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 was March 13, 2017 at 11:59pm EST.

Medicaid: Medicaid providers should check with their state Medicaid agency for deadline information, but should have attested by March 13, 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. 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.

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.

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. Where do I access the Meaningful Use dashboard and PQRS Clinical Quality Measures (CQM) report?
  2. How does the Meaningful Use Dashboard work?
  3. How do I attest for Meaningful Use?
  4. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  5. What are the exclusions for Meaningful Use?
  6. How can I report CQMs for PQRS?
  7. What patients are counted for Meaningful Use?
  8. How do the components of a chart note relate to Meaningful Use?
  9. How do I print the Meaningful Use Dashboard?
  10. How do I minimize or refresh CDS notifications?
  11. How can I send a referral using Direct Messaging?
  12. CQM: Cervical Cancer Screening (CMS 124v4/NQF 0032)
  13. CQM: Pneumonia Vaccination Status for Older Adults (CMS 127v4/NQF 0043)
  14. CQM: Preventive Care and Screening: Influenza Immunization (CMS 147v5/NQF 0041)
  15. Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  16. CQM: Diabetes: Foot Exam (CMS123v4/ NQF 0056)
  17. How does patient portal access and auto-invite relate to Meaningful Use?
  18. CQM: Closing the Referral Loop: Receipt of Specialist Report (CMS50v4/NQF N/A)
  19. Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  20. Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  21. CQM: Use of High-Risk Medications in the Elderly (CMS156v4/ NQF 0022)
  22. What constitutes a "unique" patient?
  23. Meaningful Use attestation for previous years
  24. Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  25. CQM: Diabetes: Low Density Lipoprotein (LDL) Management (CMS 163v3/ NQF 0064)
  26. CQM: Diabetes: Hemoglobin A1c Poor Control (CMS122v4/NQF 0059)
  27. CQM: Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (CMS 182v4/NQF 0075)
  28. Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  29. CQM: Dementia: Cognitive Assessment (CMS 149v4)
  30. How do Meaningful Use payment adjustments work?
  31. CQM: Use of Imaging Studies for Low Back Pain (CMS166v5 / NQF 0052)
  32. CQM: Falls: Screening for Future Fall Risk (CMS 139v4/NQF 0101)
  33. CQM: Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) (CMS 144v4/NQF 0083)
  34. How do I apply for a Meaningful Use Hardship Exception?
  35. CQM: Use of Appropriate Medications for Asthma (CMS 126v3/ NQF0036)
  36. CQM: Colorectal Cancer Screening (CMS130v4/ NQF 0034)
  37. CQM: Chlamydia Screening for Women (CMS 153v4/NQF 0033)
  38. CQM: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (CMS 155v4/NQF 0024)
  39. Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  40. CQM: Breast Cancer Screening (CMS 125v4/NQF N/A)
  41. CQM: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (CMS22v4, NQF: N/A)
  42. CQM: Diabetes: Eye Exam (CMS131v4 / NQF 0055)
  43. CQM: Functional Status Assessment for Complex Chronic Conditions (CMS90v5/ NQF N/A)
  44. CQM: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (CMS138v3 / NQF 0028)
  45. Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  46. CQM: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (CMS2v5 / NQF 0418)
  47. CQM: Controlling High Blood Pressure (CMS165v4 / NQF 0018)
  48. CQM: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up (CMS69v4 / NQF 0421)
  49. CQM: Documentation of Current Medications in the Medical Record (CMS68v5 / NQF 0419)
  50. Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  51. What is Practice Fusion's certification number (ID)?
  52. CQM: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic (CMS 164v4/NQF 0068)
  53. How do I register for the Medicaid Meaningful Use Program?
  54. Can I change, modify, or cancel my attestation?
  55. How do I choose my reporting period duration for Medicaid Meaningful Use?
  56. How do I calculate percentages for Meaningful Use with multiple EHRs?
  57. Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  58. Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  59. Is Practice Fusion certified as a 2014 Meaningful Use Complete EHR?
  60. Patient records maintained in the EHR for Meaningful Use attestation
  61. How do I get my AIU letter from Practice Fusion?
  62. How do I report Clinical Quality Measures for Meaningful Use?
  63. Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  64. Do I have to meet all 10 objectives to achieve Meaningful Use?
  65. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  66. Are there patient education materials available in Spanish?
  67. How do I select or change my reporting period start date?
  68. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  69. How do I contact CMS about the EHR Incentive Program?
  70. What is QCDR?
  71. How do I qualify for Meaningful Use if I see patients in multiple locations?
  72. How many exclusions can each provider claim for meaningful use?
  73. What is Meaningful Use?
  74. Can I use multiple EHR's to qualify for Meaningful Use?
  75. Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  76. How does the PQRS Clinical Quality Measures dashboard work?
  77. Does Practice Fusion support Patient-Centered Medical Home (PCMH)?
  78. Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  79. What stage of Medicaid Meaningful Use am I in?
  80. How do I prepare for the PQRS Penalty Informal Review?
  81. How do I prepare for a Meaningful Use audit?
  82. What is Data Portability?

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