2013 Reporting Pilot Overview

Electronic Health Record (EHR) Incentive Program

The Medicare Electronic Health Records (EHR) Incentive Program provides incentive payments to eligible hospitals and critical access hospitals (CAHs) that demonstrate meaningful use of certified EHR technology.

The EHR Incentive Program 2013 Reporting Pilot is a voluntary electronic reporting option to satisfy the Clinical Quality Measures (CQM) objective for the EHR Incentive Program. Participation in the EHR 2012 Reporting Pilot is highly encouraged and allows vendors and hospitals an opportunity to prepare for electronic clinical quality data submission beginning in 2014.

Eligible Hospitals and CAHs may satisfy the CQM reporting requirement in several ways:

  1. Attest, using the attestation tool provided by the Centers for Medicare & Medicaid Services (CMS) to report CQMs.
  2. Submit Quality Reporting Document Architecture (QRDA) Category I data during the submission period for episodes of care occurring in federal Fiscal Year 2013. For each of the 15 Stage I CQMs, a QRDA Category I for all Medicare patients that meet the Initial Patient Population criteria for the applicable EHR reporting period must be successfully submitted to the Centers for Medicare & Medicaid Services (CMS) data warehouse via My QualityNet. A declaration of zero (0) patients for measures in which no patients were seen must be made in QualityNet, if applicable.
  3. Both attest and submit CQMs electronically through the pilot. NOTE: If this option is elected, payment will be based on the attestation results.

In order to participate in the EHR Incentive Program, registration is required. To receive an incentive payment, all EHR Incentive Program requirements must be met. Successful CQM reporting is only one of these requirements.

The EHR 2013 Reporting Pilot builds on the 2012 Pilot, and new functionality will be available July 1, 2013.  The test period will remain open indefinitely to allow for submission of test files.   Submission of production data will begin October 1, 2013, and conclude November 30, 2013.

Hospitals that do not demonstrate Meaningful Use of EHR systems will be subject to a payment reduction for services provided beginning in 2015.

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