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For EHR meaningful use tutorials, visit 2016.SeamlessEHR.com and watch the 4 videos in order. For ICD-10 Update Information click here.

2015 Registration and Attestation (Due: February 29, 2016 11:59 pm) **** UPDATED DEADLINE: MARCH 11, 2016 11:59 pm

**** We are seeing an alarming number of offices that are trying to attest before they do the required Meaningful use data entry. BEFORE you proceed with attestation and perform any of the items below you MUST enter your information into MedicFusion. This is more than simply pushing the blue button in eSuite.

Here is a list of items you must have completed BEFORE doing the 2015 Attestation items below:
1. Read FAQ - 'Where do I start with 2015 EHR?' Read Urgent News to make sure server is up to date. Read express FAQs in News.
2. Watch video - new features walkthorough.. including the check and fix. You MUST perform the Check and fix BEFORE connecting to MedicFusion.
2. Read FAQ - 'How do I connect SeamLESS V1 to MedicFusion for EHR 2015?' Then watch the video 'Where do I start?'. Watch Video 'Configuring SeamLESS V1 to connect to MedicFusion'
3. Watch Video - ' Express stage 1 or 2' depending on your stage. Then watch video 'Objective 8 help..'

DO NOT CALL MEDICFUSION. DO NOT EMAIL MEDICFUSION. DO NOT CHAT WITH MEDICFUSION. If you need help, call Mentor. Thank you!

ATTESTATION:
1. For our customers participating in the attestation program this year, you will need the information below in order to properly attest.
Attestation Video: MedicFusion Attestation Video
Attestation Website: EHR Incentive Program
Medicfusion Attestation Number: 1314E01RCNSDEAH

2. Download the Eligible Professionals Attestation User Guide from the Pinnacle Unlimited Forms Dropbox

3. Refer to the EHR Guides to use in 2015 folder available in the Pinnacle Unlimited Forms Dropbox. (**Most helpful was the "Stage3_EP.pdf" document.)

4. REMEMBER: Print your AMR report and CQM reports. Scan these and save them for future reference in case of an audit. Also keep the Meaningful Use reference guides you used with the reports.


HELPFUL TIPS: This area will be updated as tips from users come in during the attestation period.

01/22/16: Objective 8(a) Stage 1 and 2: There is a known issue with the AMR report in MedicFusion not showing the correct #s for (a). This will cause the objective to show red. CORRECTION: x/y = % Whatever number is showing in the denominator (y), place in the numerator (x) as well. Your percentage should be 100% when you enter the data into the attestation system. y/y = 100% MedicFusion will correct the report shortly and you can log into print the correct one and save it to match. Do this by the end of February 2016. Hint: Match up the description to VDT (View Download and Transmit) section of the AMR-MU report to know what numerators and denominators to use.

01/22/16: Objective 8(b) Stage 1: Dr. Sharp mentions to put 0/0. THIS IS CORRECT. DO NOT claim exclusion on this. CORRECTION: Objective 8(b) Stage 1: Claim exclusion to this.
Objective 8(b) Stage 2: Dr. Sharp mentions to put 1/1. THIS IS CORRECT as well.

01/22/16: Not in the video: At the end, you will need to attest to 2+ more screens that the information you provided was accurate and electronically sign your attestation. On the last screen, you can print a 'Submission Receipt' and a 'Attestation Summary Report' as a PDF. I printed these and scanned with the other reports you must keep on file in case of an audit from EHR,

01/27/16: CQM Report: The CQM display report can take 5-15 minutes and sometimes longer during peak times. Be patient. Note - You cannot be working in other tabs on the same browser at the same time the report is running. Hit display and do not do anything else until it is complete. Any error message that displays on the screen such as 'Oooops! Contact support.' should be reported to Mentor. DO NOT CALL or EMAIL MEDICFUSION.

01/27/16: Objective 8(b) Stage 2: If you were unable to perform this step before 12/31/15 due to technical difficulties, your AMR report Stage 2 will show a 0 for this objective. There is no way to change this. Follow the video instructions and Helpful tips here to complete attestation.

02/04/16: AMR report report has all 0s in it - this means you did not perform any of the required data entry for the date range. Go back to the beginning of this page and start over.

02/11/16:Objective 9: Stage 1 - Choose YES exclusion. Stage 2 - Choose NO exclusion, then YES capability.

