI la Hearing Screening Before Hospital Discharge e E ques Description This measure assesses the proportion of births thet hawe been screened for MOF 1354 hearing loss before hospital discharge Process Effectiveness Please select the PREVIOUS PAGE button te go back or the SAWE B CONTINUE Button to proceed ES PREVIOUS PAGE SAVE AND CONTINUE E Figure 44 2014 Meaningful Use Clinical Quality Measures Confidential and Proprietary Page 73 Provider Incentive Program Hospitals 11 3 3 Clinical Quality Measures Meaningful Use Question General Workflow Functionality To complete the CQM section the required number of CQMs must be selected for the meaningful use year The following are the error messages if the minimum requirements are not meet MESSAGE The error message displays the number of questions that need to be selected to meet the minimum requirement You must resolve the following error s to continue Please select 3 Additional Clinical Quality Measures You must resolve the following error s to continue Please select 2 more Additional Clinical Quality Measures You must resolve the following error s to continue Please select 1 more Additional Clinical Quality Measure Link to CMS definition Each clinical quality measure screen has a link to the CMS definition for the applicable requirements an
146. spend until supporting dacumentatian has been uploaded and validated Supporting documentation is defined as Certification an official letter head fram the state Medicaid agency to the provider declaring the information provided was derived fram their MMIS and is accurate An accompanying report generated by the state Medicaid agency which identifies the total encounters and the reporting period used in the development of the report Note The reporting period for O05 encounters must match the reporting period indicated during registration Add Document Date and Time File Mame Title Desc File Name Title Description Please selectthe ADD button to add your document to the list Figure 46 Supporting Documentation Add Screen Example O Select File to Upload from your computer Select the Select button Page 76 Confidential and Proprietary Provider Incentive Program Hospitals On Files window navigate through your folders and select the file to upload Select OK Document name displays in the File Name box Enter in Title Enter in Description of file D D DO Select Add more files Repeat Steps To edit a document O Select Edit next to the desired document The Supporting Documentation Add screen fields displays with Update and Cancel buttons instead Modify the information O Select Update To delete document O Select
147. spital admission or surgery end date for surgeries that start the day of or the day after hospital admission Title Intensive Care Unit ICU VTE Prophylaxis Description This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission or transfer to the Intensive Care Unit ICU or surgery end date for surgeries that start the day of or the day after ICU admission or transfer Title Venous Thromboembolism VTE Patients with Anticoagulation Overlap Therapy Description This measure assesses the number of patients diagnosed with confirmed VTE who received an overlap of parenteral intravenous IV or subcutaneous subcu anticoagulation and warfarin therapy For patients who received less than five days of overlap therapy they must be discharged on both medications Overlap therapy must be administered for at least five days with an international normalized ratio INR gt 2 prior to discontinuation of the parenteral anticoagulation therapy or the patient must be discharged on both medications Title Venous Thromboembolism VTE Patients Receiving Unfractionated Heparin UFH with Dosages Platelet Count Monitoring by Protocol or Nomogram Description This measure assesses the number of patients diagnosed with confirmed VTE who received intravenous IV UFH therapy dosages AND had their platelet counts monitored using defined par
148. stration process please wait at least 48 hours before executing this step This allows CMS time to send the information to the USVI Medicaid EHR Incentive Program Attestation Application The Register tab allows the user to associate one or more provider registrations to the ID view registration IDs that are attached to the user s ID and remove any provider registrations Please obtain authorization from the provider to enter the data on his behalf Registering the provider must be done before the user is allowed to attest This step ensures that only the appropriate individual has access to the provider s information and can enter the data needed for attestation To view add and remove registrations select the Registration tab on the navigation bar Figure 19 Registration Tab Example On selection the Registration Instruction page displays An example is Figure 11 above Confidential and Proprietary Page 39 Provider Incentive Program Hospitals Registration Registrations Registration Instructions Welcome to the Registrabon Page Eagible Professionals EP and Eligible Hospital s can register for the Modicasd EHR Incentive Program at the CMS Website Please allow at least 24 hours for the State to recerve and process your registration Once the State has recerved and processed your registrabon you can add the regestration to the list below Regestrabons m this kst will appear on the Attestation tab and the S
