About Meaningful Use Contact Us ASAP if you

About Meaningful Use Contact Us ASAP if you plan to participate Register CMS: https://ehrincentives.cms.gov Select one of two Programs: Medicare / Medicaid If Medicaid, also register at: http://al.arraincentive.com/ Medicaid easier first year/ greater incentive Eligible Professional: 02/08/2020 MediSYS EHR Medicaid (20% Peds) 30% - Patient Volume

CRNP Medicare EP First Year: Medicaid: Adopt/Implement/Upgrade Medicare: 90 days Meaningful Use Attestation Second Year: Medicaid Meaningful Use (not consecutive) Medicare entire year Meaningful Use http://www.cms.gov/EHRIncentivePrograms/ 1 Double Dipping

Must Start MU Attestation in 2012 to get full incentive for Medicare cannot receive a Medicare EHR incentive payment and an eRx incentive program in the same program year, or vice versa. can receive an incentive payment under the eRx incentive and Medicaid EHR program in the same program year. 02/08/2020 Incentives can receive PQRS with eRX or EHR program incentive To complicate matters a bit:

Originally rule: participating in the Medicare EHR incentive program still must report the eRx measure to avoid the penalty Recent changes to rule: Submit one of four new exemption codes via web portal by 11/1/11 2 MediSYS EHR Client Meaningful Use Link Helpful Links MediSYS EHR Measure Videos Reports: Available by date range Report Tracker CQM Report Tracker

MU Reports may need adjustments per Provider based on system use, interoperability, etc. 02/08/2020 http://www.medisysinc.com/medisysehrmeasures.com Medicare Attestation Practice Link: http://www.cms.gov/apps/ehr/ Over half-a-million and counting paid to Alabama providers using MediSYS 3

Core & Menu Measures Reporting Period First Year - continuous 90 Day Subsequent Years entire 12 months Reporting may vary by Provider Provider using MediSYS EHR for all Patient Encounters MediSYS EHR reports will perform calculations Assistance Provided by MediSYS 02/08/2020 Reporting/ Attest CMS Measures Published with FAQ by Measure: http://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdf Medicare Attestation Worksheet: https://www.cms.gov/EHRIncentivePrograms/Downloads/EP_Attestation_Worksheet.pdf CMS FAQ How EPs select Menu Objectives https://questions.cms.hhs.gov/app/answers/detail/a_id/10162

4 Core Measure 1 of 15 Measure Quick Steps At least one prescription tied to an encounter for more than 30% of unique patients seen. 1. 2. 3. Patient Encounter

RX tied to Encounter Complete Encounter for Automatic Calculation Report / Attest Report: Percentages (CPOE) 02/08/2020 CPOE for Medication Orders Numerator/Denominator Resulting

% >30% Exclusion: EP writes fewer than 100 RX Clicking e-Prescribe, Phone-in Prescription or Print Prescription button satisfies this measure. 5 02/08/2020 Core Measure 1 CPOE for Medication Orders 6 02/08/2020

Core Measure 1 CPOE for Medication Orders 7 Measure Quick Steps Report / Attest Enable drug-drug and drug-allergy interaction checks for each EP. 1. Settings/Drug Severity

Alerts: Set up by provider: drug/drug, drug/allergy, drug/disease 2. Patient Encounter or Patient Chart 3. Interactions displayed at time of eRX Report: Not Applicable 02/08/2020 Core Measure 2 of 15 Drug Interaction Checks

Attest: YES / NO Exclusion: No Exclusion 8 02/08/2020 Core Measure 2 Drug Interaction Checks (1 of 2) 9 02/08/2020 Core Measure 2 Drug Interaction Checks (2 of 2) 10

02/08/2020 Core Measure 2 Drug Interaction Checks 11 Up-to-Date means list populated with most recent diag. known by EP. Measure Quick Steps Report / Attest Maintain up-to-date problem list of current & active diagnosis for more than 80% of

unique patients seen. 1. Patient Encounter 2. Assessment Tab 3. Add Diagnosis 4. Selected Diagnosis: Problem (to add to patients current Problem List) Report: Percentages (Up-to-Date

Problem List) 02/08/2020 Core Measure 3 of 15 Maintain Problem List Numerator/Denominator Resulting % >80% Exclusion: No Exclusion 12 02/08/2020

Core Measure 3 Maintain Up-to-date Problem List 13 02/08/2020 Core Measure 3 Maintain problem List 14 Core Measure 4 of 15 Measure Quick Steps While in an encounter, generate

and transmit permissible prescriptions electronically for more than 40% of unique patients seen. 1. 2. Report / Attest Prescriptions Tab or Report: Percentages (Generate and Transmit eRX) Planning Tab ePrescribe button to

electronically transmit Numerator/Denominator Resulting >40% eRX 02/08/2020 Generate & Transmit Permissible Prescriptions Electronically (eRX) Tip: REPORT Applicable G-Codes for the appropriate # of events tied to an Encounter. 15 Differs from Core Measure 1 because this only counts encounters where prescriptions are sent electronically to the pharmacy.