02/11/16:Objective 10: 10 (a), 10(b), 10 (c) - choose YES exclusion to all 3.

Please review the FAQ, Video, and How to sections of this website for more detailed information to assist your office in completing EHR 2015. This news section is solely used for urgent items.

* Urgent News: If you notice patients in your pending queue that are not yours, stop and call support immediately.
* Check and Fix - The invalid A-code A0. You can ignore this one. If you do edit it, do not make it conflict with another existing code. ie. A1 If it will not let you edit the code, it's because you've used it in the past. Just ignore it and it will be fixed at migration to N8.
* All items need to be completed before attestation deadline 2/29/16. Including Objective 8 - Measure 2.
* Urgent News: Some offices are reporting eSuite update issues. This was found to be related to security setting on your local machine. The developers fixed this for you in the newest update. Simply re-run the auto updater OR if it has disappeared, go to the FAQ section of this website to re-try to install directly from the links. The security issue will not be a problem then,
* Tip: If your pending queue shows a #, but does not have any patients in the queue, you can ignore this MedicFusion glitch. (deally it will say 0.)
* Tip: Access denied on eSuite updater checker? Right click on the updater and select run as administrator.
*Objective 8 - Measure 2: If you get an error trying to log in as a patient that says coming soon, you must activate the patient portal in MedicFusion. Log into your MedicFusion site and open ADMIN > Features and Functions then scroll all the way to the bottom to select the Patient Portal Features. Turn all of them ON and click save. See Videos for help completing the Objective 8 Measure 2
*If your message will not send from the patient portal, make sure you are using Chrome or Firefox browsers. We have seen problems with Internet explorer and Edge.
* If you did not receive your registration email, please email Julie at MedicFusion, Julie.Walz@MedicFusion.com with your correct email address. More than likely, she had an old email for your office. DO NOT CALL MEDICFUSION
*RUN as Administrator Some systems security are requiring users to run eSuite as Administrator. Right click on eSuite and go to properties > compatibility settings > all users > run as administrator and click save, DO THIS BEFORE you hit the blue button.
*Some antivirus programs such as Avast are blocking the upload to MF. Turn it off before the update.
*You MUST install java 1st before proceeding to step 2.
*You MUST clear the check and fix before connecting. See the video on how to do this.

Offices began to receive eSuite updates for the Server and Workstations automatically on December 23, 2016. This is a quick process that does not need Mentor's assistance. Simply accept the update and perform the update on all computers. We recommend performing the update on the server first if possible. SEE FAQ in the Knowledgebase under SeamLESS v1 & eSuite for more information. Please DO NOT call MedicFusion.

Be sure to read the instructions in the How-to section of the knowledgebase titled: "EHR 2015 - Configuring SeamLESS v1 to connect to MedicFusion". BEFORE starting the update.

Medicare has released the PQRS rules for 2016. We know these as the G-Codes... This is totally different than EHR. There does not appear to be any different information from 2015 at this time.

The ACA has compiled a guidebook, as they do each year, that will help you through the process. You can access the guidebook and find answers to any other questions here:

ACA PQRS 2016 Information

SeamLESS users that registered on this website for 2015 EHR services by December 4th, 2015 only:

To assist with meeting your 2015 Meaningful Use Requirements for attestation, we have partnered with MedicFusion (as in 2013).

Here is what you need to know:
* The connection to MedicFusion will be made through your existing Seamless (Version 1) eSuite program.
* This eSuite auto-update (coming Dec. 18th.) will provide all needed functionality.
* Instructional video and support information will be provided on Seamlessehr.com > "Software Support" section.
* You should expect contact from a MedicFusion representative (Julie) this week to get you started; do not initiate contact directly.
* Don’t forget that you have until Feb. 29th, 2016 to complete your 2015 attestation.

If you used MedicFusion to attest in 2013:
Step 1: Wait for your MedicFusion representative (Julie) to contact you with your account information.
Step 2: Please read the HOW TO section article titled 'EHR 2015 - Configuring SeamLESS v1 to connect to MedicFusion' under the SeamLESS v1 & eSuite section

If you have never used Medicfusion:
Step 1: Complete the setup forms at the following link at your earliest convenience.
New Practice MedicFusion Registration
Step 2: Please read the HOW TO section article titled 'EHR 2015 - Configuring SeamLESS v1 to connect to MedicFusion' under the SeamLESS v1 & eSuite section

EHR 2015 Requirements - ALL users will be using the EHR Modified Stage 2 measures for reporting period 10/01/15 to 12/31/15. Users will have until 2/29/16 to attest on the CMS Website. Please refer to the FAQ section of this website for more information.

