Wyoming

Eligible Professional Meaningful Use Modified Stage 2 User Manual for Program Year 2016

April 2015

Version 1

Table of Contents

1        Background        

2        Introduction        

3        Eligibility        

3.1        Out-of-State Providers        

3.2        Establishing Patient Volume        

3.2.1        Patient Encounters Methodology        

3.2.2        Definition of an Eligible Professional Encounter        

3.2.3        Definition of a Needy Individual Encounter        

3.2.4        Group practices        

4        Payment Methodology for EPs        

4.1        Payments for Eligible Professionals        

5        Provider Registration        

5.1        Provider Attestation Process and Validation        

6        Incentive Payments        

7        Program Integrity        

7.1        Administrative Appeals        

8        Registration (Eligible Providers)        

8.1        Eligible Provider Sign-in Screen        

8.2        CMS/NLR Screen        

8.3        Provider Eligibility Details Screen        

8.3.1        Establishing Patient volume        

8.4        Provider Service Locations Screen        

8.4.1        Multiple Service Locations        

8.4.2        Change / Delete an existing service location entry        

8.5        Meaningful Use Questionnaire Screen        

9        EP Requirements for Meaningful Use Measures for Program year 2016        

9.1        Meaningful Use Measure Menu Screen        

9.1.1        Meaningful Use Measure 1 Screen - Protected Patient Health Information        

9.1.2        Meaningful Use Measure 2 Screen - Clinical Decision Support        

9.1.3        Meaningful Use Measure 3 Screen - CPOE        

9.1.4        Meaningful Use Measure 3 Screen - CPOE for EPs scheduled to report Stage 1 MU in PY 2016        

9.1.5        Meaningful Use Measure 4 Screen – Electronic Prescribing        

9.1.7        Meaningful Use Measure 5 Screen – Health Information Exchange        

9.1.9        Meaningful Use Measure 6 Screen -Patient-Specific Education        

9.1.10        Meaningful Use Measure 7 Screen - Medication  Reconciliation        

9.1.11        Meaningful Use Measure 8 Screen - Patient Electronic  Access (VDT)        

9.1.12        Meaningful Use Measure 9 Screen – Secure Electronic  Messaging        

9.2        Meaningful Use Measure 10 Public Health Reporting Measure Selection Screen        

9.2.1        Meaningful Use Measure 10-1 Screen - Immunization Registry Reporting        

9.2.2        Meaningful Use Measure 10-2 Screen - Syndromic Surveillance Reporting        

9.2.3        Meaningful Use Measure 10-3 Screen - Specialized Registry Reporting        

9.3        Clinical Quality Measure Selection Screen        

9.3.1        Clinical Quality Measure 1 Screen – CMS ID 157        

9.3.2        Clinical Quality Measure Screen 2 – CMS ID 66        

9.3.3        Clinical Quality Measure Screen 3 – CMS ID 56        

9.3.4        Clinical Quality Measure Screen 4- CMS ID 90        

9.3.5        Clinical Quality Measure Screen 5- CMS ID 156        

9.3.6        Clinical Quality Measure Screen 6- CMS ID 139        

9.3.7        Clinical Quality Measure Screen 7- CMS ID 68        

9.3.8        Clinical Quality Measure Screen 8- CMS ID 68        

9.3.9        Clinical Quality Measure Screen 9- CMS ID  177        

9.3.10        Clinical Quality Measure Screen 10- CMS ID 179        

9.3.11        Clinical Quality Measure Screen 11- CMS ID 50        

9.3.12        Clinical Quality Measure screen 12- CMD ID 155        

9.3.13        Clinical Quality Measure Screen 13- CMS ID 138        

9.3.14        Clinical Quality Measure Screen 14- CMS ID 153        

9.3.15        Clinical Quality Measure Screen 15- CMS ID 117        

9.3.16        Clinical Quality Measure Screen 16- CMS ID 147        

9.3.17        Clinical Quality Measure Screen 17- CMS ID 2        

9.3.18        Clinical Quality Measure Screen 18- CMS ID 69        

9.3.19        Clinical Quality Measure Screen 19- CMS ID 82        

9.3.20        Clinical Quality Measure Screen 20- CMS ID 22        

9.3.21        Clinical Quality Measure Screen 21- CMS ID 146        

9.3.22        Clinical Quality Measure Screen 22- CMS ID 166        

9.3.23        Clinical Quality Measure Screen 23- CMS ID 154        

9.3.24        Clinical Quality Measure Screen 24- CMS ID 129        

9.3.25        Clinical Quality Measure Screen 25- CMS ID 137        

9.3.26        Clinical Quality Measure Screen 26- CMS ID 165        

9.3.27        Clinical Quality Measure Screen 27- CMS ID 125        

9.3.28        Clinical Quality Measure Screen 28- CMS ID 124        

9.3.29        Clinical Quality Measure Screen 29- CMS ID 130        

9.3.30        Clinical Quality Measure Screen 30- CMS ID 126        

9.3.31        Clinical Quality Measure Screen 31- CMS ID 127        

9.3.32        Clinical Quality Measure Screen 32- CMS ID 131        

9.3.33        Clinical Quality Measure Screen 33- CMS ID 123        

9.3.34        Clinical Quality Measure Screen 34- CMS ID 122        

9.3.35        Clinical Quality Measure Screen 35- CMS ID 148        

9.3.36        Clinical Quality Measure Screen 36- CMS ID 134        

9.3.37        Clinical Quality Measure Screen 37-CMD ID 163        

9.3.38        Clinical Quality Measure Screen 38- CMS ID 164        

9.3.39        Clinical Quality Measure Screen 39- CMS ID 145        

9.3.40        Clinical Quality Measure Screen 40- CMS ID 182        

9.3.41        Clinical Quality Measure Screen 41- CMS ID        

9.3.42        Clinical Quality Measure Screen 42- CMS ID 144        

9.3.43        Clinical Quality Measure Screen 43- CMS ID 143        

9.3.44        Clinical Quality Measure Screen 44- CMS ID 167        