Core Measure 4 Generate & Transmit eRX 02/08/2020 Core Measure 4 of 15 Generate & Transmit Permissible Prescriptions Electronically (eRX) 16 Differs from Core Measure 1 because this only counts encounters where prescriptions are sent electronically to the pharmacy. 02/08/2020 Core Measure 4 Generate & Transmit eRX 17 Measure

Quick Steps Maintain Active Medication List for more than 80% of unique patients seen. 1. 2. 3. 4. Patient Encounter Constitutionals Tab Medication List Perform one of the

following: ePrescribe, 5. enter Meds, update Meds or indicate No Meds. Check: Medications Reviewed Report / Attest Report: Percentages (Active Medication List) 02/08/2020

Core Measure 5 of 15 Maintain Active Medication List Numerator/Denominator Resulting % >80% Exclusion: No Exclusion Complete Encounter 18 02/08/2020 Core Measure 5 Active Medication List

19 02/08/2020 Core Measure 5 Maintain Active Medication List 20 Core Measure 6 of 15 Measure Quick Steps Maintain Active Medication Allergy list for more than 80% of unique

patients seen. 1. Report / Attest 3. Patient Encounter Report: Percentages (Active Medication Allergy Constitutional Tab Add allergy / reaction List) Numerator/Denominator or Resulting % >80% No known Allergy

4. Allergies Reviewed 5. Complete Encounter 2. 02/08/2020 Active Medication Allergy List Exclusion: No Exclusion Snomed Database for Allergic Reactions

21 02/08/2020 Core Measure 6 Medication Allergy List 22 02/08/2020 Core Measure 6 Maintain Active Medication Allergy List 23 Core Measure 7 of 15 Measure Quick Steps

For more than 50% of unique patient seen, record all of the following demographics: Preferred language Gender Race Ethnicity DOB 1. MediSYS PM Patient Account Report / Attest

Report: Percentages (Record Demographics) 02/08/2020 Record Demographics Numerator/Denominator if not, using MediSYS PM, enter Resulting % >50% demographics in EHR Patient

Medical Record (all elements) Exclusion: No Exclusion 24 Core Measure 7 Record Demographics (MediSYS PM M2) 02/08/2020 Core Measure 7 Record Demographics (1 of 2) 26 02/08/2020 Core Measure 7 Record Demographics (2 of 2)

27 02/08/2020 Core Measure 7 Record Demographics 28 MediSYS EHR will calculate BMI when height & weight are entered. Core Measure 8 of 15 Measure Quick Steps For more than 50% of unique patients seen 2 yrs or older, Record &

chart changes in following vital signs: Height Weight BP BMI plot & display growth charts children 2-20, including BMI 1. 2. 3. 4. Report / Attest Patient Encounter Report: Percentages (Vitals,

Constitutional Tab BMI, Growth Charts) Numerator/Denominator Record Vitals Resulting % >50% Complete Encounter Exclusion: EP who see no patients 2 yrs or older, or who believes all 3 vital signs have no relevance to scope of their practice Patients age 2-20 display Growth Charts in Patient Chart Tab 02/08/2020 Record Vital Signs

29 02/08/2020 Core Measure 8 Record Vital Signs 30 02/08/2020 Core Measure 8 Record Vital Signs 31 Core Measure 9 of 15 Measure

Quick Steps Record smoking status for more than 50% of unique patients seen 13 years or older. 1. 2. 3. Patient Encounter PFSH Wellness Initiatives: Smoking Status (select

Report / Attest Report: Percentages (Record Smoking Status) 02/08/2020 Record Smoking Status Numerator/Denominator Resulting % >50% from dropdown which includes unknown) 4. Select Counseling

5. Complete Encounter Exclusion: EP who sees no patients 13 years or older. 32 02/08/2020 Core Measure 9 Record Smoking Status 33 02/08/2020 Core Measure 9 Record Smoking Status

34 Clinical Quality Measures for Medicare EHR also apply to Medicaid EHR incentive program that are also in CHIPRA initial Core Measure Set. Measure Quick Steps Report 6 Ambulatory Clinical Quality Measures to CMS in the manner specified by CMS 1.

