Meaningful Use Stage 2

Medicare Meaningful Use Stage 2, set to begin in 2014, builds on the use and capabilities of EMRs / EHRs introduced in Medicare Meaningful Use Stage 1.

Simply implementing an EMR / EHR is not enough. It is important that you successfully demonstrate meaningful use of EMRs / EHRs in a way that positively affects patient care. Providers must meet all of the objectives established by CMS and be able to demonstrate meaningful use to receive an incentive payment.

Stanford Technology provides software, training and support to help you meet the requirements for Meaningful Use Stage 2.

Meaningful Use Stage 2 criteria focus on:

  • More rigorous health information exchange (HIE)
  • Increased requirements for e-prescribing and incorporating lab results
  • Electronic transmission of patient care summaries across multiple settings
  • Increased patient and family engagement

Do you need to upgrade your EMR / EHR?

CMS and the Office of the National Coordinator for Health Information Technology (ONC) have established standards and certification criteria for structured data that EMRs / EHRs must use in order to successfully capture and calculate objectives for Stage 2 of meaningful use. These new standards and certification criteria will take effect in 2014.

Even if you already have a certified EMR / EHR, you will have to adopt or upgrade to the new certification in order to participate in the Incentive Programs beginning in 2014.

EMR / EHR technology that is certified to the 2014 standards and certification criteria will allow providers to meet both Stage 1 and Stage 2 meaningful use. requirements.

Financial Impact:

  • Depending on the year the practice began its participation in the Meaningful Use incentive program the potential incentive for 2014 will be between $4,000 and $12,000 for Medicare, or $8,500 or $21,250 for Medicaid, depending on which program you participate in.
  • Beginning in 2015 Medicare eligible professionals who do not demonstrate meaningful use will be subject to a payment reduction starting at 1% and increasing each year the eligible professional does not demonstrate meaningful use, to a maximum of 5%.
  • The 1% reduction equates to $10,000 per $1,000,000 of Medicare billing.
  • A Medicare eligible professional qualifying to receive their first incentive plan payment in 2014 can, between 2014 and 2016, qualify to receive up to $24,000 in incentives. A Medicaid eligible professional qualifying to receive their first incentive plan payment in 2014 can, between 2014 and 2020, qualify to receive up to $63,750 in incentives.
  • You cannot participate in both incentive programs.

Meaningful Use 2 and Clinic Workflow:

  • To demonstrate meaningful use under stage 2, eligible professionals must meet 17 core objectives and 3 menu objectives, for a total of 20 core objectives
  • While many objectives are the same as in stage 1, the threshold providers must meet has been raised
  • Reporting method changes from Attestation to Electronic
  • In 2014 eligible providers are only required to demonstrate meaningful use for a three month EMR / EHR reporting period.
  • Medicare providers can either report their Critical Quality Measures (CQMs) for the entire year or select an optional three-month reporting period for CQMs that is identical to their three-month reporting period for meaningful use.
  • Selected CQM’s must cover at least 3 of the 6 National Quality Strategy domains
  • Meaningful Use Ready EMR / EHR software will generate the reports necessary to demonstrate meaningful use; however, if information is not recorded in the required screen it will not appear in the report. Therefore, practices will need to establish weekly report reviews to confirm information is being recorded correctly. Waiting until report time is too late to correct errors!


CMS Meaningful Use Stage 2 Overview