Medicaid Meaningful Use

The next generation of MU

Is Meaningful Use going away? The short answer is no.

For Medicaid clinicians, MU stays in place for 2017. Medicaid clinicians will still need to successfully participate and attest for Meaningful Use in 2017 and beyond, which means managing eligibility, compliance, and attestation while retaining information on payments and an audit trail.

For Medicare Part B clinicians, the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) has rolled Meaningful Use, along with PQRS and VBM, into MIPS. Under MIPS, MU is evolving into Advancing Care Information (ACI) and will represent 25 out of 100 total points for MIPS in 2017. MU is an “all or nothing” approach while under the ACI portion of MIPS, clinicians have additional reporting requirements along with more flexibility in what they report, as shown in the highlights below:

Meaningful UseAdvancing Care Information
Must report on all objective and measure requirementsAdvancing Care Information streamlines measures and emphasizes interoperability, information exchange, and security measures; Clinical Decision Support and Computerized Provider Order Entry are no longer required
One-size-fits-all – every measure reported and weighed equallyCustomizable – physicians or clinicians can choose which measures best fit their practice
All-or-nothing EHR measurement and quality reportingFlexible – multiple paths to success
Misaligned with other Medicare reporting programsAligned with other Medicare reporting programs; no need to report quality measures as part of this category

Organizations with both Medicare and Medicaid payments will need to successfully manage both programs simultaneously to maximize reimbursement.

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