How do I attest for Meaningful Use?

You can attest to Meaningful Use for the Medicare program on the CMS website after your reporting period has ended and you have achieved all the criteria.


Download the Attestation Checklist >>


CMS Attestation Guide >>

Attestation Deadlines:

Medicare: The deadline to attest for the 2016 program year is February 28, 2017 at 11:59pm EST.

Medicaid: Medicaid providers should check with their state Medicaid agency for deadline information, but should attest by February 28, 2017.


Important Attestation Preparation Information


It’s your responsibility to maintain paper or electronic documentation that fully supports the data submitted during attestation for at least six years to ensure you’re prepared for a potential audit.


1) Confirm your reporting period start and end dates in the 2016 Meaningful Use Dashboard.


2) Confirm that you have achieved Meaningful Use by successfully achieving the required number of measures:

  • Stage 2: 10 Objectives


3) Confirm you have charted more than 80% of your patient records in certified EHR technology (CEHRT). This is a requirement to meet Meaningful Use.  


4) If you work in multiple locations with CEHRT, the attestation needs to combine numerators and denominators from all CEHRT.


5) You will need to address different denominator types for Meaningful Use. Some measures may be limited to patients whose records are maintained using CEHRT, while other measures must include all unique patients regardless of whether the patient’s records are maintained using CEHRT.

  • You will need to manually calculate patients who aren’t entered in Practice Fusion for measures based on all unique patients.

  • The Meaningful Use Dashboard values only include patients entered in Practice Fusion.

  • Review the CMS Attestation User Guide to see which individual measures may be limited to patients maintained using CEHRT


6) If you’re using Practice Fusion’s Meaningful Use Dashboard, make sure you’ve signed all encounters for your patients seen during the reporting period in order to see data from those visits reflected in your Meaningful Use Dashboard.


7) Note which measures for which you will claim an exclusion, if applicable. Claiming an exclusion for a specific measure qualifies as submission of that measure. Providers in Modified Stage 2 may be able to claim alternate exclusions from certain objectives. Prepare any documentation needed to prove that you qualify for any exclusions claimed and save it in your records for at least six years.


For Stage 2 Objective 10: Public Health, providers must attest to at least two of the three public health measures:

  • Immunization Registry Data Submission

  • Syndromic Surveillance Data Submission

  • Specialized Registry Reporting


If you have completed two public health measures:

  • Collect documentation that proves you have actively engaged with the local public health agency (e.g. email or written confirmation of the exchange with the PHA).


If you are in Stage 2 and cannot attest to at least two measures:

  • Prepare documentation for the measures you can complete. You must then prepare documentation proving that you are excluded from the remaining public health measures.

  • Please note: CMS has released additional flexibility for the Objective 10: Public Health reporting requirements. Stage 2 providers should be able to claim an alternate exclusion to both Syndromic Surveillance and Specialized Registry reporting, 2 of the 3 measures for Objective 10, if they so choose.


If you are in Modified Stage 2:

  • Providers may be able to claim an alternate exclusion to both Syndromic Surveillance Reporting and Specialized Registry Reporting.


8) Save a signed and dated copy of your completed Security Risk Analysis, including any documentation that supports the activities that you completed as a result of the analysis, for at least six years.


9) Save screenshots of functionality enabled for the entire reporting period to serve as supporting documentation for the following measures in case of an audit: Drug Interaction Checks (Stage 2 Objective 2: Clinical Decision Support) and Drug Formulary Checks (Stage 2 Objective 4: e-Prescribing). You must keep this documentation for at least six years.


10) Take a screenshot or print out the Practice Fusion Meaningful Use Dashboard on the day you attest. You must keep this documentation for at least six years.


11) There may be instances where you choose to report values for objectives that differ from the values in the Meaningful Use Dashboard. Make sure you keep documentation for these objectives, including how you accounted for the values you’re reporting, for at least six years.


12) Take a screenshot or print out your 2016 Clinical Quality Measures Report on the day you attest. You must keep this documentation for at least six years.