149. sts results ordered by the EP or by an authorized provider of the eligible hospital or CAH for patients admitted to its inpatient or emergency department POS 21 or 23 during the EHR reporting period whose results are either in a positive negative or numerical format incorporated in certified EHR technology as structured data Generate at least one report listing patients of the eligible hospital or CAH with a specific condition Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate The EP eligible hospital or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation The eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral More than 10 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 are provided patient specific education resources The eligible hospital or CAH performs medication reconciliation for more than 505 of transitions of care in which the patient is admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 The eligible hospital or CAH who transitions or refers their
150. tation Error Medicaid Claims count failed Email 87 20 Att staton Paid Emah E 88 21 Attestation Payment Denied Email scsccccscsccsscsccsecsecsscesiuvsstccsensscessiesescesenndvessestetecseesesss 89 22 Attestation Payment Denied Pay Hold found eee ecce eee e eene 9 23 Attestation excluded from Payment Email eee e Lecce e eene ee ee eee eee eee 91 24 Attestation Rejected eeves eusetus cere vase E Fa FEE EA TRE 92 25 Attestation Pended for Out of State Entries e eee eeee 93 26 Attestation Failed NER Sa Vo EVE EE eS TEES T 94 275 2013 Meaningful Use Core Measures Screen Shots eee ecce ee eene 95 28 2013 Meaningful Use Menu Measures Questions Screen Shots 108 29 201 3 Clinical Quality Measures Questions Screen Shots 119 Confidential and Proprietary Page 5 Provider Incentive Program Hospitals Table of Figures and Tables Figure Eligible Hospital Workbook 14 Figure 2 Eligibl
151. tatus tab Select one of the following actions to manage the registrations associated with your EHR Incentive Program user account Add Registration Please select the ADD REGISTRATION button to associate a registrabon with your EHR Incentive Program user account for any of the following reasons You are an EP or eligible hospital and have completed the Medicaid EHR Incentive Program registrabon at the CMS Website You want to associate the registrabon with your EHR Incentive Program account to begr attestabon You are working on behalf of an EP or ebgible hospital and want to view the provider s EHR Incentive Program records and or attest on behalf of the provider Select Registration Please select the Select acbon next to the regstration in the list to view the registration informaton that was entered at the CMS Website and manage hospital payment calculation adjustments Remove Regrstration Please select the Remove acbon next to the registration m the bst to disassociate the registration from your EHR Incentive Program user account The registration and attestabton information will not be lost You can re associate the regsstrabon by selecting the ADD REGISTRATION button Registration Selection Identify the desired registration and select the Action you would ike to perform Pitona Proce HPT Please select the ADD REGISTRATION button to add a registrabon to the list Figure 20 Registration Sel
152. testation schedule for volume and EHR Certifications checks for each year Attesting for FY 2014 e If Dual Eligible EH must attest for Medicare First then Medicaid e Claims Volume check will be 90 days in FY 2013 e EHR Certification check will be 90 days in FY 2014 Attesting for FY 2015 e If Dual Eligible EH must attest for Medicare First then Medicaid e Claims Volume check will be 90 days in FY 2014 e EHR Certification check will be 90 days in FY 2015 1 2 Registering with CMS Prior to participating in the USVI Medicaid EHR Incentive program an eligible hospital first must be registered for the EHR Incentive Program within the CMS National Level Repository NLR system to sign up for the program at the national level and must select either Medicaid or dual eligible as its desired payment path and USVI as its assigned state for attestation This will enable the CMS NLR solution to notify the USVI Medicaid EHR Incentive Payment application of the hospital s intent to attest for incentive payment Visit the National Level Repository NLR solution at https ehrincentives cms gov hitech login action to register Once the hospital has successfully registered with the CMS NLR for the USVI Medicaid EHR Incentive Program they must complete the attestation for the year with the USVI Medicaid EHR Incentive Payment solution available by logging into the secure Medicaid Provider web portal www vimmis com after waiting at minim
