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What is the Meaningful Use Criteria?

Health Insurance Companies Process 1 in 5 Claims Wrong

Meaningful Use: Core and Menu Sets

Meaningful Use CriteriaThe criteria for Meaningful Use is detailed in a list of 25 requirements issued by the Office of the National Coordinator (ONC) which is part of the Department Health & Human Services.  The criteria is broken down into two sets of objectives and measures; A Core Set and a Menu Set. In the core set, there are 15 objectives that each provider must comply with. In the Menu set,  providers are free to choose 5  items from among a menu of 10 to implement. This brings the total to 20 objectives that must be met to demonstrate meaningful use of your certified electronic health record EHR. Fail to meet even one, and you may not qualify for the incentives.

CORE REQUIREMENTS

CPOE
Implement Drug-Drug and Drug-Allergy Interation Checks
ePrescribing
Demographics
Problem Lists
Medication List
Medication Allergy List
Vital Signs
Smoking Status
Clinical Decision Support
Calculate and Transmit CMS Quality Measures
Electronic Copy of Health Information
Electronic Copy of Discharge Health Information
Clinical Summaries
Exchange Key Clinical Information
Privacy/Security

MENU REQUIREMENTS

Implement Drug-Formulary Checks
Advanced Directives
Lab Results into EHR
Patient Lists
Patient Reminders
Timely Electronic Access to Health Information
Patient Specific Education
Medication Reconciliation
Summary of Care
Immunization Registries
Submit Lab Results to Public Health Agencies
Syndromic Surveillance

is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE

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7 Responses to What is the Meaningful Use Criteria?

  1. […] We at Capture Billing have produced a short educational video for physicians, practice administrators and medical office managers to explain the main elements of the HITECH Act. We show though animation how to qualify for the federal government incentive money that is available upon the proper implementation of a certified EHR and achieving meaningful use. […]

  2. Hello Manny,
    I’m a radiologist in a large San Diego-based practice currently providing physician services at a healthcare organization owned and operated outpatient imaging center. Am I eligible for a physician incentive payment under EHR meaningful use criteria if the facility bills globally as opposed to splitting out the professional and technical components?
    Thanks,
    Tom

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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