This is a one time fee of $699 that will provide you with all of the necessary and required licenses for 2015 EHR requirements. This inlcudes: your eRX license; your online laboratory and radiology connections; your secure DirectAccount Email address; your online patient portal; your Functional Rating Index online license fee; and more.

These are all required to attest with CMS even if you do not use them during the reporting period.

Registration open for 2015 EHR Attestation: $699

Your response is appreciated before Nov. 23.

CMS Extends Deadline for Physician Quality Reporting System (PQRS) Informal Review Process

CMS is extending the 2014 Informal Review period. Individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, PQRS group practices, and Accountable Care Organizations (ACOs) that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment now have until 11:59 p.m. Eastern Time on December 16, 2015 to submit an informal review requesting CMS investigate incentive eligibility and/or payment adjustment determination. This is an extension from the previous deadline of December 11, 2015.

All informal review requestors will be contacted via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review.

All informal review requests must be submitted electronically via the Quality Reporting Communication Support Page (CSP) which will be available September 9, 2015 through December 16, 2015 at 11:59 p.m. Eastern Time.

PQRS is a separate requirement from EHR Meaningful Use. PQRS has to do with the G-codes that are billed to Medicare on each visit.

In 2014, there were 3 measures required to be billed to Medicare.
1. Measure #131 - Pain Assessment and Follow-up
2. Measure #182 - Function Outcome Assessment
3. Measure #317 - Preventative Care and Screening for high blood pressure and follow-up documented

Details on each measure can be found here: ACA Guidebook to PQRS 2014

It appears that those receiving the letters failed to properly report Measure #317. In order appeal this decision, each office must follow the following instructions.

2016 PQRS Negative Payment Adjustment and the Informal Review Process

In 2016, CMS will apply a negative payment adjustment to individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, and group practices participating in the Physician Quality Reporting System (PQRS) group practice reporting option (GPRO) (including Accountable Care Organizations [ACOs]) that did not satisfactorily report PQRS in 2014. Individuals and groups that receive the 2016 negative payment adjustment will not receive a 2014 PQRS incentive payment.

EPs, CPC practice sites, PQRS group practices, and ACOs that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment may submit an informal review between September 9, 2015 and November 9, 2015 requesting CMS investigate incentive eligibility and/or payment adjustment determination. All informal review requestors will be contacted via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review.

All informal review requests must be submitted electronically via the Quality Reporting Communication Support Page (CSP) which will be available September 9, 2015 through November 9, 2015 at 11:59 p.m. Eastern Time.

Please see 2014 Physician Quality Reporting System (PQRS): Incentive Eligibility & 2016 Negative Payment Adjustment - Informal Review Made Simple (available on the Analysis and Payment section of the PQRS website) for more information.

For additional questions regarding the informal review process, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or Qnetsupport@hcqis.org Monday-Friday from 7:00 a.m. to 7:00 p.m. Central Time. To avoid security violations, do not include personal identifying information, such as Social Security Number or Taxpayer Identification Number (TIN), in e-mail inquiries to the QualityNet Help Desk.

A update to the ICD10 Utility will be needed to properly process claims. See FAQ and videos for more information.

Please check the FAQs under SeamLESS 1.0 for FAQs that are continually updated.

SeamLESS ICD10 Utility Released 9/24/15. The download link can be found in the How-To section under SeamLESS 1.0.

Reminder: the dates on your Pinnacle TV schedule must be updated once a year or the program will expire. If your Pinnacle TV is showing a blank or black screen, following the instructions in this 7 minute video should resolve the issue. http://seamlesswiki.com/video-tutorials/pinnacletv/ptv-schedule-update-tutorial/

Medicare Eligible Professionals: Take Action by July 1 to Avoid 2016 Medicare Payment Adjustment

Payment adjustments for eligible professionals that did not successfully participate in the Medicare EHR Incentive Program in 2014 will begin on January 1, 2016. Medicare eligible professionals can avoid the 2016 payment adjustment by taking action by July 1 and applying for a 2016 hardship exception.