153. that could resultin payment recoupment Supporting documentation af Out of State encounters claimed are required ta be Uploaded for validation Any registration claiming Out of State encounters will suspend until supporting documentation has been Uploaded and validated Supporting documentation is defined as Certification on official letter head from the state Medicaid agency to the provider declaring the information provided was derived fram their MMIS and is accurate An accompanying report generated by the state Medicaid agency which identifies the total encounters and the reporting period used in the development of the repart Mote The reporting period far OOS encounters must match the reporting period indicated during registration state Select Denominator All patient encounters aver the same 90 day period Numerator Total number of Medicaid patient encounters treated during the 40 day period Please selectthe ADD button ta add outoft state patient volume to the list Mo Medicaid patient volume records Figure 33 Out of State Add Screen Example e To add an out of state entry Select Add State to display the screen above Select a state from the drop down list Enter numerator for the selected state Enter denominator which is the total patient encounters for the state Select the Add button To enter in patient volume information for additional states encounters o o repeat Steps 1 5
154. the attestation entry process 1s completed The USVI Medicaid EHR Incentive Program provides 48 hours to make changes If changes are made during the initial 48 hour period a new 48 hour period will begin Once no changes are made to an attestation for 48 hours the USVI Medicaid EHR Incentive Program Attestation Application will execute its final eligibility checks These include validating that the Medicaid patient encounter counts entered by the EP are within a reasonable range of the fee for service stored in the USVI MMIS and querying the CMS NLR to determine if the attesting EP has already received an EHR Incentive Program payment from the Medicare EHR Incentive Program or another state s Medicaid EHR Incentive Program This processing will take some time to complete and payments will not be sent immediately after submitting a completed attestation After the eligibility and payment checks are executed the USVI Medicaid EHR Incentive Program will send the EP an e mail with their current attestation status If an eligibility or Page 78 Confidential and Proprietary Provider Incentive Program Hospitals payment error has occurred during the initial data verification process and assistance is needed please contact the USVI Medicaid Provider Services Help Desk at 855 248 7536 option 2 The USVI Medicaid EHR Incentive Program Attestation Application will describe the attestation errors Alternatively EPs can log in to the application and
155. thetical 4 year period The base amount of 2 000 000 plus the discharge related amount 200 for the 1 150th through the 23 000th discharge for each 12 month period The solution does not consider discharges less Page 58 Confidential and Proprietary Provider Incentive Program Hospitals than 1 150 or over 23 000 If the number is over 23 000 the solution will use 23 000 as the total discharges number for the equation If the number is below 1 150 the solution will assign as the total discharge amount Multiplied by the transition factor for the year e Year 1 e 3 4 for Year 2 e 1 2 for Year 3 1 4 for Year 4 Step 2 Calculate Medicaid Share Medicaid Share Estimated Medicaid inpatient bed days estimated Medicaid managed inpatient bed days divided by Estimated total inpatient bed days estimated total charges charity care charges divided by estimated total charges Step 3 Multiply the EHR Amount Medicaid Share Total Hospital Incentive Payment Amount Example Hospital A Discharges 2000 in FY2010 Assume that for the four year period of participation Hospital A had 5 000 Medicaid inpatient bed days and 2 000 Medicaid managed care inpatient bed days Its total inpatient bed days in FY 2010 were 21 000 Hospital A s total charges excluding charity care were 8 700 000 and its total charges for the period were 10 000 000 The annual growth data for the last three years of available
156. ting provider H Question Response Instructions te Complete E Reaisoation Question Response Instructions to Complete ifthe facility answers NO please review your answers for 5 Are you an active Medicaid Provider with USVI Medicaid WES OR NO the below questions 7 and amp fo review your potential eligibility constraints Question Response Instructions to Complete Medicaid Provider Enrollment Pr M fe The provider must be enrolled as one of the specified Are you currently enrolled as USWI Medicaid provider with at least ee B 2r z amp Hi HB ORE WES OR NO provider types in order to proceed with attestation with USVI ONE of the following provider types Acute Care Hospital Critical Medicaid Access Hospital Children s Hospital Question Response Instructions to Complete Medicaid P ider Enroll t iF power wos not dGdctlvely CHIEN aiite we mne the 2 volume the solution wil moi oble to validate th tien or more of the above provider types see Question 6 was the facility amp allied with id duri mes rod the facility intends to volume reported and will pend their attestation for focal scat ES Er Medicaid review Local review may be necessary to validate low i Medicaid i gt specify your Patient Encounter Volume for attestation of encounners nekxned z