9.3.45        Clinical Quality Measure Screen 45- CMS ID 142        

9.3.46        Clinical Quality Measure Screen 46- CMS ID 161        

9.3.47        Clinical Quality Measure Screen 47- CMS ID 128        

9.3.48        Clinical Quality Measure Screen 48- CMS ID 136        

9.3.49        Clinical Quality Measure Screen 49- CMS ID 169        

9.3.50        Clinical Quality Measure Screen 50- CMS ID 141        

9.3.51        Clinical Quality Measure Screen 51 CMS ID 140        

9.3.52        Clinical Quality Measure Screen 52- CMS ID 62        

9.3.53        Clinical Quality Measure Screen 53- CMS ID 52        

9.3.54        Clinical Quality Measure Screen 54- CMS ID 77        

9.3.55        Clinical Quality Measure Screen 55- CMS ID 133        

9.3.56        Clinical Quality Measure Screen 56- CMS ID 56        

9.3.57        Clinical Quality Measure Screen 57- CMS ID 159        

9.3.58        Clinical Quality Measure Screen 58- CMS ID 160        

9.3.59        Clinical Quality Measure Screen 59- CMS ID 75        

9.3.60        Clinical Quality Measure Screen 60- CMS ID 74        

9.3.61        Clinical Quality Measure Screen 61- CMS ID 61        

9.3.62        Clinical Quality Measure Screen 62- CMS IS 64        

9.3.63        Clinical Quality Measure Screen 63- CMS ID 149        

9.3.64        Clinical Quality Measure Screen 64- CMS ID 65        

9.4        Pre Attestation Summary        

9.4.1        Meaningful Use Measures Screen – Pre-Attestation Summary        

9.4.2        Public Health Reporting Measures Screen – Pre-Attestation Summary        

9.4.3        Summary of Clinical Quality Measures Screen – Pre-Attestation Summary        

9.5        Measure Editing prior to Attestation        

9.6        Incentive Payment Calculation Screen        

9.7        Documentation Upload Screen        

9.8        Attestation Statements Screen        

9.9        Accepted Attestation Screen        

9.10        Unaccepted Attestation Screen        

9.10.1        Meaningful Use Measure Summary – Post Attestation        

9.10.2        Menu Meaningful Use Measure Summary – Post Attestation        

9.10.3        Clinical Quality Measures Summary – Post Attestation        

10        View All Payments Screen        

11        Issues / Concerns Screen        

12        Manual        

13        Appeals Screen        

14        Additional Resources        

15        Send Email        

  1. Background

The Centers for Medicare & Medicaid Services (CMS) has implemented, through provisions of the American Recovery and Reinvestment Act of 2009 (ARRA), incentive payments to eligible professionals (EP) and eligible hospitals (EH), including critical access hospitals (CAHs), participating in Medicare and Medicaid programs that are meaningful users of certified Electronic Health Records (EHR) technology. The incentive payments are not a reimbursement, but are intended to encourage EPs and EHs to adopt, implement, or upgrade certified EHR technology and use it in a meaningful manner.

The use of a certified EHR system is required to qualify for incentive payments. The Office of the National Coordinator for Health Information Technology (ONC) has issued rules defining certified EHR systems and has identified entities that may certify systems. More information about this process is available at http://www.healthit.hhs.gov.

Goals for the national program include: 1) enhance care coordination and patient safety; 2) reduce paperwork and improve efficiencies; 3) facilitate electronic information sharing across providers, payers, and state lines, and 4) enable data sharing using state Health Information Exchange (HIE) and the National Health Information Network (NHIN). Achieving these goals will improve health outcomes, facilitate access, simplify care, and reduce costs of health care nationwide.

Wyoming Medicaid will work closely with federal and state partners to ensure the Wyoming Medicaid EHR Incentive Program fits into the overall strategic plan for the Wyoming Health Information Exchange, thereby advancing the national and Wyoming goals for HIE.

Both EPs and EHs are required to begin by registering at the national level with the Medicare and Medicaid registration and attestation system (also referred to as the CMS Registration Module). CMS’ official Web site for the Medicare and Medicaid EHR Incentive Programs can be found at http://www.cms.gov/EHRIncentivePrograms/. The site provides both general and detailed information on the programs which includes tabs on the path to payment, eligibility, meaningful use, certified EHR technology, and frequently asked questions.


  1. Introduction

The Wyoming Medicaid Electronic Health Record (EHR) Incentive Program will provide incentive payments to eligible professionals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

Resources:

A Regional Extension Centers (RECs) has been designated to provide technical assistance to Wyoming EH’s and EP’s. The RECs provide a full range of assistance related to EHR selection and training and are listed below:

Wyoming Regional Extension Center

PO Box 2242

Glenrock, WY 82637

Phone: 307-436-8733 or 877-810-6248

Fax: 307-637-8163

Revisions:

Original - 4/8/2016


  1. Eligibility 

While EPs can begin the program in Calendar Year (CY) 2011, they must begin the program no later than CY 2016.

The first tier of provider eligibility for the Wyoming Medicaid EHR Incentive Program is based on provider type and specialty. If the provider type and specialty for the submitting provider in the WY MMIS provider data store does not correspond to the provider types and specialties approved for participation in the Wyoming Medicaid EHR Incentive Program, the provider will receive an error message with a disqualification statement.

