If this rule were to become final, New York State would follow this federal rule and allow patients direct access to their laboratory test results. ANS3: Since the patient would have direct access to the lab results, the laboratory would need to obtain written consent from the physician or other authorized person before the patient could access the laboratory test results via the patient portal.
Who can be considered to be an authorized person? ANS4: Authorized person refers to persons who have been authorized to order tests and receive directly the results of certain laboratory tests for specimens accepted from New York State.
FAQ5: How do we obtain written consent from the physician or other authorized person to allow a patient access to their lab results? ANS5: The physician or other authorized person could provide consent when the lab tests are ordered. In this circumstance, consent can be given on the test requisition whether it is an electronic or paper based ordering system.
Email correspondence from the physician or authorized person would fulfill the requirement of obtaining written authorization. The Center for Medicare and Medicaid Services CMS is the agency within the federal government that is responsible for the ongoing operations of the Medicare and Medicaid programs. Additionally, you should retain your records for each payment for 6 years from the date of attestation.
This regulation states that laboratory test results cannot be reported directly to the patient "except with the written consent of the physician or other authorized person. The new Federal rule becomes effective on April 7, , with a compliance date of October 6, Current NYS regulations do not allow a laboratory that tests samples originating from New York State to release laboratory results directly to a patient unless written consent is first provided by the physician or other authorized person.
Will the Department follow the amended Federal rule and allow patients direct access to their completed laboratory test results? ANS1: Yes. Consistent with the amended Federal rule, the Department intends to repeal the State regulations requiring the written consent of the physician or other authorized person and to allow laboratories to provide patients with access to test reports without any consent from the practitioner who ordered the test. FAQ2: The Federal rule states that HIPAA-covered laboratories will be required to provide individuals with access to their laboratory test reports within 30 days of the request from the patient.
Can the laboratory release results sooner than 30 days without the written consent of the physician or other authorized person? ANS2: Yes. Under the Federal rule, the laboratory generally must provide results to patients no later than 30 days after receipt of a request for test results.
The laboratory may provide reports prior to the 30 days. Thirty days is enough time for the practitioner who ordered the test to communicate with the patient regarding the test results.
Good medical practice would be to allow the practitioner time to review the test results and contact the patient before providing the test results to the patient. FAQ3: Are there circumstances where access to reports may be denied to patients? ANS3: Yes. Both Federal and State laws will continue to allow health care professionals to deny patients access to laboratory test results on the grounds that the access requested is reasonably likely to endanger the life or physical safety of the patient or another person.
Providers who were not able to attest in before the payment year's attestation deadline should attest to the following payment year as soon as the necessary attestation requirements are met. Providers who believe that extenuating circumstances beyond their control prevented them from attesting by the attestation deadline should complete and submit the Attestation Deadline Extension ADE Request Form to the NY Medicaid EHR Incentive Program, in order to be formally considered for an extension.
Please be aware that direct evidence is needed to demonstrate extenuating circumstances occurred causing the provider to miss the attestation deadline. Providers who are scheduled to begin Stage 2 in who choose this option must attest that they are unable to fully implement Edition CEHRT because of issues related to Edition CEHRT availability delays when they attest to the meaningful use objectives and measures.
The rule also finalizes the extension of Meaningful Use Stage 2 through for certain providers and announces the Stage 3 timeline, which will begin in for providers who first became meaningful EHR users in or If documentation was not retained, Eligible Professionals and Eligible Hospitals should reach out to the specific Public Health Registry s that they completed their required measures and objectives with in order to obtain supporting documentation. Providers are strongly encouraged to report clinical quality measures CQMs that are relevant to their patient population.
Zero is an acceptable result provided that this value was produced by certified EHR technology. It is recommended that providers either save the report or print a screenshot of the resulting calculation from their certified EHR in case they are subject to audit and must produce supporting documentation for their attestation values.
The associated web user account must be on file prior to the attestation. Both the provider and authorized representative could be held personally responsible for all information in the attestation.
Navigation menu. Follow Us. Search Search Medicaid Redesign:. EP02 What physician specialties can qualify as an Eligible Professional? Are there any penalties if EPs do not participate immediately, or skip years?
EP19 What is the definition of a group provider? Am I excluded from the non-hospital based requirement? Eligible Professional Types Physicians M. If the organizational NPI used to identify the group is an enrolled NY Medicaid group or facility, the provider must have an affiliation with that group or facility on file with NY Medicaid. If the organizational NPI is not an enrolled provider, it will be necessary to demonstrate some other common link among the providers using the same organizational NPI for example, affiliation with one of a number of enrolled group providers all sharing the same federal tax ID number.
Participation years do not need to be consecutive. If the provider already attested and received payment for any program year after , all future payments should be recouped. The version differences experienced by an EP may be presented, but are not limited to the following: An additional denominator exclusion s for a particular CQM. Do not enter a zero in place of this workaround. Additionally I work in multiple locations, how does that impact the "Meaningful EHR User" requirement and how Meaningful Use objectives are calculated?
EP41 How does an Eligible Professional EP report on meaningful use measures if the provider works in both the inpatient and outpatient setting? The other site signed up with an EHR, but has not started using it.
EP86 An eligible professional EP demonstrated meaningful use but was unable to meet the Medicaid patient volume. Can the EP still attest? EP88 How can an eligible professional attest to an EHR reporting period greater than 90 days for payment year or ? EP94 What is the PI reporting period? M06 What should an Eligible Professional EP attest to in order to pass Stage 3 Objectives 6 and 7 for Payment Year PY if they have passed the thresholds for two out of the three measures and do not qualify for an exclusion from the last remaining measure?
