United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2012_register executive 2012-09-01 article Part II Rules and Regulations D09002ee1c7fc7f30 D09002ee1c7fc8029 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and/or Medicaid electronic health record (EHR) incentive payments. In addition, it specifies payment adjustments under Medicare for covered professional services and hospital services provided by EPs, eligible hospitals, and CAHs failing to demonstrate meaningful use of certified EHR technology (CEHRT) and other program participation requirements. This final rule revises certain Stage 1 criteria, as finalized in the July 28, 2010 final rule, as well as criteria that apply regardless of Stage. 77 FR 53968 https://www.govinfo.gov/app/details/FR-2012-09-04/2012-21050 2012-21050 fr04se12-7 RIN 0938-AQ84 4120-01-P CMS-0044-F https://www.govinfo.gov/app/details/FR-2012-09-04/2012-21050 https://www.govinfo.gov/content/pkg/FR-2012-09-04/html/2012-21050.htm https://www.govinfo.gov/content/pkg/FR-2012-09-04/pdf/2012-21050.pdf Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements Kidney Diseases Electronic Health Records Health Professions Health Maintenance Organizations (Hmo) Medicaid Penalties Privacy 195 p. 53968 54162 77 FR 53968 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 495 42 CFR Part 495 RIN 0938-AQ84 Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2; Federal Register Vol. 77, Issue RULE 2012-21050 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2012-11-05 CMS-0044-F 4120-01-P 2012-21050 Final rule.

This final rule specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and/or Medicaid electronic health record (EHR) incentive payments. In addition, it specifies payment adjustments under Medicare for covered professional services and hospital services provided by EPs, eligible hospitals, and CAHs failing to demonstrate meaningful use of certified EHR technology (CEHRT) and other program participation requirements. This final rule revises certain Stage 1 criteria, as finalized in the July 28, 2010 final rule, as well as criteria that apply regardless of Stage.

Effective dates: This final rule is effective on November 5, 2012, with the exception of the definition of "meaningful EHR user" in Sec. 495.4 and the provisions in Sec. 495.6(f), Sec. 495.6(g), Sec. 495.8, Sec. 495.102(c), and part 495 subpart D, which are effective September 4, 2012. Elizabeth Holland, (410) 786-1309, or Robert Anthony, (410) 786-6183, EHR Incentive Program issues or Administrative appeals process issues. David Koppel, (410) 786-3255, for Medicaid Incentive Program issues. Frank Szeflinski, (303) 844- 7119, for Medicare Advantage issues. Travis Broome, (214) 767-4450, Medicare payment adjustment issues. Douglas Brown, (410) 786-0028, or Maria Michaels, (410) 786-2809 for Clinical quality measures issues. Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements Kidney Diseases Electronic Health Records Health Professions Health Maintenance Organizations (Hmo) Medicaid Penalties Privacy Medicare and Medicaid Programs: Electronic Health Record Incentive ProgramStage 2 , cpe@ama-assn.org cqaimh@cqaimh.org info@mncm.org OIRA_submission@omb.eop.gov assn.org assn.org/cgi/content/full/167/8/788 healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov_privacy_security_framework/1173 http://archinte.ama http://content.healthaffairs.org/content/30/3/481.abstract http://healthit.hhs.gov http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__nhin_exchange/1407 http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__nhin_resources/1194 http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov_privacy_security_framework/1173 http://healthit.hhs.gov/portal/server.pt?open=512&objID=1815&parentname=CommunityPage&parentid=7&mode=2&in_hi_userid=11113&cached=true http://mchb.hrsa.gov/ http://millionhearts.hhs.gov http://minorityhealth.hhs.gov/templates/content.aspx?ID=9232#1 http://oncchpl.force.com/ehrcert http://questions.cms.gov http://questions.cms.hhs.gov/app/ask/p/21,26,1139 http://www.cbo.gov//ftpdocs/91xx/doc9168/05-20-HealthIT.pdf http://www.cdc.gov/EHRmeaningfuluse/rcmt.html http://www.cdc.gov/ehrmeaningfuluse/Syndromic.html http://www.cdc.gov/nhsn/CDA_eSurveillance.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf http://www.cms.gov/qualitymeasures/05_ehrincentiveprogramappeals.asp http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS1201984.html http://www.cms.gov/smdl/downloads/SMD11002.pdf http://www.cms.hhs.gov/EHRincentiveprograms http://www.cste.org/dnn/ProgramsandActivities/PublicHealthInformatics/StateReportableConditionsQueryResults/tabid/261/Default.aspx http://www.deadiversion.usdoj.gov/schedules/index.html http://www.healthcare.gov/law/resources/reports/nationalqualitystrategy032011.pdf http://www.healthcare.gov/law/resources/reports/quality03212011a.html http://www.hhs.gov/ocr/civilrights/index.html http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/rafinalguidancepdf.pdf http://www.journalacs.org/article/S1072-7515%2807%2900390-0/abstract-article-footnote-1s http://www.nejm.org/doi/abs/10.1056/NEJMsa0907115?query=NC http://www.qualityforum.org/map/ http://www.qualityforum.org/Measuring_Performance/Consensus_Development_Process.aspx http://www.qualitynet.org/ https://questions.cms.gov https://questions.cms.gov/faq.php?id=5005&faqId=3257 https://questions.cms.hhs.gov https://www.cms.gov/apps/ama/license.asp?file=/QualityMeasures/Downloads/QMEPSupplemental.zip https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/ElectronicSpecifications.html https://www.cms.gov/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdf https://www.cms.gov/QualityMeasures/03_ElectronicSpecifications.asp Qualitynet.org www.asco.org www.broadband.gov www.broadbandmap.gov www.cdc.gov www.cmqcc.org www.cms.gov/EHRIncentivePrograms www.cqaimh.org www.ingenix.com www.jointcommission.org www.mncm.org www.nccn.org www.ncqa.org www.qualitynet.org www.umn.edu www.usqualitymeasures.org Vol. 77, no. 171 Office of the Federal Register, National Archives and Records Administration 2012-09-04 continuing daily deposited born digital 593 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2012-09-04 P0b002ee1834a10f5 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr04se12 https://www.govinfo.gov/app/details/FR-2012-09-04 https://www.govinfo.gov/content/pkg/FR-2012-09-04/pdf/FR-2012-09-04.pdf https://www.govinfo.gov/content/pkg/FR-2012-09-04/xml/FR-2012-09-04.xml fdlp 53769 54352 DGPO 2012-09-01 2024-06-03 FR-2012-09-04 machine generated eng FR FR-2012-09-04 77 171