At this time, CMS has determined that the following providers are potentially eligible to enroll in the Wyoming Medicaid EHR Incentive Program:

Physicians (primarily doctors of medicine and doctors of osteopathy)

Nurse Practitioner

Certified Nurse Midwife

Dentist

Physician Assistant who furnishes services in a Federally Qualified Health Center (FQHC) or Rural Health Center (RHC) that is led by a Physician Assistant.  An FQHC or RHC is considered to be PA led in the following instances:

Additional requirements for the EP
To qualify for an EHR incentive payment for each year the EP seeks the incentive payment, the EP must not be hospital-based or meet the exclusion for hospital-based and must:

  1. Meet one of the following patient volume criteria:
  1. Beginning in program year 2013 patient volume counts must be from at least one service location that has certified EHR technology.
  2. Have a minimum of 30 percent patient volume attributable to individuals receiving TXIX Medicaid funded services (Please note beginning in program year 2013 this changed to have a minimum 30 percent patient volume attributable to individuals enrolled in a Medicaid program); or 
  3. Have a minimum 20 percent patient volume attributable to individuals receiving TXIX Medicaid funded services, and be a pediatrician (Please note beginning in program year 2013 have a minimum 20 percent patient volume attributable to individuals enrolled in a Medicaid program and be a pediatrician); or 
  4. Practice predominantly in a FQHC, RHC, or IHS and have a minimum 30 percent patient volume attributable to needy individuals.
  1. Have no sanctions and/or exclusions.

An individual EP may choose to receive the incentive him/herself or assign it to a Medicaid contracted clinic or group to which he is associated. The tax identification number (TIN) of the individual or entity receiving the incentive payment is required when registering with CMS and must match a TIN linked to the individual provider in the Wyoming EHR Incentive system.


Note also that some provider types who are eligible for the Medicare program, such as podiatrists, optometrists, and chiropractors, are not currently eligible for the Wyoming Medicaid EHR Incentive Program.  Wyoming does not include optometrist because they do not meet the Wyoming State Plan for Medicaid Services definition of Physician Services (“Physician services include physicians, certified pediatric and family nurse practitioners, nurse midwives, FQHCs, RHCs, and physician assistants.”)  Optometrists are also excluded from the definition of “Physician” in the Social Security Act.

Qualifying Providers by Type and Patient Volume

Program Entity

Percent Patient Volume over Minimum
90-days

Physicians

30%



Or the Medicaid EP practices predominantly in an IHS, FQHC or RHC -30% “needy individual” patient volume threshold

Pediatricians

20%

Dentists

30%

Optometrist

30%

Physician Assistants
when practicing at an
FQHC/RHC led by a
physician assistant

30%

Nurse Practitioner

30%

  1. Out-of-State Providers

The Wyoming Medicaid EHR Incentive Program welcomes any out-of-state provider to participate in this program as long as they have at least one physical location in Wyoming.  Wyoming must be the only state they are requesting an incentive payment from during that participation year. For auditing purposes, out-of-state providers must make available any and all records, claims data, and other data pertinent to an audit by either the Wyoming program or CMS. Records must be maintained as applicable by law in the state of practice or Wyoming, whichever is deemed longer.


  1. Establishing Patient Volume

A Wyoming Medicaid provider must annually meet patient volume requirements of Wyoming’s Medicaid EHR Incentive Program as established through the state’s CMS approved State Medicaid Health IT Plan (SMHP). The patient funding source identifies who can be counted in the patient volume: Title XIX (TXIX) – Medicaid and Title XXI (TXXI) – CHIP. All EPs (except EPs predominantly practicing in an FQHC/RHC/IHS) will calculate patient volume based on TXIX Medicaid and out-of-state Medicaid patients. The EHR statue allows for an EP practicing predominantly in an IHS, FQHC or RHC to consider CHIP patients under the needy individual patient volume requirements.

  1. Patient Encounters Methodology

EPs (except those practicing predominantly in an FQHC/RHC) – to calculate TXIX Medicaid patient volume, an EP must divide:

EPs Practicing Predominantly in an IHS/FQHC/RHC – to calculate needy individual patient volume, an EP must divide:

  1. Definition of an Eligible Professional Encounter

For purposes of calculating EP patient volume, an encounter is defined as services rendered on any one day to an individual where Wyoming or another State’s Medicaid program paid for:

Services rendered on any one day to an individual where Medicaid or a Medicaid demonstration project under section 1115 of the Act paid for part or all of the service;

Services rendered on any one day to an individual where Medicaid or a Medicaid demonstration project under section 1115 of the Act paid all or part of their premiums, co-payments, and/or cost-sharing

Beginning in program year 2013 the definition of an Eligible Professional Encounter was updated to be the following:

For purposes of calculating EP patient volume, a Medicaid encounter means services rendered to an individual on any one day where:

Medicaid (or a Medicaid demonstration project approved under section 1115 of the Act) paid for part or all of the service;

Medicaid (or a Medicaid demonstration project approved under section 1115 of the Act) paid all or part of the individual's premiums, co-payments, and cost-sharing;

The individual was enrolled in a Medicaid program (or a Medicaid demonstration project approved under section 1115 of the Act) at the time the billable service was provided

  1. Definition of a Needy Individual Encounter

For purposes of calculating patient volume for an EP practicing predominantly in an IHS/FQHC/RHC, a needy individual encounter is defined as services rendered on any one day to an individual where medical services were:

Medicaid or CHIP (or a Medicaid or CHIP demonstration project approved under section 1115 of the Act) paid for part or all of the service;

Medicaid or CHIP (or a Medicaid or CHIP demonstration project approved under section 1115 of the Act) paid all or part of the individual's premiums, co-payments, or cost-sharing; or

Services rendered to an individual on any one day on a sliding scale or that were uncompensated (excluding bad debt).