2. EP performs & document according to applicable Clinical Quality measures Complete Encounter Report / Attest No CMS requirement of a minimum numerator /denominator or exclusion fields. The value may be zero. 02/08/2020

Core Measure 10 of 15 Clinical Quality Measures (CQMs) YES/NO & Numerator/Denominator Exclusion: No Exclusion 35 Measure Steward: NQF National Quality Forum A plan is to be developed to integrate the EHR incentive program with PQRI by 1/1/12. 3 required CQM core measures (substituting alternate core measures where necessary) 02/08/2020

Core Measure 10 of 15 Report 6 Clinical Quality Measures 3 additional measures (select from 38 clinical quality measures). Per CMS: It is acceptable to have a '0' denominator provided the EP does not have an applicable population. CMS is currently working with EHR vendors on reporting. Please Review the Details on Clinical Quality Measures that apply to your provider at : http://www.cms.gov/apps/ama/license.asp?file=/QualityMeasures/Downloads/EP 36 _MeasureSpecifications.zip Hypertension Blood Pressure Measurement NQF 0013 Preventive Care and Screening Pair NQF 0028 a) Tobacco Use Assessment b) Tobacco Cessation Intervention 02/08/2020

MU #10 Clinical Quality Measures Need 3 CORE Sets Adult Weight Screening & Follow up NQF 0421(PQRS 128) Alternate CORE Sets Weight Assessment & Counseling for Children & Adolescents NQF 0024 Preventive Care & Screening Influenza Immunization for Patients 50 or older NQF 0041 (PQRS 110) Childhood Immunization Status NQF 0038 37 02/08/2020

Core Measure 10 Clinical Quality Measures 38 Core Measure 11 of 15 Measure Quick Steps Implement one clinical decision support rule. 1. 2. 3.

Report / Attest Setup one Clinical Decision Support rule in: Settings / CDS Select: Preventive, Disease, Meds, Allergy, Labs Associated reminders displayed on Orders Tab Report: Not Applicable 02/08/2020 Clinical Decision Support Rule YES / NO

Exclusion: No Exclusion Drug/Drug & Drug/Allergy alerts CANNOT be use for this measure. 39 02/08/2020 Core Measure 11 Clinical Decision Support Rule 40 02/08/2020 Core Measure 11 Clinical Decision Support Rule

41 CCD Continuity of Care Document Core Measure 12 of 15 Measure Quick Steps Report / Attest More than 50% of all patients who request an electronic copy of their health information provided it within 3 business days. (including diagnostic test

results, problem list, med list, med allergies) Patient Portal Report: Percentages (Patient Request) Patient Selects Option to: Download Full CCD OR Patient Chart Create a CCD Click on: Patient Requested 02/08/2020

Electronic Copy of Health Information Numerator/Denominator Resulting % >50% Exclusion: EP who has no requests from patient of their agents for an electronic copy of PHI during reporting period. Best Practice : If provider does not have Patient Portal, for all Patients WHO REQUEST electronic copy, Create CCD & Click Patient Requested

42 02/08/2020 Core Measure 12 Electronic Copy of Health Information (1 of 2) 43 Core Measure 12 Electronic Copy of Health Information (2 of 2) Best Practice : If provider does not have Patient Portal, for all Patients WHO REQUEST electronic copy: Create CCD & Click

Patient Requested 02/08/2020 Core Measure 12 Electronic Copy of Health Information 45 Office visits include separate, billable encounters that result from E&M code-see details. Core Measure 13 of 15 Measure Quick Steps Report / Attest For more than

50% of all office visits, clinical summaries provided to patients within 3 business days. Click: Create Clinical Summary: Encounter or Chart Report: Percentages (Clinical Summary Report) And / OR Patient Portal Patient Selects Option to:

Download Single Visit CCD Numerator/Denominator Resulting % >50% Exclusion: Any EP who has no office visits during the EHR reporting period. Best Practice : At end of ALL Office Visit Encounters Click: Create Clinical Summary Rev. 10.1.11 02/08/2020

Clinical Summaries 46 Core Measure 13 Clinical Summaries Best Practice : At end of Encounter - Click: Create Clinical Summary for all Office Visits. 02/08/2020 Core Measure 13 Clinical Summaries 48 Core Measure 14 of 15

Measure Quick Steps Performed at least one test of EHRs capacity to electronically exchange key clinical information (i.e. problem list, med list, med allergies, test results) among providers of care & patient authorized entities electronically. 1. 2. 3. 4.

