On Fri Feb 24, Health and Human Services Secretary Kathleen Sebelius announced 
the next steps for providers who are using electronic health record (EHR) 
technology and receiving incentive payments from Medicare and Medicaid.  These 
proposed rules, from CMS and the Office of the National Coordinator for Health 
Information Technology (ONC), will govern stage 2 of the Medicare and Medicaid 
EHR Incentive Programs.

Under the Health Information Technology for Economic and Clinical Health 
(HITECH) Act, part of the American Recovery and Reinvestment Act of 2009, 
eligible healthcare professionals and hospitals can qualify for Medicare and 
Medicaid incentive payments when they adopt certified EHR technology and use it 
in a meaningful way.  What is considered "meaningful use" is evolving in three 
stages:

 *   Stage 1 (which began in 2011 and remains the starting point for all 
providers): "meaningful use" consists of transferring data to EHRs and being 
able to share information, including electronic copies and visit summaries for 
patients.
 *   Stage 2 (to be implemented in 2014 under the proposed rule): "meaningful 
use" includes new standards such as online access for patients to their health 
information, and electronic health information exchange between providers.
 *   Stage 3 (expected to be implemented in 2016): "meaningful use" includes 
demonstrating that the quality of healthcare has been improved.

The CMS proposed rule specifies the stage 2 criteria that eligible providers 
must meet in order to qualify for Medicare and/or Medicaid EHR incentive 
payments.  It also specifies Medicare payment adjustments that, beginning in 
2015, providers will face if they fail to demonstrate meaningful use of 
certified EHR technology and fail to meet other program participation 
requirements.  Under the proposed rule, stage 1 has been extended an additional 
year, allowing providers to attest to stage 2 in 2014, instead of in 2013.

ONC's rule proposes capabilities and related standards and implementation 
specifications that certified EHR technology (CEHRT) will need to include to 
support the achievement of "meaningful use" by eligible healthcare providers 
for the EHR reporting periods beginning in fiscal year / calendar year (FY/CY) 
2014 and beyond.  The rule proposes a redefinition of CEHRT and a revised 
certification processes to reduce burden and add flexibility, and requests 
public input to improve safety, data portability, and transparency.

The ONC and CMS proposed rules are available at 
http://www.OFR.gov/inspection.aspx<http://www.ofr.gov/inspection.aspx>.  The 
comment period for both proposed rules will close on Mon May 7, 2012.  
Additional information on the Medicare and Medicaid EHR Incentive Programs can 
be found at http://www.CMS.gov/EHRIncentivePrograms.

The full text of this excerpted HHS press release (issued Fri Feb 24), as well 
as links to relevant media factsheets, can be found at 
http://www.HHS.gov/news/press/2012pres/02/20120224a.html.


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It's Not too Late to Give and Get the Flu Vaccine. Take advantage of each 
office visit and protect your patients against the seasonal flu. Medicare will 
continue to pay for the seasonal flu vaccine and its administration for all 
Medicare beneficiaries through the entire flu season. The Centers for Disease 
Control and Prevention (CDC) also recommends that patients, healthcare workers 
and caregivers be vaccinated against the seasonal flu. Protect your patients. 
Protect your family. Protect yourself. Get the Flu Vaccine-Not the Flu.


Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.

________________________________
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