The hardship exception applications and instructions for an individual and for multiple Medicare eligible professionals are available on the EHR Incentive Programs website, and outline the specific types of circumstances that CMS considers to be barriers to achieving meaningful use, and how to apply.

To file a hardship exception, you must: • Show proof of a circumstance beyond your control. • Explicitly outline how the circumstance significantly impaired your ability to meet meaningful use.

Supporting documentation must also be provided for certain hardship exception categories. CMS will review applications to determine whether or not a hardship exception should be granted.

You do not need to submit a hardship application if you: • are a newly practicing eligible professional • are hospital-based: a provider is considered hospital-based if he or she provides more than 90% of their covered professional services in either an inpatient (Place of Service 21) or emergency department (Place of Service 23), and certain observation services using Place of Service 22; or • Eligible professionals with certain PECOS specialties (05-Anesthesiology, 22-Pathology, 30-Diagnostic Radiology, 36-Nuclear Medicine, 94-Interventional Radiology) CMS will use Medicare data to determine your eligibility to be automatically granted a hardship exception.

Apply by July 1 As a reminder, the application must be submitted electronically or postmarked no later than 11:59 p.m. ET on July 1, 2015 to be considered. If approved, the exception is valid for the 2016 payment adjustment only. If you intend to claim a hardship exception for a subsequent payment adjustment year, a new application must be submitted for the appropriate year. In addition, providers who are not considered eligible professionals under the Medicare program are not subject to payment adjustments and do not need to submit an application. Those types of providers include: • Medicaid only • No claims to Medicare • Hospital-based

Want more information about the EHR Incentive Programs? Visit the EHR Incentive Programs website for the latest news and updates on the programs.

Instructions can be found here: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/HardshipException2016_EP_Instructions.pdf

Individuals use this form: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/HardshipException2016_EP_Application.pdf

Multiple providers use this form: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/HardshipException2016_EP_Application_MultipleNPIs.pdf

NEWS FROM: T.O.P Education

The Sustainable Growth Rate (SGR) cut will go into effect on April 1, 2015.

Medicare Physician Fee Schedule claims for services rendered on or before March 31, 2015, are unaffected by the payment cut and will be processed and paid under normal procedures and time frames.

CMS will hold claims with the hope that when the Senate returns to session on April 13, 2015 they will correct this injustice. (The House has already passed the SGR repeal legislation)

We urge you to prepare for all possibilities by taking a few action steps:
  • Make sure all of your Medicare billing for services up to March 31, 2015 is submitted ASAP.
  • Hold all subsequent billing until the Senate is back in session and hopefully passes the repeal of the SGR.
  • Call your Senator and encourage them to pass the House version as is.

The 2014 Attestation Deadline was 3/20/15 at 11:59pm EST. If you missed this deadline, you must call the CMS EHR incentive program hotline to find out if there's anything further you can do. Please do not call support as this is out of their hands. This statement is on the attestation website: 'If you are having issues with your User ID/Password and are unable to log in, please contact the EHR Incentive Program Information Center at 888-734-6433 / TTY: 888-734-6563.'

NOTICE: Mentor Technologies is an IT and support services company and cannot offer Medicare attestation related advice. However Medicare has an EHR information line available to assist in the attestation process.The Electronic Health Record (EHR) Information Center is open to assist you with all of your registration and attestation system inquiries.

EHR Information Center Hours of Operation:
  • 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays.
  • 1-888-734-6433* (primary number) *(press option 1) or 888-734-6563 (TTY number)

See the "How-To" post on 2014 Registration and Attestation on this website for links to Attestation Guides and other useful information.

Attention: If you have not already attested to meaningful use and plan to do so, be sure to verify that you have an active password as soon as possible. CMS takes 24 hours to issue a password reset. Here is a link for your convenience:  https://ehrincentives.cms.gov/hitech/loginCredentials.action

Some that are attesting are seeing a few differences between the video and website. DID YOU KNOW...the how to section of the knowledgebase has tips and hints from CAs that attested to show the differences? Look under 2014 Registration and Attestation in the How to and tips!

Phase 1 - If you have not received the update to your user settings that enter your eRx passwords, connect your server to Mentor ASAP. ** If you are able to input medications and allergies in, then you do not need to contact support.

If you receive an SSO 207 error when adding medications. Email support@Seamlessehr.com ASAP to get your account reset with Dr. First.

