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Georgia Medicaid EHR Incentive Program

Georgia Medicaid EHR Incentive Program. Presented by: Billie N. Webb , Hospital Outreach Representative Medicaid Incentive Program. Date: April 24, 2013. Mission The Georgia Department of Community Health

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Georgia Medicaid EHR Incentive Program

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  1. Georgia Medicaid EHR Incentive Program Presented by: Billie N. Webb, Hospital Outreach Representative Medicaid Incentive Program Date: April 24, 2013

  2. Mission The Georgia Department of Community Health We will provide Georgians with access to affordable, quality health care through effective planning, purchasing and oversight. We are dedicated to A Healthy Georgia.

  3. Georgia Medicaid EHR Incentive Program How many of your Hospitals have received an incentive payment?

  4. GA Hospitals that have received incentive payments • GRADY GENERAL HOSPITAL APPLING HOSPITAL ATHENS REGIONAL MEDICAL CTR ATLANTA MEDICAL CENTER BACCHUS OPERATIONS GROUP INC BACON COUNTY HOSPITAL BROOKS COUNTY HOSPITAL BURKE MEDICAL CENTER CALHOUN MEMORIAL HOSP CANDLER COUNTY HOSP CANDLER HOSPITAL CARTERSVILLE MEDICAL CENTER CHARLTON MEMORIAL HOSPITAL CHATUGE REGIONAL HOSPITAL CHESTATEE REGIONAL HOSPITAL CHILDREN'S HEALTHCARE OF ATLANTA CHILDREN'S HEALTHCARE OF ATLANTA AT CLINCH MEMORIAL HOSP COFFEE REGIONAL MEDICAL CENTER COLISEUM MEDICAL CENTER COLISEUM NORTHSIDE HOSPITAL COLQUITT REGIONAL MEDICAL CTR COOK MEDICAL CENTER CRISP REGIONAL HOSPITAL DEKALB MEDICAL CENTER DEKALB MEDICAL CENTER AT HILLANDALE DOCTORS HOSPITAL DOCTORS HOSPTIAL DODGE COUNTY HOSPITAL DONALSONVILLE HOSPITAL INC DORMINY MEDICAL CENTER EAST GA REGIONAL MEDICAL CTR., LLC EFFINGHAM COUNTY HOSPITAL ELBERT MEMORIAL HOSPITAL EMANUEL MEDICAL CENTER EMORY EASTSIDE MEDICAL CENTER EMORY UNIVERSITY HOSPITAL MIDTOWN EMORY-ADVENTIST HOSPITAL EVANS MEMORIAL HOSPITAL FAIRVIEW PARK HOSPITAL FANNIN REGIONAL HOSP FLOYD MEDICAL CENTER GLYNN-BRUNSWICK MEMORIAL HOSPITAL GORDON HOSPITAL GRADY MEMORIAL HOSPITAL GWINNETT MEDICAL CENTER HABERSHAM COUNTY MEDICAL CTR HAMILTON MEDICAL CENTER HIGGINS GENERAL HOSPITAL HOSPITAL AUTHORITY OF FLOYD COUNTY HOSPITAL AUTHORITY OF MURRAY COUNTY HOUSTON MEDICAL CENTER HUTCHESON MEDICAL CENTER IRWIN COUNTY HOSPITAL JEFF DAVIS HOSPITAL JEFFERSON HOSPITAL JOHN D ARCHBOLD MEMORIAL HOSPITAL KENNESTONE HOSPITAL KINGS BAY COMMUNITY HOSPITAL INC LIBERTY REGIONAL MEDICAL CENTER LOWER OCONCEE COMMUNITY HOSPITAL IN MAYO CLINIC HEALTH SYSTEM IN WAYCROSS IN MEADOWS REGIONAL MEDICAL CENTER MEDICAL CENTER OF CENTRAL GEORGIA MEDICAL COLLEGE OF GA HOSPITALS AND MEMORIAL HEALTH UNIV MED CEN, INC MEMORIAL HOSPITAL AND MANOR MILLER COUNTY HOSPITAL MITCHELL COUNTY HOSPITAL MONROE COUNTY HOSPITAL MORGAN MEMORIAL HOSPITAL NEWTON MEDICAL CENTER NORTH FULTON REGIONAL HOSP NORTH GEORGIA MEDICAL CENTER NORTHEAST GEORGIA MEDICAL CENTER IN NORTHSIDE HOSPITAL NORTHSIDE HOSPITAL FORSYTH NORTHSIDE HOSPITAL, INC OCONEE REGIONAL MEDICAL CENTER PERRY HOSPITAL PHOEBE PUTNEY MEMORIAL HOSPITAL PHOEBE PUTNEY MEMORIAL HOSPITAL, INC PHOEBE SUMTER MEDICAL CENTER PHOEBE WORTH MEDICAL CENTER PIEDMONT FAYETTE HOSPITAL PIEDMONT MOUNTAINSIDE HOSPITAL INC PIEDMONT NEWNAN HOSPITAL INC PIONEER HEALTH SERVICES OF EARLY COUNTY, PUTNAM GENERAL HOSPITAL REDMOND REGIONAL MEDICAL CENTER RESTORATION HEALTHCARE OF COMMERCE, LLC ROCKDALE MEDICAL CENTER SOUTH FULTON MEDICAL CENTER SOUTHERN REGIONAL MEDICAL CENTER SOUTHWEST GEORGIA REGIONAL MEDICAL SPALDING REGIONAL MEDICAL CENTER ST JOSEPH'S HOSPITAL SAVANNAH ST MARY'S HOSPITAL STEPHENS COUNTY HOSPITAL STEWART WEBSTER HOSPITAL TANNER MEDICAL CENTER - CARROLLTON TANNER MEDICAL CENTER VILLA RICA TAYLOR REGIONAL HOSPITAL THE COBB FOUNDATION INC THE MEDICAL CENTER THE MEDICAL CENTER OF PEACH COUNTY, INC. TIFT REGIONAL MEDICAL CTR TRINITY HOSPITAL OF AUGUSTA TY COBB REGIONAL MEDICAL CENTER LLC UNION COUNTY HOSPITAL AUTHORITY UNIVERSITY HOSPITAL UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDI UPSON REGIONAL MEDICAL CENTER WASHINGTON COUNTY REGIONAL MEDICAL WAYNE MEMORIAL HOSPITAL WELLSTAR COBB HOSPITAL WELLSTAR DOUGLAS HOSPITAL WELLSTAR PAULDING HOSPITAL • WEST GEORGIA MEDICAL CENTER, INC. WILLS MEMORIAL HOSPITAL