157. troke Education rosa Description Ischernic or bkernerrhagic stroke patients cr their caregheers vulc were cyber IF pic in lg educational materials during the hospital stay addressing all of the following activaticnm of EE I emergency medical system need for follow up after discharge medications prescribed at gag discharge risk factors for stroke and warning signs and symptoms of stroke Tithe Stroke 10 Ischemic of Hemorrhagic Stroke Assessed for Rehabilitation MOF 0441 Description Ischemic or herneorrbhagic stroke patients who were assessed fer rehabilitation Care Ceeordimaticr Services Tithe Venous Thromboembolism WTEI 1 VTE Prophylaxis O82 Description This measure the number of patients who recered WTE prophylaxis or MOF OS371 have decuroentationm wee m WTE Prephylaxis was gheen the day of or the day after hospital Patient Safety admission or surgery end date for surgeries that start the day of or the day after hospital adrmoission Tithe WTE 2 Intensive Care Unit CIC LUI Ss TE Prophylaxis CMSs OOV Description This measure assesses the murnber of patients whe recehred VTE prophylaxis er MOF 0272 hawe documentation why mo WTE prophylaxis was given the day of of the day after the initial Patient Safety admission Cor transfer to the ICU or surgery end date for surgeries that start the day of or the day after ICU admission Cor transfer Tithe VWTE S VTE Patients with Antecoeagulation Cverlap Therapy
158. uality Measures Question 4 Page 120 Confidential and Proprietary Provider Incentive Program Hospitals Questionnaire 5 of 15 Red asterisk indicates a required field STK 6 NQF 0439 Title Discharged on Statin Medication Description Ischemic stroke patients with LDL gt 100 ma dL or LDL not measured or who were on a lipid lowering medication prior to hospital arrival are prescribed statin medication at hospital discharge Numerator Denominator Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE 2013 Clinical Quality Measures Question 5 Questionnaire 6 of 15 Red asterisk indicates a required field STK 8 NQF 0440 Title Stroke Educatian Description Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following activation of emergency medical system need for follaw up after discharge medications prescribed at discharge risk factors for stroke and warning signs and symptoms of stroke Numerator Denominator F Exclusions lease select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed SAVE AND CONTINUE 3 EJ PREVIOUS PAGE 2013 Clinical Quality Measures Question 6 Confidential and Proprietary Page 121 Provider Incentive Program
159. ubmit Attestation nnns TS Figure 46 Supporting Documentation Add Screen 76 Figure 47 Submission Receipt Window 78 Figure 48 Attestation Status Grid 81 2013 Meaningful Use Core Question 1 CPOE for Medication Orders 95 2013 Meaningful Use Core Question 1 CPOE for Medication Orders Numerator and PST OMIA OR sath ones E E 95 2013 Meaningful Use Core Question 2 Drug Interaction Checks 96 2013 Meaningful Use Core Question 3 Maintain Problem 4 97 2013 Meaningful Use Core Question 4 Active Medication List 98 2013 Meaningful Use Core Question 5 Medication Allergy 8 99 2013 Meaningful Use Core Question 6 Record Demographics 100 2013 Meaningful Use Core Question 7 Record Vital 510 5 101 Confidential and Proprietary Page 7 Provider Incentive Program Hospitals 2013 Meaningful Use Core Question 8 Record Smoking 5 102 2013 Meaningful Use Core Question 8 Answer No to Record Smoking Status exclusion 103 201
160. uestion 10 123 2015 Clinical Quality Measures Question 11 124 2013 Clinical Quality Measures Question 12 124 2015 Clinical Quality Measures Question 13 125 2013 Clinical Quality Measures Question 14 125 2013 Clinical Quality Measures Question 15 126 Confidential and Proprietary Page 9 Provider Incentive Program Hospitals 1 Introduction The Electronic Health Records EHR Incentive Payment is a federal program offering financial support to assist eligible providers to adopt implement and upgrade certified EHR technology or meaningful use of an EHR system The federal program defines the options as follows Adopt to acquire and install a certified EHR technology Implement to train staff deploy tools exchange data Upgrade to expand functionality or interoperability Meaningful Use to display that the EHR 15 being used to positively affect the care of the patient The program goals to improve outcomes facilitate access simplify care and reduce costs of healthcare nationwide by Enhancing care coordination and patient safety Reducing paperwork and improving efficiencies Facilitating information sharing across providers payers and state lines Enabling communication of health information to authorized users through state Health Information