Beginning in program year 2013 the definition of a needy individual encounter was updated to be the following:

For purposes of calculating EP patient volume, a needy patient encounter means services rendered to an individual on any 1 day if any of the following occur:

Medicaid or CHIP (or a Medicaid or CHIP demonstration project approved under section 1115 of the Act) paid for part or all of the service;

Medicaid or CHIP (or a Medicaid or CHIP demonstration project approved under section 1115 of the Act) paid all or part of the individual's premiums, co-payments, or cost-sharing;

The individual was enrolled in a Medicaid program (or a Medicaid demonstration project approved under section 1115 of the Act) at the time the billable service was provided; or

The services were furnished at no cost (excluding bad debt) or the services were paid for at a reduced cost based on a sliding scale determined by the individual's ability to pay.

  1. Group practices

Clinics or group practices will be permitted to calculate patient volume at the group practice/clinic level, but only in accordance with all of the following limitations:


  1. Payment Methodology for EPs

The maximum incentive payment an EP could receive from Wyoming Medicaid equals $63,750, over a period of six years, or $42,500 for pediatricians with a 20-29 percent Medicaid patient volume as shown below.

Provider

EP

EP-Pediatrician

Patient Volume

30 Percent

20-29 Percent

Year 1

$21,250

$14,166.67

Year 2

    8,500

    5,666.67

Year 3

    8,500

    5,666.67

Year 4

    8,500

    5,666.67

Year 5

    8,500

    5,666.67

Year 6

    8,500

    5,666.65

Total Incentive Payment

$63,750

$42,500

Since pediatricians are qualified to participate in the Wyoming Medicaid EHR incentive program as physicians, and therefore classified as EPs, they may qualify to receive the full incentive if the pediatrician can demonstrate that they meet the minimum 30 percent Medicaid patient volume requirements.

  1. Payments for Eligible Professionals

EP payments will be made in alignment with the calendar year and an EP must begin receiving incentive payments no later than CY 2016. EPs will assign the incentive payments to a tax ID (TIN) in the CMS Registration Module. The TIN must be associated in the Wyoming MMIS system with either the EP him/herself or a group or clinic with whom the EP is affiliated. EPs who assign payment to themselves (and not a group or clinic) will be required to provide Wyoming Medicaid with updated information. Each EP must have a current Wyoming Medicaid contract and be contracted for at least 90 days.

The Wyoming Medicaid EHR Incentive program does not include a future reimbursement rate reduction for non-participating Medicaid providers. (Medicare requires providers to implement and meaningfully use certified EHR technology by 2015 to avoid a Medicare reimbursement rate reduction.) For each year a provider wishes to receive a Medicaid incentive payment, determination must be made that he/she was a meaningful user of EHR technology during that year. Medicaid EPs are not required to participate on a consecutive annual basis, however, the last year an EP may begin receiving payments is 2016, and the last year the EP can receive payments is 2021.

Currently, all providers are required to submit a valid NPI as a condition of Wyoming Medicaid provider enrollment. Each EP will be enrolled as a Medicaid provider and will therefore, without any change in process or system modification, meet the requirement to receive an NPI.  Wyoming Medicaid performs a manual NPPES search to validate NPIs during the enrollment process.

In the event Wyoming Medicaid determines money has been paid inappropriately, incentive funds will be recouped and refunded to CMS.

The timeline for receiving incentive payments is illustrated below:

http://www.whitec.org/Portals/0/Documents/images/graph2.jpg


  1. Provider Registration

If this is your second year with the EHR incentive program then there is no need to register.  You may log in directly to the Wyoming SLR to attest for Meaningful Use using the link https://wyslr.com/ .  

If this is your first year with the EHR Incentive program then EPs are required to begin by registering at the national level with the Medicare and Medicaid registration and attestation system (also referred to as the CMS Registration Module). CMS’ official Web site for the Medicare and Medicaid EHR Incentive Programs can be found at http://www.cms.gov/EHRIncentivePrograms/. Providers must provide their name, NPI, business address, phone number, and the tax payer ID number (TIN) of the entity receiving the payment.  EPs may choose to receive the incentive payment themselves or assign them to a clinic or group to which they belong.

EPs must select the Medicare or Medicaid’s incentive program (a provider may switch from one to the other once during the incentive program prior to 2015). If Medicaid is selected, the provider must choose only one state (EPs may switch states annually). Providers must revisit the CMS Registration Module to make any changes to their information and/or choices, such as changing the program from which they want to receive their incentive payment. After the initial registration, the provider does not need to return to the CMS Registration Module before seeking annual payments unless information needs to be updated.

The CMS Registration Module will assign the provider a CMS Registration Number and electronically notify Wyoming Medicaid of a provider’s choice to access Wyoming’s Medicaid EHR Incentive Program for payment. The CMS Registration Number will be needed to complete the attestation in the Wyoming SLR system. On receipt of the registration transactions from CMS, two basic validations take place at the state level:

1) Validate the NPI in the transaction is on file in the MMIS system, and

2) Validate that the provider is a provider with Wyoming Medicaid. If either of these conditions is not met, a message will be automatically sent back to the CMS Registration Module indicating the provider is not eligible. Providers may check back at the CMS Registration Module to determine if the registration has been accepted.

Once payment is disbursed to the eligible TIN, CMS will be notified by Wyoming Medicaid that a payment has been made.


  1. Provider Attestation Process and Validation

Wyoming Medicaid will utilize the secure Wyoming SLR system to house the attestation system.  If an eligible provider registers at CMS and does not receive an email with the link to the attestation system within two business days, assistance will be available by contacting the Wyoming Medicaid Electronic Health Record Incentive Program office.  

Following is a description, by eligible provider type, of the information that a provider will have to report or attest to during the process.