Patient Encounter Complete Encounter Create a CCD Exchange with appropriate entity Report / Attest Report: Not Applicable 02/08/2020 Electronic Exchange Key Clinical Information YES / NO

Exclusion: No Exclusion CCD - Continuity of Care Document Includes problem list, med list, med allergies, test results) 49 (1 of 2) 02/08/2020 Core Measure 14 Electronic Exchange of Clinical Information 50 02/08/2020 Core Measure 14 Electronic Exchange of Clinical Information (2 of 2)

51 02/08/2020 Core Measure 14 Electronic Exchange Key Clinical Information 52 Core Measure 15 of 15 Measure Quick Steps EP must attest to conducting a review of security risk analysis in

accordance with the requirements under 45 CFR 164.308(a)(1) & implement security deficiencies as part of its risk management process. 1. Conduct the security risk analysis 2. MediSYS EHR Settings: establish practice-defined

security settings for: inactivity timeout, password security settings, etc. Report / Attest Report: Not Applicable 02/08/2020 Protect Electronic Health Information YES / NO Exclusion: No Exclusion 53

02/08/2020 Core Measure 15 Protect Electronic Health Information 54 02/08/2020 Core Measure 15 Protect Electronic Health Information 55 1. Capability to submit electronic data to immunization registries/systems.* 2. Capability to provide electronic syndromic surveillance data to public agencies* 3. Implement Drug-formulary checks 4. Incorporate clinical lab test results as structured data

5. Generate lists of patients by specific condition 6. Send reminders to patients per patient preference for preventive/follow up care 7. Provide patients timely electronic access to their health info. 8. Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate 9. Medication reconciliation 10.Summary of care record for each transition of care/referral 02/08/2020 Pick 5 Menu Set Objectives *At least 1 public health objective must be selected CMS FAQ How should EPs select menu objectives https://questions.cms.hhs.gov/app/answers/detail/a_id/10162 56

02/08/2020 Menu Set Measure Selections Public Health Objective 57 02/08/2020 Menu Set Measure Selections - 58 *At least 1 public health objective (menu 1 or 2) must be selected. If applicable, may have exclusion on either menu 1 or 2, but not both. If applicable, may attest to both menu 1 or 2. Menu Set Measure 1 of 10

Immunization Registries Data Submission* Menu Measure Quick Steps Performed at least one test of certified EHR technologys capacity to submit electronic data to immunization registries and follow up submission if the test is successful. 1. 2. 3. 4. 5.

6. Report / Attest Test Patient Medical Record Chart Tab: YES / NO Immunization History administers no immunizations during the EHR reporting period or where no immunization registry has the capacity to receive the information electronically.

Click: Export Immunization Save file Upload file to ADPH Print Successful 02/08/2020 http://adph.org/Immunization/index.asp?id=5051 Exclusion: An EP who OR activate ADPH (formerly Immprint) Immunization orders electronically submitted via Orders Tab and Updating ADPH through Chart / Import

59 02/08/2020 Menu Set 1 Immunization Registries Data Submission 60 Menu Set 1 Immunization Registries Data Submission Active ADPH Interface Use Real Patient Data 02/08/2020 ADPH Automatically Submit to ADPH: 1. Order Test and/or 2. Add Immunization

61 02/08/2020 Menu Set Measure Public Health List 1 (Immunization Registries) 62 *At least 1 public health objective must be selected Menu Set Measure 2 of 10 Syndromic Surveillance Data Submission* Quick Steps Performed at least one test of certified EHR technologys capacity to

provide electronic syndromic surveillance data to public health agencies and follow-up submission if the test is successful. 1. 2. 3. 4. 5. 6. Another Test Patient Medical Record Chart Tab: Immunization History

Click: Export Immunization Save file Upload file to ADPH Print screen of Successful http://adph.org/Immunization/index.asp?id=5051 Report / Attest YES / NO 02/08/2020 Menu Measure Exclusion: An EP who does not collect

syndromic information on their patients during the EHR reporting period or does not submit such information to any public health agency that has the capacity to receive the information electronically. 63 02/08/2020 Menu Set 2 Syndromic Surveillance Data Submission 64

Used For Menu Measures 1 and 2 Go To: http://adph.org/Immunization/index.asp?id=5051 Click: Security Portal New User (register & check: ADPH MU) Upload Save file of Test Patient Print Successful message for file 02/08/2020 ADPH On-Line Submission

