The Centers for Medicare & Medicaid Services (CMS) has issued guidance to eligible professionals (EPs) on how they should select menu objectives for the Medicare and Medicaid EHR Incentive programs. CMS issued an update on April 4 providing the following information, which includes instructions for 2014 and Stage 2 meaningful use requirements.
EPs participating in Stage 1 of the EHR Incentive Programs are required to report on a total of five meaningful use objectives from the menu set of 10. When selecting five objectives from the menu set, EPs must choose at least one option from the public health menu set. If an EP is able to meet the measure of one of the public health menu objectives but can be excluded from the other, the EP should select and report on the public health menu objective he/she is able to meet. If an EP can be excluded from both public health menu objectives, the EP should claim an exclusion from only one public health objective and report on four additional menu objectives from outside the public health menu set.
EPs participating in Stage 2 are required to report three meaningful use objectives from the menu set of six.
CMS stated, "We encourage EPs to select menu objectives that are relevant to their scope of practice, and claim an exclusion for a menu objective only in cases where there are no remaining menu objectives for which they qualify or if there are no remaining menu objectives that are relevant to their scope of practice. For example, we hope that EPs will report on five measures, if there are five measures that are relevant to their scope of practice and for which they can report data, even if they qualify for exclusions in the other objectives."
Starting in 2014 for both Stage 1 and Stage 2, meeting the exclusion criteria will no longer count as reporting a meaningful use objective from the menu set, CMS noted. An EP must meet the measure criteria for five objectives in Stage 1 (three objectives in Stage 2) or report on all of the menu set objectives through a combination of meeting exclusion and meeting the measure.
You can access the full set of FAQs related to the EHR Incentive programs by clicking here.
For a broader overview of the EHR Incentive Programs, click here.