Catch a Break – Hardship Exceptions to Meaningful Use

Meaningful_Use_sticknoteAre you a Medicare provider who has yet to participate in meaningful use? If so, an important deadline is approaching quickly. July 1 is the deadline to begin meaningful use Stage 1 to attest before Medicare payment adjustments take place in 2015. That’s right, you must have installed a 2014 Edition certified EHR, begin your three-month reporting period on July 1, and attest on October 1 to avoid the 1% penalty.

If you’re in your second year of Stage 1 or beginning Stage 2 in 2014, you have two opportunities to begin your reporting period: July 1 and October 1.

Are you afraid you’re not going to make it?

Not to worry. The CMS recognizes that there are valid reasons that render an undue hardship or eliminate feasibility for a practice to participate. Those valid reasons will prevent payment adjustments for a year. Exceptions are segmented into six categories:

  • Infrastructure – EPs practicing in an area where internet access is not available or feasible to attain
  • New EPs – EPs who began their practice without sufficient time to begin meaningful use and attest before 2015
  • Unforeseen Circumstances – In the event of a natural disaster or other unforeseeable event
  • Patient Interaction – EPs who do not have face-to-face or telemedicine interaction with patients, or who do not need to follow-up with their patients
  • Multiple Locations – Applies when it causes the EP to lose control over the availability of certified EHR for more than 50% of patient encounters
  • Vendor Issues – EPs whose EHR vendor has been unable to attain 2014 ONC certification for their EHR*

Still not sure if you qualify for the hardship exception? Use the CMS online tool to determine if you qualify. Don’t sit back just yet. You must file for an exception by July 1, 2014, to avoid penalties in 2015. Exceptions are valid for one year and then must be renewed.

If your hardship exception is approved you’ll skip your current year of meaningful use and advance to the next year when you resume. For example, if you were scheduled to demonstrate your second year of Stage 1 in 2014, you would skip to your first year of Stage 2 in 2015.

While some providers may file a hardship exception to postpone their meaningful use adoption and see if a recent CMS proposal will allow them attest, there is no guarantee your exception will be approved. Our 2014 Edition certified products are ready and available now to help you meet your meaningful use requirements.

For more information and specific details about the hardship exception, view the CMS document outlining meaningful use timelines and exceptions. And of course, if you have any questions about meaningful use, contact us at meaningfuluse@eyefinity.com.

 

* While 717 EHR vendors offered certified products for the 2011 Edition of meaningful use, only 151 offer certified products for the 2014 Edition. Eyefinity’s EHR solutions are currently certified to meet the ONC 2014 Edition criteria and support both Stage 1 and 2 meaningful use. [Source: Certified Health IT Product List, accessed June 24, 2014, comparing 2011 to 2014 complete ambulatory EHRs]

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