Stomp out the potential for Medicare payment adjustments. No crisis is required if you take this opportunity to make a plan. Earn the benefits of this merit badge by planning your steps toward demonstrating meaningful use.

The EHR Incentive Program requires eligible providers to integrate meaningful use of certified EHR technologies into their practices in stages. Each stage requires providers to meet specific measures and attest to their completion. Typically, you must complete two years of Stage 1 before you can begin Stage 2.

However, CMS has modified the EHR Incentive Programs for the 2015, 2016, and 2017 reporting years. To simplify the program, CMS is requiring all participants to report on a modified version of Stage 2. To help providers adapt to this change, CMS also implemented 90-day reporting periods for all providers in 2015, 2016, and 2017.

Reporting Periods


For 2016, all providers will attest to 90 days of continuous meaningful use.

The table below outlines the attestation periods for the Medicare EHR Incentive Program. If you're participating in the Medicaid program, go to CMS' "My EHR Participation Timeline" for more information.

Attestation Year 2011 Adoption 2012 Adoption 2013 Adoption 2014 Adoption 2015 Adoption 2016 Adoption
2015
Modified Stage 2
90 days
Modified Stage 2
90 days
Modified Stage 2
90 days
Modified Stage 21
90 days
Modified Stage 21
90 days
2016
Modified Stage 2
90 days
Modified Stage 2
90 days
Modified Stage 2
90 days
Modified Stage 2
90 days
Modified Stage 2
90 days
Modified Stage 2
90 days
2017
Modified Stage 2 or Stage 3
90 days (as part of MIPS)
Modified Stage 2 or Stage 3
90 days (as part of MIPS)
Modified Stage 2 or Stage 3
90 days (as part of MIPS)
Modified Stage 2 or Stage 3
90 days (as part of MIPS)
Modified Stage 2 or Stage 3
90 days (as part of MIPS)
Modified Stage 2 or Stage 3
90 days (as part of MIPS)
2018
Stage 3
Full Year (as part of MIPS)
Stage 3
Full Year (as part of MIPS)
Stage 3
Full Year (as part of MIPS)
Stage 3
Full Year (as part of MIPS)
Stage 3
Full Year (as part of MIPS)
Stage 3
Full Year (as part of MIPS)

1 If you were scheduled to attest to Stage 1 in 2015, you may attest to alternate exclusions and specifications for certain objectives and measures in 2015 only. After 2015, all providers must attest to the Modified Stage 2 objectives.

Objectives


Like the previous stages, the Modified Stage 2 is broken down into objectives. These objectives are categorized as core, public health, and clinical quality measures. You'll notice that there are fewer objectives than previous stages. There are fewer objectives because CMS removed several redundant objectives and objective that have been widely adopted by the industry as best practice.

You must complete 9 core objectives, 1 public health objective, and 9 clinical quality measures.

Stage 1
(2011–14)
Stage 2
(2014)
Modified Stage 2
(2015–17)
15 core measures
17 core measures 9 core objectives
5 menu measures
3 menu measures 1 public health objective
6–9 clinical quality measures
9 clinical quality measures 9 clinical quality measures

Security Risk Analysis


The security risk analysis was one of the biggest hurtles providers faced in Stage 1. The security risk analysis requires much more than turning on a feature within your certified EHR; it requires a thoughtful and thorough evaluation of how well your practice protects patient data. You'll need to consider several risk areas in your practice:

  • Physical safeguards
  • Technical safeguards
  • Policies and procedures
  • Administrative safeguards
  • Organizational safeguards

The security risk analysis is again required in Modified Stage 2. There are no exclusions from this measure, but there aren't any additional requirements either. Whether you're a security expert or the thought of conducting another security risk analysis makes you cringe, review CMS' Security Risk Analysis Tipsheet for information on fulfilling this measure.

Finding Additional Information


We've collected a few resources to help you learn more about Modified Stage 2.

Certification Statements


OfficeMate/ExamWRITER 11.1 has achieved ONC HIT 2014 Edition Complete EHR certification, which designates that the software is capable of supporting eligible providers with meeting the Stage 1 and Stage 2 meaningful use measures required to qualify for funding under the American Recovery and Reinvestment Act (ARRA). OfficeMate/ExamWRITER 11.1 was certified by ICSA Labs, an Office of the National Coordinator-Authorized Certification Body (ONC-ATCB), and is compliant in accordance with applicable criteria adopted by the Secretary of Health and Human Services (HHS).

Eyefinity EHR 4.0 has achieved ONC HIT 2014 Edition Complete EHR certification, and Eyefinity EHR Mobile 4.0 has achieved ONC HIT 2014 Edition Modular EHR certification. These certifications designate that the software is capable of supporting eligible providers with meeting the Stage 1 and Stage 2 meaningful use measures required to qualify for funding under the American Recovery and Reinvestment Act (ARRA). Eyefinity EHR 4.0 and Eyefinity EHR Mobile 4.0 were certified by ICSA Labs, an Office of the National Coordinator-Authorized Certification Body (ONC-ATCB), and are compliant in accordance with applicable criteria adopted by the Secretary of
Health and Human Services (HHS).

AcuityLogic 3.3 has achieved ONC HIT 2014 Edition Modular EHR certification, which designates that the software is capable of supporting eligible providers with meeting the Stage 1 and Stage 2 meaningful use measures required to qualify for funding under the American Recovery and Reinvestment Act (ARRA). OfficeMate/ExamWRITER 11.1 was certified by ICSA Labs, an Office of the National Coordinator-Authorized Certification Body (ONC-ATCB), and is compliant in accordance with applicable criteria adopted by the Secretary of Health and Human Services (HHS).