161. uitayesavaedenciniat 67 11 2 1 2013 Meaningful Use Menu Measures ccccccccccccccceccecaeeeseseeseeeeececeeeeeeeseeaaeeeseeees 68 11 2 2 2014 Meaningful Use Menu Measures cccccccccecccccceeeeseesessseseeeeeeeeeeeeeeeeeeeaaaaeeeesees 69 11 2 3 Meaningful Use Question General Workflow 70 11 3 Meaningful Use Clinical Quality Measures eese eene enne 71 11 3 1 2013 Meaningful Use Clinical Quality Measures essen 72 11 3 2 2014 Meaningful Use Clinical Quality Measures essere 73 11 3 3 Clinical Quality Measures Meaningful Use Question General Workflow Functionality 74 114 Submit Attestation and payment status 74 11 4 1 Supporting Documentation 76 12 ReIeECHCCS iino RUNS 80 c P 81 14 Successful Registration with CMS Email sccccccccsssssssssssssccccsccsssssssssscccssscessscsees 82 15 Submitted Attestation epa AEA na 83 16 Error occurred when processing registration Email ssssssssscccssssssssssssscsccsees 84 Bye Att station Accepted UP EO Iv D EPIS UEM 85 18 Error Occurred While Processing Registration Medicaid Enrollment failed Email 86 19 Attes
162. um 48 hours for incentive registration to be processed and be received by USVI Medicaid EHR Incentive program application from the NLR Hospitals who do not have access to the web portal can request access via an online form at https www vimmis com NOTE If the provider wishes to receive any of the attestation update e mails from the USVI Medicaid EHR Incentive Program application the provider must add the email address to the Confidential and Proprietary Page 11 Provider Incentive Program Hospitals CMS registration information The USVI Medicaid EHR Incentive Program solution will send emails to this address as the attestation status changes during the attestation process Page 12 Confidential and Proprietary Provider Incentive Program Hospitals 2 Information Needed Before a hospital can begin to complete the USVI Medicaid EHR Incentive Program attestation the hospital will need to gather all of the information necessary to complete the attestation correctly The USVI Medicaid EHR Incentive program has created a workbook to guide the hospital user through the data needed to complete an attestation successfully The workbook is available in PDF format This workbook is also embedded within this User Manual in the immediate pages below as well as available on the vimmis com portal The Eligible Hospital Workbook provides the questions that CMS requires for their registration process and that the EHR Incentive Program Attestati
163. vider Incentive Program Hospitals Questionnaire 5 of 12 Red asterisk indicates a required field Medication Allergy List Objective Maintain active medication allergy list Measure than 80 of all unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 have at least one entry or an indication that the patient is not currently prescribed any medication allergies recorded as structured data Complete the following information All information entered will be subject to audit that could result in payment recoupment Numerator Number of unique patients in the denominator who have at least one entry for an indication that the patient has no known medication allergies recorded as structured data in their medication allergy list Denominator Number of unique patients admitted to the eligible hospital s or CAH s inpatient or emergency department POS 21 or 233 during the EHR reporting period Mumeratar t Denominator Please select the PREVIOUS PAGE button to go back or the SAVE amp CONTINUE button to proceed PREVIOUS PAGE SAVE AND CONTINUE E3 2013 Meaningful Use Core Question 5 Medication Allergy List Confidential and Proprietary Page 99 Provider Incentive Program Hospitals Questionnaire 7 of 12 Red asterisk indicates a required field Record Vital Signs Objective Record and chart changes in vital signs He
164. vider through the attestation specific eligibility questions that he must complete to be validated as an provider for the Incentive Program These screens include Questions on hospital s practice location Questions on hospital s Medicaid patient volume Page 44 Confidential and Proprietary Provider Incentive Program Hospitals Q Payment Screens These screens walk the provider through the expected payment schedule and questions related Certified EHR Technology Screen o Adopt Implement Upgrade or Meaningfully Use Certified EHR Technology Screen This screen validates that the EP is indeed using a valid EHR solution If meaningful use selected entry of meaningful use objectives and clinical quality measures information is required O Submit Attestation The Attestation process is accessible by selecting the Attestation Tab Back To YI MAIS Portal Help My PIP g Registration AE tation Figure 27 Attestation Tab Example When selected the Attestation Instructions Page displays This page displays the registration IDs that are assigned to the user The user does not need to complete the attestation process in one sitting Each screen in the attestation workflow has a Save and Continue button This will save changes and allow the user to stop at any time without the loss of data that was entered on that page The attestation process does not allow the user t