65 02/08/2020 Menu Set Measure Public Health List 2 (Syndromic Surveillance) 66 Menu Set Measure 3 of 10 Menu Measure Quick Steps The EP has enabled drug formulary checks and has access to at least one internal or external formulary for the

entire EHR reporting period. 1. Electronically prescribe via MediSYS EHR Report / Attest 02/08/2020 Implement Drug Formulary Checks Report: Not Applicable YES / NO Exclusion: EP who

writes fewer than 100 RX during reporting period. MediSYS EHR Uploads Latest Formularies 67 02/08/2020 Menu Set 3 Drug Formulary Checks 68 02/08/2020 Menu Set 3 Implement Drug Formulary Checks

69 Menu Set Measure 4 of 10 Menu Measure Quick Steps Report / Attest Incorporate lab test results as structured data in EHR for more than 40% of all clinical labs ordered. 1. Patient

Encounter 2. Order Tab 3. Order Lab 4. Lab Results Entered (interface or data-entry) Report: Percentages (Incorporate Lab Results) 02/08/2020 Incorporate Lab Test Results in EHR Numerator/Denominator

Resulting % >40% Exclusion: EP who orders no lab tests whose results are either in a positive /negative or numeric format during the reporting period 70 (1 of 2) 02/08/2020 Menu Set 4 Clinical Lab Test Results

71 (2 of 2) 02/08/2020 Menu Set 4 Clinical Lab Test Results 72 02/08/2020 Menu Set 4 Incorporate Lab Test Results in EHR 73 Menu Set Measure 5 of 10 Menu Measure

Quick Steps Generate at least one report listing patients of the EP with a specific condition. 1. 2. 3. Report / Attest Report : Patient List (Diagnosis / Problem) Select Report Format Print

Report: Patient List (Diagnosis/Problem) 02/08/2020 Generate Lists of Patients by Specific Condition YES / NO Exclusion: No exclusion Printing this report from EHR satisfies this measure. 74 02/08/2020

Menu Set 5 Patient Lists Specific Condition 75 02/08/2020 Menu Set 5 Generate Lists of Patients by Specific Condition 76 MediSYS EHR includes Patient Record field to indicate Communication Preference (i.e. Patient Portal, phone, etc.) Menu Set Measure 6 of 10 Menu Measure

Quick Steps More than 20% of all patients 5 yrs or younger and 65 years or older were sent an appropriate reminder during the EHR reporting period per patient preference for preventive/follow-up care. 1. 2. Patient Record Select: Patient

Preferred Communication Method 3. 4. 5. 6. EHR Report Patient Reminder List Report Format Print Report / Attest Reports: Patient Reminder

02/08/2020 Send Patient Reminders for Follow-up List: Allergies, Demographics, Lab Results, Medications, Problems Percentage (Patient Reminder) Numerator/Denominator Resulting % >20% Exclusion: EP who has no patients 65 yrs old or older or 5 years old or younger with records maintained using certified EHR technology.

77 (1 of 2) 02/08/2020 Menu Set 6 Patient Reminders for Preventive/Follow-up Care 78 02/08/2020 Menu Set 6 Patient Reminders for Preventive/Follow-up Care (2 of 2) 79 02/08/2020

Menu Set 6 Send Patient Reminders for Follow-up 80 Menu Set Measure 7 of 10 Menu Measure Quick Steps Report / Attest More than 10% of all unique patients seen by the EP are provided timely (within 4 bus. days) electronic access to their health information (including lab 1.

results, problem list, med list, & allergies). Patient Portal Report: Percentages (Timely Access) 02/08/2020 Patient Electronic Access to Health Information Numerator/Denominator Resulting % >10%

Exclusion: EP that neither orders nor creates lab tests or information that would be contained in problem list, med list, med allergy list, or other info. during report period. 81 02/08/2020 Menu Set 7 Patient Electronic Access to Health Information 82 Menu Measure

Quick Steps More than 10% of all unique patients seen by EP are provided patientspecific education resources. 1. 2. 3. 4. Patient Encounter Planning Tab Patient Education Select: Print Printing Patient

Education sends calculation to report Report / Attest Report: Percentages (Patient-Specific Education) 02/08/2020 Menu Set Measure 8 of 10 Patient-Specific Education Resources Numerator/Denominator Resulting % >10%