  1. After registering for the incentive program with the CMS Registration Module (at http://www.cms.gov/EHRIncentivePrograms/), the EP will be asked to provide their NPI and CMS-assigned Registration Identifier.
  2. The EP will then be asked to view the information that will be displayed with the pre-populated data received from CMS (if the provider entry does not match, an error message with instructions will be returned).  
  3. EPs will then enter two categories of data to complete the Eligibility Provider Details screen including 1) patient volume characteristics and 2) EHR details.
  4. The EP will be asked to attest to:
  1. The EP will be asked to electronically sign the amendment.


  1. Incentive Payments

Wyoming Medicaid plans to use the Supplemental Payment functionality in the Wyoming WOLFS system to set up financial transactions for incentive payments.  Providers need to ensure they are enrolled in the system, in order to receive payments.  Specific accounting codes will also be required for the transactions to enable Wyoming Medicaid to report the funds in the CMS-64 report. Different codes will be needed for each payment year.

Wyoming will ensure all reporting requirements and modifications are made to correctly report expenditures, attestation information, and approval information.  Wyoming Medicaid will also make the necessary changes to the CMS-64 reporting to add the additional line item payment and administrative information.

Upon completion of the attestation process, including submission of the electronic attestation, receipt of required documentation and validation by Wyoming Medicaid, an incentive payment can be approved.

  1. Program Integrity

Wyoming Medicaid will be conducting regular reviews of attestations and incentive payments. These reviews will be selected as part of the current audit selection process including risk assessment, receipt of a complaint or incorporation into reviews selected for other objectives. Providers should be sure to keep their supporting documentation.

  1. Administrative Appeals

You may appeal the determination made by Wyoming Medicaid on your incentive payment application by sending a Formal Letter of Appeal to the address below within 30 days of the determination date of notification. This formal written notification must include a detailed explanation of why the EP or EH deems a wrong determination made by the Wyoming Medicaid EHR Incentive Program. Any supporting documentation to the appeal should be included with the Letter of Appeal.

Division of Program Integrity
Department for Medicaid Services
6101 Yellowstone, Suite 210
Cheyenne, WY 82002


  1. Registration (Eligible Providers)

Eligible providers will be required to provide details including patient volume characteristics, EHR details, upload requested documentation, and electronically sign the attestation (more details follow in this manual).

After registering with CMS at http://www.cms.gov/EHRIncentivePrograms/, the provider then begins the Wyoming Medicaid EHR Incentive Program registration process by accessing the Wyoming SLR system at https://wyslr.com/ (sign-in screen shown below).

  1. Eligible Provider Sign-in Screen

The provider will enter the NPI registered on the CMS Registration Module and the CMS-assigned Registration Identifier that was returned by CMS.  

If the data submitted by the provider matches the data received from CMS, the CMS/NLR Provider Demographics Screen will display with the pre-populated data received from the CMS Registration Module. If the provider entry does not match, an error message with instructions will be returned.  

Navigation:

Submit Button – Takes the EP to the CMS / NLR Screen


  1. CMS/NLR Screen

     

Along with the pre-populated data from CMS there are additional fields that can be updated by the provider.  They are detailed below:

Taxonomy – Enter the taxonomy code that is associated with the attestation.

Mailing Address - The mailing address can be updated if the provider would like to change the address that is indicated on the top right side of the screen.

Once you have completed the information required on the CMS/NLR screen click on the ‘Save’ button.  You will click next if this is your first year applying or Begin/Modify Attestation for payment years 2-6.

Navigation:

View / View Attestation – Takes the EP to the Provider Eligibility Details page of the completed attestation

Begin / Modify Attestation – Takes the EP to the Provider Eligibility Details page to continue completing their attestation

Begin Payment Year Button – Allows the EP to attest the next payment year


  1. Provider Eligibility Details Screen 

EPs must enter two categories of data to complete the Eligibility Provider Details screen including patient volume characteristics and EHR details.  The Provider will also have the option to change their mailing address for EHR payments.  Providers will see the following data on the screen:

Patient Volume

  1. Please indicate if your patient volume was calculated at a clinic / practice level or for the eligible professional only.
  2. If at the clinic, please enter the NPI of the clinic or group.
  3. Select the program year you wish to attest.  This should be either the current year or it can be the prior year if the current date is on or before March 31st.
  4. Select the starting date of the 90-day period to calculate Medicaid encounter volume percentage.
  5. Enter the Medicaid patient encounters during this period.
  6. Enter the total patient encounters during this period.
  7. Medicaid patient volume percentage (calculated).

EHR Details

  1. Enter the CMS EHR Certification ID of your HER.
  2. Indicate the Status of your EHR – Choices:

Please note EHR Status options for Adopt, Implement, or Upgrade is only available for the first payment year.  All subsequent years will only display Meaningful User.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP

  1. Establishing Patient volume

All EPs have patient volume thresholds to meet to be eligible for incentive payments.  Claims data from the Wyoming MMIS will be used to verify the reasonableness of patient volume attested to by EPs.

EPs are required to have a minimum of 30 percent Medicaid for all patient encounters over any continuous 90-day period within the most recent calendar year prior to registering. There are two exceptions:

  1. Pediatricians qualify if they have at least 20 percent Medicaid patient volume for all patient encounters over any continuous 90-day period within the most recent calendar year prior to registering;
  2. EPs practicing predominantly in an IHS, FQHC, or RHC must have a minimum of 30 percent patient volume attributable to ‘‘needy individuals’’ for all patient encounters over any continuous 90-day period within the most recent calendar year prior to registering.

Needy individuals are defined as those:

Wyoming Medicaid defines “encounter” as a service provided to one patient by one provider on one day.