13) You must report nine CQMs related to three or more National Quality Strategy (NQS) domains.

  1. Data submitted for CQMs must be reported directly from information generated by Practice Fusion’s 2016 Clinical Quality Measures Report.

  2. Reporting a value of zero (0) for a CQM will not prevent you from meeting the CQM requirement for Meaningful Use.


Reporting option #1: Electronic reporting

  • Electronic reporting is for the full calendar year of 2016 and will allow you to receive credit for both PQRS and Meaningful Use. Learn more about electronic reporting.

  • If you choose this option, you will use Practice Fusion to generate a report to export and submit to CMS. This information can be electronically submitted to CMS in the beginning of 2017.

Reporting option #2: Attestation

  • If reporting CQMs via attestation, you can use your Meaningful Use Dashboard to calculate your CQM values for your 90-day reporting period.

  • This method of reporting only gives you credit for the EHR Incentive program, but allows you to complete your attestation at the same time you report data for your Meaningful Use objectives.

  • You may choose to report CQMs via attestation for Meaningful Use and later choose to report CQM data electronically for PQRS.


Meaningful Use Dashboard for attestation

The Dashboard provides the information necessary to guide you through attestation, but is not directly reported to CMS.


Remember that any items completed outside of the EHR will not be tracked in the Dashboard. During attestation, you will populate the criteria numerators and denominators, indicate whether you qualify for exclusions to specific objectives (or individual objective measures) and legally attest that you have successfully demonstrated Meaningful Use.


You will qualify for a Medicare incentive payment upon completing a successful online submission through the attestation system. Payments are sent by CMS roughly 6-8 weeks after successful attestation.


For the Medicaid EHR Incentive Program, you will follow a similar process using your CMS state attestation system.


Additional Resources


We recommend downloading additional attestation resources in our Meaningful Use Center.