Exclusion: No exclusion Practice generated Patient Education or optional Krames Patient Education 83 02/08/2020 Menu Set 8 Patient-specific Education Resources 84 02/08/2020 Menu Set 8 Patient-Specific Education Resources 85

Menu Measure 2 Quick Steps Perform medication reconciliations for more than 50% of transition of care patients. 1. 2. Check Patient Check: Referred by, enter refer name

Patient Encounter 4. Constitutionals Meds Reviewed 3. Report / Attest Report: Percentages 02/08/2020 Menu Set Measure 9 of 10 Medication Reconciliation (Medication Reconciliation) Numerator/Denominator Resulting % >50%

Exclusion: EP who was not the recipient of any transitions of care during the EHR reporting period. 86 (1 of 3) 02/08/2020 Menu Set Measure 9 Medication Reconciliation 87 02/08/2020 Menu Set 9 Medication Reconciliation (2 of 3)

88 02/08/2020 Menu Set 9 Medication Reconciliation (3 of 3) 89 02/08/2020 Menu Set 9 Medication Reconciliation 90 Menu Set Measure 10 of 10 Transition of Care Summary 2Quick Steps

Provide a Summary of Care record for more than 50% of the transitions of care and referrals. 1. 2. 3. 4. 5. 6. 7. Patient Encounter Planning Tab

Referral, Select Refer provider Summary of Care Provided Check Assessment Complete Encounter Post Visit: Create a CCD Report / Attest Report: Percentages (Patient Summary Record) Numerator/Denominator Resulting 02/08/2020

Menu Measure % >50% Exclusion: An EP who neither transfers a patient to another setting nor refers a patient to another provider during the EHR reporting period. 91 02/08/2020 Menu Set 10 Transition of Care Summary (1 of 2) 92

02/08/2020 Menu Set 10 Transition of Care Summary (2 of 2) 93 02/08/2020 Menu Set 10 Transition of Care Summary 94 Report on 6 CQMs 02/08/2020 Core Measure 10 Clinical Quality Measures (CQM)

6 CQMS = 3 Core Measures + 3 Alternate Measures Core Measures can be made up of Core or Alternate Measures 95 02/08/2020 Core Measure 10 Clinical Quality Measures Core Measures 96 02/08/2020 Core Measure 10 Core Clinical Quality Measures

97 02/08/2020 Core Measure 10 Core Clinical Quality Measures 98 02/08/2020 Core Measure 10 Clinical Quality Measures Alternate Measures 99 02/08/2020

Core Measure 10 Alternate Core Clinical Quality Measures 100 02/08/2020 Core Measure 10 Alternate Clinical Quality Measures 101 02/08/2020 Core Measure 10 Alternate Clinical Quality Measures 102 02/08/2020

Core Measure 10 Alternate Clinical Quality Measures 103 02/08/2020 Core Measure 10 Clinical Quality Measures Additional Measures 104 02/08/2020 Core Measure 10 Additional Clinical Quality Measures 105

02/08/2020 Report Tracker 106 IMPORTANT - individual Provider usage of electronic records for encounters (i.e. all encounters entered into MediSYS EHR, partial use of MediSYS EHR for patient encounters, etc.) will determine if the denominator for some of the measures, as defined by CMS, will need to be compiled from another reporting source outside of MediSYS EHR. This applies to the measures on the follow slides that have the word Denominator in red: Core Measures: 3, 5, 6, 7, 8, 9,13 and Menu Measures: 4, 5, 6 02/08/2020 Measure Reporting may vary by Provider

Please contact us for specifics or if you have any questions. 107 Thank you! This seminar is intended to provide a general overview. It is not intended to serve as legal or consulting advice. For the latest details, please refer to CMS and other carrier links and publications for more information. 02/08/2020 Disclaimer: The MedConnect/MediSYS Electronic Health Record software (Software) was certified as a 2011/2012 compliant Complete EHR by Drummond Group, Inc., an ONC-ATCB, in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services (HHS). The 2011/2012 criteria support

the Stage 1 meaningful use measures required to qualify eligible providers and hospitals for funding under the Health Information Technology for Economic and Clinical Health (HITECH) Act. To achieve meaningful use providers must take specific action for each measure, therefore MedConnect/MediSYS is not responsible nor does MedConnect/MediSYS guarantee (i) the ability of users of the Software to demonstrate meaningful use as such term may be defined pursuant to the HITECH Act or its implementing regulations or (ii) the receipt of any form of incentive payments, including Medicare and/or Medicaid incentive payments under the HITECH Act. 108

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