2016

1. Hospital Regulatory Timeline October 1, 2011 MU year 2 starts for hospitals that attested in 2011 July 3, 2011 Last day to begin 90 days of MU if attesting for 1st time September 30 End of MU year for attesting in 2012 July 3 Last time to begin demonstrating first year of MU and attest in 2013. Last day to begin demonstrating MU and receive maximum total incentive amount October 1 Stage 2 of MU begins 2014 certified system required 2014 Quality Reporting begins Hospitals that began attestation in 2011 or 2012 must meet Stage 2 requirements July 1 Last date to attest to 1st year of MU and avoid 2016 penalties July 1 Last date to attest to 1st year of MU and avoid 2017 penalties October 1 Last year to begin qualifying for Medicare MU incentives MU penalties of 25% of update begin ICD-10 for admissions/visits * Meaningful Us (MU) Payments October 1 MU penalties of 50% of update begin Stage 3 of MU begins 2016 Certified System required October 1 MU year begins for all hospitals that have previously attested October 1 End of MU year for attesting in 2013, 2013 July 1 Last date to attest to 1st year of MU and avoid 2015 Medicare penalties October 1 Last date to start to qualify for Medicaid incentive payments MU penalties of 75% of update begin Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Before 2012 2012 2013 2014 2015 2016 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 HAC = hospital acquired conditions VPB= value based purchasing MU= Meaningful Use Notes: Performance measurement periods for hospital readmissions not yet established for 2013 and beyond. Performance measurement periods and penalties for HAC not yet established For hospitals, penalties for not meeting Meaningful Use are a % of the CMS annual payment update Incentives and penalties for HAC, VBP, and Readmissions are a % of Medicare reimbursement *HHS has proposed extending ICD-10 deadline to October 2014 This is accurate as of 4/10/2012 January 1 Payers must accept administrative transaction in 5010 format October 1 All Medicare payments reduced by 1% VBP incentives and penalties of ±1% begin 1% readmission penalties begin December 31End of 2nd performance measurement period for VBP October 1 VBP Incentives increase to ±1.25% Readmission penalties increase to 2% October 1 VBP incentives/ penalties increase to ±1.5% Readmission penalties increase to 3% HAC payment penalties begin (performance measurement period and penalty amount TBD) July 1 Enforcement of 5010 begins: Providers must submit administrative transactions in 5010 format CMS reimbursement incentives, penalties and rules July 1, 2011 Start of 1st performance measurement period for value based purchasing July 1, 2008-June 30, 2011 Performance measurement period for hospital readmissions penalties March 31 End of 1st performance measurement period for VBP measures (except mortality) April 1 Beginning of 2nd performance measurement for VBP June 30 End of 1st performance measurement period for VBP mortality measures