Meaningful Use & PQRS

  1. How do I start Meaningful Use?
  2. Where do I access the Meaningful Use dashboard and PQRS Clinical Quality Measures (CQM) report?
  3. How does the Meaningful Use Dashboard work?
  4. How do I attest for Meaningful Use?
  5. What are the Modified Stage 2 Meaningful Use requirements?
  6. What are the Stage 2 Meaningful Use requirements?
  7. What are the exclusions for Meaningful Use?
  8. How can I report CQMs for PQRS?
  9. How do I achieve Stage 2 Core Measure 10: Clinical Lab Test Results?
  10. What patients are counted for Meaningful Use?
  11. How do the components of a chart note relate to Meaningful Use?
  12. How do lab and image ordering relate to Meaningful Use?
  13. Confirmatory Consultation Report or Clinical Consultation Report
  14. How do I export a patient record (clinical document)?
  15. How do I print the Meaningful Use Dashboard?
  16. How do I achieve Stage 1 Menu Measure 2: Lab test results as structured data?
  17. How do I minimize or refresh CDS notifications?
  18. How can I send a referral using Direct Messaging?
  19. What is MACRA: Merit-based Incentive Payment System (MIPS)?
  20. What is MACRA: Comprehensive Primary Care Plus (CPC+)?
  21. What are the Advancing Care Information (ACI) measures for MIPS and how are they scored?
  22. What are the Quality measure reporting requirements for MIPS?
  23. CQM: Cervical Cancer Screening (CMS 124v4/NQF 0032)
  24. CQM: Pneumonia Vaccination Status for Older Adults (CMS 127v4/NQF 0043)
  25. How do I achieve the Stage 1 Core Measure: Clinical Summaries?
  26. CQM: Preventive Care and Screening: Influenza Immunization (CMS 147v5/NQF 0041)
  27. How do I achieve Stage 2 Objective 8: Patient Electronic Access?
  28. How do I achieve Stage 1 Core Measure 6: Drug Allergy List?
  29. CQM: Diabetes: Foot Exam (CMS123v4/ NQF 0056)
  30. How do I achieve Stage 1 Menu Measure 3: Patient Lists Report?
  31. How do I achieve Stage 2 Menu Objective 4: Family Health History?
  32. How does patient portal access and auto-invite relate to Meaningful Use?
  33. CQM: Closing the Referral Loop: Receipt of Specialist Report (CMS50v4/NQF N/A)
  34. How do I achieve Stage 1 Core Measure 9: Smoking Status?
  35. How do I achieve Stage 1 Core Measure 7: Record demographics?
  36. How do I achieve Stage 1 Core Measure 3: Maintain problem list?
  37. How do I achieve Stage 2 Menu Measure 2: Electronic Notes?
  38. How do I achieve Stage 2 Core Measure 8: Clinical Summaries?
  39. How do I achieve Stage 2 Core Measure 3: Record Demographics?
  40. How do I achieve Stage 2 Objective 9: Secure Electronic Messaging?
  41. How do I achieve Stage 2 Objective 2: Clinical Decision Support?
  42. How do I achieve Stage 2 Core Measure 12: Preventative Care?
  43. How do I achieve Stage 1 Core Measure 2: Drug interaction checks?
  44. How do I achieve the Stage 1 Core Measure 11: Patient Electronic Access?
  45. How do I achieve Stage 1 Menu Measure: Syndromic Surveillance Data Submission
  46. How do I achieve Stage 1 Menu Measure 4: Patient Reminders?
  47. CQM: Use of High-Risk Medications in the Elderly (CMS156v4/ NQF 0022)
  48. How do I achieve Stage 1 Menu 6: Patient-specific Education
  49. What constitutes a "unique" patient?
  50. Meaningful Use attestation for previous years
  51. How do I achieve Stage 1 Core Measure 4: e-Prescribe (eRx)?
  52. How do I achieve Stage 2 Menu Measure 3: Imaging Results?
  53. How do I achieve Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders?
  54. Will we be able to report PQRS through Practice Fusion in 2014?
  55. CQM: Diabetes: Low Density Lipoprotein (LDL) Management (CMS 163v3/ NQF 0064)
  56. CQM: Diabetes: Hemoglobin A1c Poor Control (CMS122v4/NQF 0059)
  57. CQM: Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (CMS 182v4/NQF 0075)
  58. How do I achieve Stage 2 Objective 10: Public Health - Specialized Registry Reporting?
  59. CQM: Dementia: Cognitive Assessment (CMS 149v4)
  60. How do I avoid Meaningful Use penalties?
  61. CQM: Use of Imaging Studies for Low Back Pain (CMS166v5 / NQF 0052)
  62. CQM: Falls: Screening for Future Fall Risk (CMS 139v4/NQF 0101)
  63. How is CPOE for medication orders different from eRx?
  64. CQM: Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) (CMS 144v4/NQF 0083)
  65. How do I apply for a Meaningful Use Hardship Exception?
  66. How do I achieve Stage 1 Core Measure 8: Vital Signs?
  67. CQM: Use of Appropriate Medications for Asthma (CMS 126v3/ NQF0036)
  68. How do I achieve Stage 2 Menu Measure 5: Report Cancer Cases
  69. How do I achieve the Stage 1 Menu Measure 6: Medication Reconciliation?
  70. CQM: Colorectal Cancer Screening (CMS130v4/ NQF 0034)
  71. CQM: Chlamydia Screening for Women (CMS 153v4/NQF 0033)