165. y or an indication that the patient is mot currently prescribed any medication recorded as structured data Pore than 8075 of all unique patients admitted te the eligible hospital s or CAH s inpatient or emergency departrnent POS 21 er 23 hawe at least one entry or an indication that the patient is not currently prescribed any medication allergies recorded as structured data Miore than 50 of all unique patients admitted to the eligible hospital s cr CAMs inpatient or emergency department POS 21 of 23 have demographics recorded as structured data For more than SO of all unique patients age 2 and over admitted te the eligible hospital s or CAH s inpatient or emergency department POs 21 er 23 height weight and blood pressure are recorded as structured data Mlore than 5055 of all unique patients 13 years old or elder admitted to the eligible hospital s or CAH s inpatient or emergency departement POS 21 er 23 have cermoking status recorded as structured data Implement one clinical decision support rule than 50 of all patients of the EP or the inpatient or emergency departments of the eligible hospital or CAH Pos 21 er 23 whe request an electronic copy of their health information are provided it within 3 business days More than 5095 of all patients who are discharged from an eligible hospital er inpatient department or emergency department PS 21 or 23 and who request an electronic cop of their discharg
166. yment calculation adjustments Remove Registration Please select the Remove action next to the registration m the kst to disassociate the registrabon from your Incentrve Program user account The registration and attestaton information will not be lost You can re associate the regsstration by selecting the ADD REGISTRATION button Registration Selection Identify the desired registrabon and select the Action you would ike to perform Please select the ADD REGISTRATION button to add a registration to the list Figure 11 Registration Instructions Page 9 2 6 Attestation Tab The Attestation tab displays the Attestation home Page shown in Figure 12 Confidential and Proprietary Page 29 Provider Incentive Program Hospitals 4Attestations Attestation instructions Welcome ta the Attestation Page Depending on the current status of your attestation please select one of the following actions Attest Please select the Attest link to start attestation e Attest for an EHR incentive programs payment year e Continue an incomplete attestation Rescind Please select the Rescind link to Cancel processing of a submitted attestation Resubmit Please select the Resubmit link to Resubmit an attestation that was previously deemed ineligible e Please follow along using the vvv Provider Incentive Payment Hospital Provider Workbook as companion guide as you complete the attestation process Questions on the a
167. you are unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability A brief description of the reason s for the delay goes here Do at least 80 of unique patients have their data in the certified EHR during the selected EHR period Yes No PREVIOUS PAGE SAVE AND CONTINUE amp Figure 38 EHR Certification Question Example 6 Confirm that 80 of patients records are in an certified EHR If response is No attestation progress halts 7 Select Save and Continue button The system validates that all fields have data entered Error message displays if you did not supply EHR Certification number select an required option supply a 90 day start and end date If Meaningful Use was selected the user will need to respond to the meaningful use questions If AIU is selected the user 15 able to submit the attestation Page 64 Confidential and Proprietary Provider Incentive Program Hospitals 11 Meaningful Use If the hospital selected Meaningful Use in need to provide responses to the meaningful the EHR Certified Technology page the EP will use sections as outlined in the sections below Each year 2013 and 2014 measures are listed in the sections below 11 1 Meaningful Use Core Measures The following sections show the 2013 and 2014 Meaningful Use Core Measures 11 1 1 2013 Meaningful Use Core Measures oan ioe Core DIL E UFP Attestation
168. your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You willbe asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Add State state es Total Medicaid Encounters due ik f Total Patient Encounters 201 300 Remove Figure 32 Out of State Screen Example Page 52 Confidential and Proprietary Provider Incentive Program Hospitals Out of State Medicaid Patient Volume If you ar your proxy provider saw patients who belong to another Medicaid payer out of State and wish to count these patients towards your total Medicaid Patient volume for incentive qualification please record the numbers by clicking the Add State text below Please note that any out of state Medicaid patients that you add must be verified by a report from Medicaid State payer identified showing claims volume for the time frame specified and attached to this attestation You willbe asked to upload your supporting documents at the end of this attestation on the Submit Attestation page Add State Total Patient Encounters Total Medicaid Encounters Complete the following information All information entered willbe subjectto audit

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