A day period end date will automatically populate. Using blue or black ink, cross out the EHR reporting end date. Important: The end date must be within the payment year.
Mark your initials next to the corrected end date. Complete the attestation requirements in the MU workbook. Email the completed MU workbook to attestation health. Print the completed MU workbook. The following workaround is acceptable for any EP who passes only two out of the three measures by meeting the thresholds and does not qualify for exclusion from the last remaining measure: For two measures, enter your numerator and denominator data that passes the thresholds.
For the third measure, enter "" for the numerator and "" for the denominator. Click "Next" to save your data. Click "Return to Meaningful Use Objectives. EP06 Would you please explain the Medicaid patient volume calculation and allowable reporting periods? EP14 All of our practitioners are billed as institutional services. On which group NPI would the provider choose to base the aggregate patient volume? EP34 Should I include out-of-state encounters in my Medicaid patient volume encounter data?
Is it required that all group providers use the aggregate needy patient volume or can some group providers use the aggregate Medicaid patient volume methodology while others use the aggregate needy patient volume methodology? EP40 How does an Eligible Professional EP count encounters for a service or procedure that is billed once or "globally" but represents multiple patient encounters on different days? EP42 When eligible professionals work at more than one clinical site of practice, are they required to use data from all sites of a practice to support their demonstration of meaningful use and the minimum patient volume thresholds for the Medicaid EHR Incentive Program?
EP85 Is an eligible professional EP allowed to include home health encounters in the calculation of Medicaid patient volume?
EPs for whom the aggregate patient volume is not an appropriate proxy for example, providers who exclusively see Medicare or self-pay patients may not use the aggregate patient volume. Please see below for guidance on acceptable Patient Volume reporting methods: Standard Patient Volume Method Recommended An EP counts the number of patient encounters during the day reporting period that were paid all or in part by Medicaid, and divides that number by the total number of patient encounters over the same period.
Alternative Patient Volume Method EPs who have significant managed care populations might use a more complex calculation that takes into account the number of managed care patients on their patient panel during the day reporting period, whether or not the EP actually had an encounter with those patients during the period. Payment Years The patient volume reporting period must be derived from any consecutive 90 day period within the calendar year CY prior to the payment year.
Payment Year Medicaid must have issued a non-zero payment for the service or premium, co-pay, etc. Payment Year and beyond Medicaid encounters now include service rendered on any one day to a Medicaid-enrolled individual, regardless of payment liability. Eligible professionals within that organization must all use the same group NPI methodology.
Eligible Professionals within that organization must all use the same group NPI methodology. Continue to complete the eligibility information on the following screen. Steps 5 through 7 are not required for payment years and beyond. After printing the attestation document, make the following changes directly on the attestation document before sending it to the DOH: Locate the blank fields for the Medicaid patient volume method you wish to use "Standard Patient Volume Calculation" or "Patient Panel Volume Calculation".
Clearly write the correct patient volume numbers corresponding to the desired method directly in the blank fields using blue or black ink. What are opportunities, hurdles and risks of health departments evolving to a strategist role and not providing direct services?
In an ideal connected world, all public health departments and health agencies would be collecting data and sharing de-identified data to rid the world of infectious and chronic diseases.
In reality, many public health departments are already working toward achieving this goal. There are however, still some serious problems in the larger city departments where urban communities are lagging even further behind. According to a study published in the Journal of Public Health Management and Practice , large city local health departments LHDs still do not have quick access to data that is necessary to serve vulnerable populations.
These LHDs still use other sources to collect data such as schools, hospitals and city-level agencies, but this data can often be very delayed by 2 to 4 years. Adoption of EHRs by local health departments is lagging behind. To make matters worse, general purpose EHRs are not geared for collecting as well as reporting of needed public health data.
Some large metro health departments are taking lead by deploying innovative public health-focused EHR. Additionally, to avoid duplicate patients, Durham uniquely identifies each patient via a palm scanner and geocodes the patient address during patient registration.
With forward looking leaders at metro health departments, we are getting closer to the ideal world of providing public health leaders real time data they need to improve population health. Read the full study here. December 31 marks the end of the last possible day reporting period as the EHR incentive period ends. This means that October 3 rd was the last day for eligible professionals to begin a day reporting period to demonstrate meaningful use.
Here are some tools and guidelines that you may find useful to get started. Medicare, this flow chart can guide you to an answer.
If you are not sure which rules apply to you, here is a simple Decision Tool to help clarify things. Another source can be your EHR vendors. Some not all EHR vendors help their customers navigate the complexities of complying to meaningful use requirements as well as help you get your CMS incentive money.
Data Interoperability. Section Navigation. Facebook Twitter LinkedIn Syndicate. What are the goals of Healthcare Data Interoperability? Find out how to implement Data Interoperability:. Electronic Case Reporting. Specific measures affected are identified in the Additional Information section of the Stage 3 specification sheets. Flexibility within Objectives and Measures Stage 3 includes flexibility within certain objectives to allow providers to choose the measures most relevant to their patient population or practice.
The Stage 3 objectives with flexible measure options include:. In addition, screenshots must be dated from within the EHR U reporting period. Adobe Acrobat Reader format.
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