  72. CQM: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (CMS 155v4/NQF 0024)
  73. How do I achieve Stage 2 Objective 7: Medication Reconciliation?
  74. CQM: Breast Cancer Screening (CMS 125v4/NQF N/A)
  75. CQM: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (CMS22v4, NQF: N/A)
  76. CQM: Diabetes: Eye Exam (CMS131v4 / NQF 0055)
  77. How do I achieve Stage 1 Menu Measure 1: Drug Formulary Checks?
  78. CQM: Functional Status Assessment for Complex Chronic Conditions (CMS90v5/ NQF N/A)
  79. CQM: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (CMS138v3 / NQF 0028)
  80. How do I achieve Stage 2 Objective 5: Health Information Exchange?
  81. How do I achieve the Stage 1 Core Measure 10: Clinical Decision Support?
  82. How do I achieve Stage 1 Menu Measure 7: Transition of Care Summary?
  83. CQM: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (CMS2v5 / NQF 0418)
  84. CQM: Controlling High Blood Pressure (CMS165v4 / NQF 0018)
  85. CQM: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up (CMS69v4 / NQF 0421)
  86. CQM: Documentation of Current Medications in the Medical Record (CMS68v5 / NQF 0419)
  87. How do I achieve Stage 2 Objective 1: Protect Electronic Health Information?
  88. What is Practice Fusion's certification number (ID)?
  89. CQM: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic (CMS 164v4/NQF 0068)
  90. How do I register for Meaningful Use?
  91. How does the 2014 Clinical Quality Measure (CQM) Report work?
  92. Can I change, modify, or cancel my attestation?
  93. How do I choose my reporting period duration for Meaningful Use?
  94. Am I eligible for Meaningful Use?
  95. How do I calculate percentages for Meaningful Use with multiple EHRs?
  96. Starting what date must labs be ordered for Medicare Meaningful Use?
  97. How do I achieve Stage 2 Core Measure 5: Record Smoking Status?
  98. How do I achieve the Stage 1 Core Measure 13: Protect Electronic Health Information?
  99. How do I achieve Stage 2 Objective 4: Electronic Prescribing (eRx)?
  100. How do I meet the Stage 1 Menu Measure 9: Immunization Data Submission?
  101. How do I achieve Stage 2 Objective 10: Public Health - Immunization Registry Data Submission?
  102. Qualifying Meaningful Use Measures as a Physician Assistant
  103. Is Practice Fusion certified as a 2014 Meaningful Use Complete EHR?
  104. Patient records maintained in the EHR for Meaningful Use attestation
  105. What are the 2014 Meaningful Use flexibility changes?
  106. How do I get my AIU letter from Practice Fusion?
  107. Do I have to attest yearly to receive the additional payments?
  108. How do I report Clinical Quality Measures for Meaningful Use?
  109. How do I achieve Stage 2 Objective 6: Patient Specific Education?
  110. Without cancer registry and report specific cases module, how is Practice fusion certified for Meaningful Use?
  111. How do I achieve Stage 1 Core Measure 1: CPOE for Medication Orders?
  112. How do I achieve Stage 1 Core Measure 5: Maintain Medication List?
  113. How do I achieve Stage 2 Core Measure 11: Patient Lists?
  114. Do I have to meet all of the measures to achieve Meaningful Use?
  115. Can I switch between the Medicare and Medicaid EHR Incentive Programs?
  116. How to Chart EMGs for Meaningful Use?
  117. Are there patient education materials available in Spanish?
  118. How do I select or change my reporting period start date?
  119. How do I achieve Stage 2 Core Measure 4: Record Vital Signs?
  120. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  121. How do I contact CMS about the EHR Incentive Program?
  122. Is an integration with imaging centers required for Stage 2 of Meaningful Use?
  123. What is QCDR?
  124. How do I qualify for the Medicaid incentive?
  125. What Stage am I in if I skip a year of Meaningful Use?
  126. How much are the Meaningful Use incentives?
  127. How do I qualify for Meaningful Use if I see patients in multiple locations?
  128. How many exclusions can each provider claim for meaningful use?
  129. Are Meaningful Use payments affected by sequestration?
  130. What is Meaningful Use?
  131. Can I use multiple EHR's to qualify for Meaningful Use?
  132. How do I achieve Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission?
  133. How does the PQRS Clinical Quality Measures dashboard work?
  134. Does Practice Fusion support Patient-Centered Medical Home (PCMH)?
  135. Stage 2 Objective 10: Public Health
  136. What stage of Meaningful Use am I in?
  137. How do I prepare for the PQRS Penalty Informal Review?
  138. How do I prepare for a Meaningful Use audit?
  139. What is Data Portability?

Feedback and Knowledge Base


Still need help?

Create a help ticket