  5. EH Payments Disbursed September 20110 – April 15, 2013 Payment Year 1 129 $76,728,765.83 Payment Year 2 • $23,348,272.92 Total $100,077,038.75

  6. Eligible Hospitals • Acute care hospitals (including CAHs) • with at least 10% Medicaid patient volume • Children's hospitals • no Medicaid patient volume requirements • Payments of base amount adjusted by multiple factors

  7. Multitasking? How many of your hospitals are operating a FQHC or a RHC?

  8. Eligible Professionals • Physicians – 30% • Pediatricians • 20% - 29% Medicaid patient volume, and is a pediatrician • Nurse practitioners – 30% • Certified nurse-midwives-30% • Dentists – 30% • Physician assistants - 30% • (who furnish services in a Rural Health Clinic that is led by a physician assistant.) • *Each professional may receive up to $63,750. An initial payment of $21,050 and six subsequent payments of $8,500

  9. EPs at FQHCs/ RHCs Federally Qualified Health Centers • Practice predominantly in a Federally Qualified Health Centers • Have a minimum 30% patient volume attributable to needy individuals or Medicaid patients. • Rural Health Centers • Practice predominantly in a Rural Health Center • Have a minimum 30% patient volume attributable to needy individuals or Medicaid patients.

  10. Attesting for the Medicaid Incentive Payment Billie N. Webb HP Hospital Outreach Medicaid Incentive Program HP Enterprise Services

  11. Attesting for the Medicaid Incentive Payment

  12. Eligible Hospital Concierge Service • Primary contact for the Attestation process • Provide personalized calculator for your hospital • Coordinate validation of patient volume calculations with contracted audit firm • Follow up on incentive applications • Assist with MAPIR application

  13. Federal Level Registration http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Eligibility.html

  14. Pre - State Level Registration • Begin each program year by attesting with CMS • Make sure you are aware and meet mandatory deadlines • Login to MAPIR • Choose the appropriate incentive application • Attest

  15. EHR Reporting Periods

  16. State Level Registration Log into the MMIS secure web portal using your current ID and password Use your CMS confirmation number to access the MAPIR from the secure web portal.

  17. Hospital Path to Payment Year 1 • Federal Level Registration • Initial Contact: • Call Center: 1-800-766-4456 or • email: HPHospitalCalc@HP.com • Log into MAPIR • Upload patient volume calculator • Upload AIU

  18. Hospital Path to Payment Year 2 • Federal Level Registration • Initial Contact: • 1-800-766-4456 or • email: HPCalc@HP.com • Log into MAPIR (log into to • Upload patient volume calculator • MAPIR Walkthrough

  19. Hospital Path to Payment Year 3 • 90 day reporting period regardless of previous attestation (Federal Fiscal Year Quarter) • Ready to accept applications October 2013 • Always attest to Medicare first

  20. Incentive Payments Disbursed $145,624,308.75

  21. Resources http://www.ga-hitec.org Phone: 404-752-1184 Toll Free: 877-658-1990 http://www.cms.gov/EHRIncentivePrograms Toll Free: 888-734-6433 http://dch.georgia.gov/ehr www.mmis.georgia.gov Toll Free: 800-766-4456 21 21

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