Hot topic - MedicFusion logo showing in eRx when I try to add medications. Ignore this logo error by eRx company. They are resolving this now but it will not affect your ability to add meds at all.

Version 2.0.4 released 03/16/15. To get this version, click the updater icon on your desktop or connect your server to Mentor support ASAP. This resolves all known issues with the Phase 1 release of Seamless EHR. Several users have already attested with this version.

The Phase 1 auto-update was released on 03/13/15 versions 2.0.2 and 2.0.3. This was released as an auto-update and your server will automatically find and install the update. YOU DO NOT NEED TO CALL MENTOR SUPPORT FOR THE UPDATE! Your computer will find it automatically. If for some reason it does not, please look in the knowledgebase at the videos on how to manually search for an update to SeamLESS 2.0. See the change log in the knowledgebase for exact issues addressed.

1. How to add medications and medication allergies, in both written and video formats, have been added to the knowledgebase. 2. How to manually search for SeamLESS 2.0 updates video 3. 2014 Attestation Video

There is a known issue with the ePrescribe (aka eRx) server Dr. First even after the 2.0.3 update. When adding medications or allergies, an SSO error appears. This is a problem on their side and it is being addressed by them. You will know it works when the error resolves and it opens to a screen with the Seamless logo for eRx. ****DO NOT CALL MEDICFUSION or MENTOR. IT HAS NOTHING TO DO WITH THEM. We must wait for Dr. First servers.

Known issue - Fixed issue where if more than 1 Doctor at all is listed in the practice, that the doctor assigned to the visits are scrambled. This causes the stats to be off and visit doctor to be random. This was issue if: a. a single doctor office had their same name in there 2 times b. dual doctor office c. Purchased a practice and there was an old doctor name in the system d. Any combination of the above This issue has been resolved in the update 2.0.3 release 03/13/15.

There are a few known issues in the Phase 1 install. 1. Trying to save doctor password get a nullable error. Do not assign the doctor. After the update this will work fine. 2. width not valid = your monitor is not compliant with 2.0 requirements. See Articles for required hardware. 3. my seamless 1.0 won't work now = contact mentor support

Phase 1 of SeamLESS 2.0 has been released. This release will allow user to complete their 2014 attestation. Please refer to the knowledge base for more details.

We are still waiting on the usernames and passwords from the eRx provider. Once we receive this, we can pass them along to Mentor to put in your computer for you. Right now, you can update all of your NOs for Medications and NOs for Allergies, but cannot ADD meds or allergies at this time. We hope to have all needed data to you this week.

Phase 1 - If you have not been upgraded to Seamless EHR 2.0 yet you need to connect your SERVER to mentor support and leave unattended access on. Again, the SERVER!!

EHR Incentive Programs ? A program of the Centers for Medicare & Medicaid Services News Updates New EHR Attestation Deadline for Medicare Eligible Professionals: March 20, 2015 Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year. CMS extended the deadline to allow providers extra time to submit their meaningful use data. CMS continues to urge providers to begin attesting for 2014 as soon as they can. This extension also allows eligible professionals, who have not already used their one “switch”, to switch programs (from Medicare to Medicaid, or vice versa) for the 2014 payment year until 11:59 pm ET on March 20, 2015. After that time, eligible professionals will no longer be able to switch programs. Medicare eligible professionals must attest to meaningful use every year to receive an incentive and avoid a payment adjustment. Providers who successfully attest for the 2014 program year will: Receive an incentive payment Avoid the Medicare payment adjustment, which will be applied January 1, 2016 Note: The Medicare extension does not affect deadlines for the Medicaid EHR Incentive Program. Additionally, the EHR reporting option for PQRS has been extended until March 20, 2015. Please be on the lookout for a separate listserv with information regarding the PQRS program extension. How to Attest Submit your data to the Registration and Attestation System, which includes 2014 Certified EHR Technology (CEHRT) Flexibility Rule options. Tips for speed: Attest during non-peak hours, such as evenings and weekends Start now to: Check that your information is up to date Begin entering your 2014 data To learn more, see the Educational Resources on the CMS EHR Incentive Programs website. For help, call the EHR Information Center: 1-888-734-6433 TTY for people with hearing impairments: 1-888-734-6563 Monday – Friday, 8:30 am – 7:30 pm (ET)