Volume thresholds are calculated using, as the numerator, the EP’s total number of Medicaid member encounters for the 90-day period and the denominator as all patient encounters for the same EP over the same 90-day period.


  1. Provider Service Locations Screen

After entering the provider eligibility details, EPs are required to enter all service locations for which they practice.  This screen was added to satisfy a new requirement beginning with program year 2013 that was established under 42 CFR 495.304 that states that at least one clinical location used in the calculation of patient volume must have a Certified EHR Technology (CEHRT) during the program year for which the eligible professional attests to having adopted, implemented, or upgraded to CEHRT, or attests they are meaningful EHR user.  

This new screen is added to allow providers the ability to enter all their locations and indicate if those locations have CEHRT as well as if they were used in the patient volume count.

Enter the number of locations in which you provide services – This is the count for the number of locations for which you see patients.

Address 1: - This is the first line of the service location address, it is required

Address 2: - This is the second line of the service location address, if necessary

City: - This is the City for the service location address, it is required

State: - This is the State for the service location address, it is required

Zip Code: - This is the zip code for the service location address, it is required

Zip Code Extension: - This is the zip code extension for the service location address, if necessary

Certified EHRT Location: - Click to check this check box to indicate if the service location entered has Certified EHR Technology.

Used in Patient Volume: - Click to check this check box to indicate if the service location entered was used in the patient volume provided on the previous screen.

*At least one service location must have CEHRT and Patient Volume checked in order to meet the requirement and continue with the attestation.

**The user must click on the ‘Add’ button in order to add the service location.


  1. Multiple Service Locations

If the EP has multiple locations upon clicking ‘Add’ for the first service location entry the screen below will be displayed.

In order to add additional service locations the EP will add the address information within the boxes listed in the grid shown above.  The EP must click on the ‘Add’ button next to the line to add the service location.

Please note – depending on your individual screen resolution you may need to use the grid scroll bar to scroll to the right to see the ‘Add’ button.

  1. Change / Delete an existing service location entry

In order to delete and invalid service location the EP will need to click on the Delete link on the right end of the service locations grid as shown above.  The EP will be requested to give confirmation prior to deleting the record.

In order to change an existing service location the EP will click on the Modify link under the Edit column.

Once the EP has clicked on ‘Modify’ the fields will be open for editing.  

After the EP has completed their editing of the service location they will need to select one of the following options under the edit column:

Update – This will accept the changes made to the service location

Cancel – This will cancel the changes made to the service location and return to the original entry.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data, please note: location data must be added, updated or deleted within the navigation links/buttons.  The Save button will not save an update made prior to clicking on the update button on the grid.

Cancel Button – Removes the data that has been entered by the EP

  1. Meaningful Use Questionnaire Screen

After entering the provider service locations, EPs who have selected Meaningful Use will be directed to the Meaningful Use Questionnaire screen to enter additional data prior to entering their measures.

The following fields are required to continue with the attestation:

*All fields on this screen must be entered to continue with your attestation.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. EP Requirements for Meaningful Use Measures for Program year 2016

CMS added Modified Stage 2 Meaningful Use (MU) requirements effective for Program Year 2015 within the Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 3 and Modifications to Meaningful Use in 2015 through 2017 Final Rule.  This manual will cover the instructions for attesting to program year 2016 for EPs who are scheduled to be in Stage 1 or Stage 2 within the 2016 program year.

EHR Reporting Period

Meaningful Use Measure Changes Overview

Objective 10 -  Public Health Reporting Overview

EP must attest to at least 9 of 64 Clinical Quality Measures covering at least 3 National Quality Strategy (NQS) domains

For additional information on Meaningful Use Measures Please see the following CMS Web sites below:

Meaningful Use Information for Program Year 2015

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2015ProgramRequirements.html

Clinical Quality Measure Information

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures.html

Measure Screen Tips:  If the page seems to be cutting off words on the measure then do the following steps:


  1. Meaningful Use Measure Menu Screen

The menu screen will only allow the user to select a group of measures as they are available.  For example, once the Meaningful Use Core Measures are completed, the Meaningful Use Menu Measures will be active to select.

Navigation:

Meaningful Use Measures Link – Takes the EP to the first screen of the Meaningful Use Measures, active link

Public Health Measures Link - Takes the EP to the Public Health Measure Selection Screen, only active after the first 9 MU Measures are completed.

Clinical Quality Measures Link – Takes the EP to the CQM selection page.

Previous – Take the EP to the previous screen

Next – Takes the EP to the first Meaningful Use Measure screen


  1. Meaningful Use Measure 1 Screen - Protected Patient Health Information

All fields must be completed before the EP will be allowed to save and continue to the next measure.  

The following details other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 2 Screen - Clinical Decision Support

 

All fields must be completed before the EP will be allowed to save and continue to the next measure.  

The following details other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 3 Screen - CPOE

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to continue to the next measure.  

The following details other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.


  1. Meaningful Use Measure 3 Screen - CPOE for EPs scheduled to report Stage 1 MU in PY 2016

For an EHR reporting period in 2016 only, an EP who is scheduled to participate in Stage 1 in 2016 have the following measure and exclusion alternatives:

All fields per measure must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  

The following details other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.


  1. Meaningful Use Measure 4 Screen – Electronic Prescribing

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 5 Screen – Health Information Exchange

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 6 Screen -Patient-Specific Education

All fields must be completed before the EP will be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 7 Screen - Medication         Reconciliation

 

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 8 Screen - Patient Electronic         Access (VDT)

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 9 Screen – Secure Electronic         Messaging

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP

  1. Meaningful Use Measure 10 Public Health Reporting Measure Selection Screen

EPs must report on a total of two (2) Public Health Measures to meet the Measure 10 objective for meaningful use.

