How do Meaningful Use payment adjustments work?

Medicare Payment Adjustment Overview
Beginning in 2015, Medicare eligible professionals (EP) who did not successfully demonstrate meaningful use for an EHR reporting period associated with a payment adjustment year are subject to negative payment adjustments. The payment adjustment increases for each year that a Medicare eligible professional did not demonstrate meaningful use.

The payment adjustments are based on achieving Meaningful Use two years prior to the adjustment year. For example, meaningful users who successfully attested in 2015 will avoid a payment adjustment in 2017.

2016 Exception
All providers who began the Meaningful Use program in 2015 and attested by March 11, 2016 avoided 2016 payment adjustments and will not be subject to 2017 payment adjustments.

For more information on this exception, please review the CMS Fact Sheet.

2017 and 2018 Exception
Providers who began Meaningful Use for the first time in the 2016 reporting year were subject to the 2016 payment adjustment but will avoid 2017 and 2018 payment adjustments if they attested prior to October 1, 2016.

For more information on this exception, please review the CMS Fact Sheet.

Is there a Medicaid payment adjustment?
Medicaid EPs who do not furnish covered professional services under Medicare are not subject to these payment adjustments. However, if you are participating in the Medicaid program and are also eligible for the Medicare program, you will still be subject to Medicare penalties if you do not successfully attest to your state Medicaid EHR Incentive Program.

Medicare Quality Payment Program
The Medicare payment adjustments for Meaningful Use will sunset in 2018 per the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Beginning with reporting periods in 2017 for the 2019 payment year, eligible Medicare clinicians will no longer report to the EHR Incentive Program. These clinicians will instead report to MIPS, and be subject to the program requirements and payment adjustments of that program. Eligible Medicaid providers will continue to attest to their state to earn an incentive payment.

For further details, please review this CMS Fact Sheet.

More Information
For more information about payment adjustments, visit the CMS website or review the 2017 Payment Adjustment Fact Sheet for EPs.

For more information about the Medicare Quality Payment Program and MIPS, please visit Practice Fusion’s Quality Payment Program Center.  

Meaningful Use

  1. What is Meaningful Use?
  2. How do I attest for Meaningful Use?
  3. How does the Meaningful Use Dashboard work?
  4. 2018 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  5. 2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  6. 2018 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  7. 2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  8. 2018 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  9. 2018 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  10. 2018 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  11. 2018 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  12. 2018 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  13. 2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  14. 2017 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  15. 2017 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  16. 2017 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  17. 2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  18. 2017 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  19. 2017 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  20. 2017 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  21. 2017 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  22. 2017 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  24. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  25. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  26. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  27. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  28. What are the exclusions for Meaningful Use?
  29. What patients are counted for Meaningful Use?
  30. How do the components of a chart note relate to Meaningful Use?
  31. How do I print the Meaningful Use Dashboard?
  32. How do I minimize or refresh CDS notifications?
  33. How can I send a referral using Direct Messaging?
  34. How does patient portal access and auto-invite relate to Meaningful Use?
  35. What constitutes a "unique" patient?
  36. Meaningful Use attestation for previous years
  37. How do Meaningful Use payment adjustments work?
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. How do I find Practice Fusion's CMS EHR Certification ID?
  40. How do I register for the Medicaid Meaningful Use Program?
  41. Can I change, modify, or cancel my attestation?
  42. How do I choose my reporting period duration for Medicaid Meaningful Use?
  43. Is Practice Fusion a certified EHR?
  44. Patient records maintained in the EHR for Meaningful Use attestation
  45. How do I get my AIU letter from Practice Fusion?
  46. How do I report eCQMs for Medicaid Meaningful Use?
  47. Do I have to meet all 10 objectives to achieve Meaningful Use?
  48. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  49. Are there patient education materials available in Spanish?
  50. How do I select or change my reporting period start date?
  51. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  52. How do I contact my state about the Medicaid EHR Incentive Program?
  53. How do I qualify for Meaningful Use if I see patients in multiple locations?
  54. How many exclusions can each provider claim for meaningful use?
  55. How do I use multiple EHR's to qualify for Medicaid Meaningful Use?
  56. What stage of Medicaid Meaningful Use am I in?
  57. How do I prepare for the PQRS Penalty Informal Review?
  58. How do I prepare for a Meaningful Use audit?
  59. How do I batch export patient data from the EHR?
  60. How can I report CQMs for PQRS?
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