Exclusions cannot be used to count towards meeting the required two (2) measures. This means that beginning in 2016, an EP would need to:

EPs must report on a total of two (2) public health reporting measure for program year 2016.  This means that, an EP would need to:

Public Health Measures should be selected according to the following guidelines:

   

1. If you are attesting to meet two (2) Public Health Measures without claiming exclusion, you may select the two (2) total Public Health Measures from the list below.

 

2. If you are attesting to Public Health Measure 3 and are reporting to at least two (2) different specialized registries, you may select just the one (1) Public Health Measure from the list below.

 

3. If you cannot meet at least two (2) of the Public Health Measures below without claiming an exclusion then you must select all three (3) of the Public Health Measures below or click the ‘Select All’ link below and attest to either meeting the measure or the exclusion of the public health measure for all three (3) Public Health Measures below.

Navigation:

Logout Button – Returns the EP to the login page

Previous button – will not save the data selected and return the EP to the MU Core Measure 13 screen.

Next button – will save the data to the database if no errors are present.  This data will be updatable until the attestation has been completed by the EP.  The EP will be directed to the first MU Menu Measure screen they selected after all errors are resolved.


  1. Meaningful Use Measure 10-1 Screen - Immunization Registry Reporting

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 10-2 Screen - Syndromic Surveillance Reporting

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1. Meaningful Use Measure 10-3 Screen - Specialized Registry Reporting

All fields must be completed unless the exclusion was responded to with ‘Yes’, in that case no other field is required and the EP should be allowed to save and continue to the next measure.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous Button – Takes the EP to the previous screen

Next Button – Saves the data entered and takes the EP to the next attestation screen

Save Button – Saves the EP’s data

Cancel Button – Removes the data that has been entered by the EP


  1.  Clinical Quality Measure Selection Screen

Beginning in 2014, all providers regardless of their stage of meaningful use will report on CQMs in the same way.  EPs will report 9 of 64 CQMs covering at least 3 key health care policy domains recommended by the Department of Health and Human Services’ National Quality Strategy (NQS).  

 

EPs are expected to select the CQMs that best apply to their scope of practice and/or unique patient population.  CQMs will be submitted on an aggregate basis reflective of all patients without regard to payer.

CMS does not requiring the submission of a core set of CQMs, but identify two recommended core sets, one for adults and one for children, that CMS encourages EPs to report to the extent those CQMs are applicable to an EP's scope of practice and patient population.

If Providers are not selecting one of the recommended core sets then they should select 9 or more CQMs using the following guidelines:

Fields with multiple definitions for population criteria or numerators have tool tips associated to assist the provider in attesting their numbers correctly.  The tool tips can be viewed by holding the mouse over the numerator field. The following tool tips are associated with this screen:

Navigation:

Logout Button – Returns the EP to the login page

Previous button – will not save the data selected and return the EP to the previous screen.

Save & Continue button – will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  The EP will be directed to the first Clinical Quality Measure screen they selected


  1. Clinical Quality Measure 1 Screen – CMS ID 157

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 2 – CMS ID 66

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 3 – CMS ID 56

 

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.  


  1. Clinical Quality Measure Screen 4- CMS ID 90

 

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

 


  1. Clinical Quality Measure Screen 5- CMS ID 156

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:        

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 6- CMS ID 139

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1.  Clinical Quality Measure Screen 7- CMS ID 68

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 8- CMS ID 68

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 9- CMS ID  177

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 10- CMS ID 179

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 11- CMS ID 50

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure screen 12- CMD ID 155

 

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 13- CMS ID 138

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 14- CMS ID 153

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 15- CMS ID 117

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 16- CMS ID 147

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 17- CMS ID 2

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 18- CMS ID 69

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 19- CMS ID 82

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 20- CMS ID 22

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 21- CMS ID 146

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 22- CMS ID 166

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 23- CMS ID 154

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 24- CMS ID 129

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 25- CMS ID 137

 

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 26- CMS ID 165

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 27- CMS ID 125

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 28- CMS ID 124

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 29- CMS ID 130

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 30- CMS ID 126

 

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 31- CMS ID 127

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 32- CMS ID 131

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 33- CMS ID 123

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 34- CMS ID 122

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 35- CMS ID 148

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 36- CMS ID 134

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 37-CMD ID 163

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 38- CMS ID 164

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.


  1. Clinical Quality Measure Screen 39- CMS ID 145

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 40- CMS ID 182

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 41- CMS ID

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 42- CMS ID 144

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 43- CMS ID 143

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 44- CMS ID 167

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 45- CMS ID 142

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 46- CMS ID 161

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 47- CMS ID 128

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 48- CMS ID 136

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 49- CMS ID 169

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 50- CMS ID 141

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 51 CMS ID 140

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 52- CMS ID 62

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 53- CMS ID 52

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 54- CMS ID 77

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 55- CMS ID 133

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 56- CMS ID 56

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 57- CMS ID 159

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 58- CMS ID 160

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 59- CMS ID 75

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 60- CMS ID 74

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 61- CMS ID 61

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 62- CMS IS 64

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 63- CMS ID 149

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Clinical Quality Measure Screen 64- CMS ID 65

All fields must be entered to continue to the next measure screen.  The responses entered must be reported from your certified EHR reporting for the EHR reporting period even if the report states zero.  The following details the other requirements of this screen:

Please note that selecting ‘Previous’ prior to saving will result in the data on the current screen not being saved.  However, if the user clicks on the ‘Next’ button without clicking on the ‘Save’ button the data entered on the screen will be saved.

Navigation:

Previous button – will not save the data selected and return the EP to the previous screen.

Next button- automatically saves information entered in the fields and moved to the next screen.

Save button– will save the data selected.  This data will be updatable until the attestation has been completed by the EP.  

Cancel button- will clear the information entered into the fields out while remaining on the same page.

  1. Pre Attestation Summary

Meaningful Use Core Measures Summary – Takes the EP to a summary screen of their entries for the Core MU Measures.  This screen will allow them to edit any entry they have made prior to continuing with their attestation.

Meaningful Use Menu Measures Summary – Takes the EP to a summary screen of their entries for the Menu MU Measures.  This screen will allow them to edit any entry they have made prior to continuing with their attestation.

Clinical Quality Measures Summary – Takes the EP to a summary screen of their entries for the Clinical Quality Measures.  This screen will allow them to edit any entry they have made prior to continuing with their attestation.

Navigation:

Logout Button – Returns the EP to the login page

Meaningful Use Core Measures Link – Takes the EP to the summary screen for Meaningful Use Core Measures

Meaningful Use Menu Measures Link - Takes the EP to the summary for Meaningful Use Menu Measures

Core Clinical Quality Measures Link – Takes the EP to the Summary of all Clinical Quality Measures

Previous – Take the EP to the CMS/NLR screen

Next – Takes the EP to the Incentive Payment Calculations screen

  1. Meaningful Use Measures Screen – Pre-Attestation Summary

This screen lists the objective, measure, and data entered by the EP for each Meaningful Use Measure.  The EP may click on ‘Edit’ on a measure row to return to that measure and update their entry.


  1. Public Health Reporting Measures Screen – Pre-Attestation Summary

This screen lists the objective, measure, and data entered by the EP for each Public Health Reporting Measure that was responded to by the EP during their attestation.  The EP may click on ‘Edit’ on a measure row to return to that measure and update their entry.


  1. Summary of Clinical Quality Measures Screen – Pre-Attestation Summary

This screen lists the objective, measure, and data entered by the EP for each Menu Meaningful Use Measure.  The EP may click on ‘Edit’ on a measure row to return to that measure and update their entry.

   


  1. Measure Editing prior to Attestation

The EP may update any field on the measure that they have previously entered.  The field editing for the measure will still apply upon the EP clicking save.

If the user decides they did not want to make any changes then they can select the ‘Return to Summary’ button to return to the previous summary of measures page.

Navigation

Logout Button – returns the EP to the login page

Save Button – saves the data once all applicable edits are resolved.

Return to Menu Button – takes the EP back to the Measure Summary selection page.


  1. Incentive Payment Calculation Screen

The screen lists the estimated payment for the EP for the current attestation.  (The example shown is a year 2 estimated payment for a ‘Pediatrician’)


  1. Documentation Upload Screen

This page will allow the EP to attach documentation with their current year attestation.

Clicking on the ‘Browse’ button will allow the EP to search and select the documents they would like to attach

Clicking on the ‘Upload’ button will attach and save the document relating to the current attestation payment year.

Only PDFs are allowed to be uploaded


  1. Attestation Statements Screen

The EP must check all checkboxes and enter their initials and NPI in order to submit their attestation.


  1. Accepted Attestation Screen

The EP can view their measure summaries for all measure entries.  The attestation will be sent for internal review and final approval for payment.


  1. Unaccepted Attestation Screen

If your attestation is not accepted you can review the summary of measures and look for the indication of which measure were not accepted.

The EP will be allowed to re-attest once the EP is able to meet the measure requirements.


  1.  Meaningful Use Measure Summary – Post Attestation

The summary of measures for the Core MU Measures is read only and contains columns for the following information:

Object – gives the object of the measure
Measure – gives the detail measure information
Measure Calculation
Accepted/Rejected – indicates if the measure was accepted or rejected


  1. Menu Meaningful Use Measure Summary – Post Attestation

The summary of measures for the Core MU Measures is read only and contains columns for the following information:

Object – gives the object of the measure

Measure – gives the detail measure information

Measure Calculation

Accepted/Rejected – indicates if the measure was Accepted or Rejected


  1. Clinical Quality Measures Summary – Post Attestation

The summary of measures for the Clinical Quality Measures is read only and contains columns for the following information:

Title – gives the title of the measure

Description – gives the detail measure information

Status – indicates if the measure was Accepted or Rejected


  1. View All Payments Screen

The View All Payments screen is accessed by a link that is located on the left navigation menu.  This screen is a read only screen that displays any payments or adjustments made to the EP by payment year.


  1. Issues / Concerns Screen

The Issues / Concerns link is located on the left navigation menu seen below:

 

The Issues / Concerns link will open a new window that gives the provider access to the Wyoming contact us page.  

The provider can submit their issue or concern by entering their name, email, phone number (not required), an explanation of the issue or concern, and clicking the send button on the web page.

The Wyoming EHR staff monitors the submissions and will respond to the issue or concern by email or phone depending on the information given by the provider.


  1. Manual

The Manual link is located on the left navigation menu seen below:

The Manual link will give the provider quick access to the EHR manuals from their Attestation.  By clicking on the link a new window will open in the internet browser and will display the user manual that the provider can review as necessary.


  1. Appeals Screen

The Appeals screen is a read only screen that informs the EP of how to initiate an appeal and provides contact information for the appeal.


  1. Additional Resources

The Manual link is located on the left navigation menu seen below:

The Additional Resources link gives the provider quick access to the Wyoming Medicaid EHR site as well as the CMS EHR site.  By clicking on either of those links a new internet browser page will be opened to either of those sites.


  1. Send Email

The Send email link can be found on the left navigation menu.  This provides quick access to email the Wyoming EHR staff for any questions you have during your attestation.  The provider can submit their email by entering their name, email, phone number (not required), their message, and clicking the send button on the web page.  The Wyoming EHR staff monitors the submissions and will respond to the issue or concern by email or phone depending on the information given by the provider.

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