On August 2, 2018, the Centers for Medicare & Medicaid Services (CMS) released a 2,693-page FY 2019 Medicare IPPS and LTCH Final Rule, detailing changes to the Promoting Interoperability (PI) Program, formerly known as the EHR Incentive Program or Meaningful Use.
Under the final rule, several key changes were made to the PI Program:
- Use of 2015 Edition of CEHRT is required beginning in calendar year (CY) 2019 for eligible hospitals and Critical Access Hospitals (CAHs)
- Certain measures that did not emphasize the electronic exchange of health information or interoperability will be removed beginning in CY 2020
- In effort to allow eligible hospitals and CAHs to place more focus on the patients, a new performance-based scoring methodology will be set for the Medicare PI Program and will be based on a smaller set of objectives
- CMS or State Medicaid agency participants who are new or returning to the program may report – at a minimum – for any consecutive 90-day period in CYs 2019 and 2020
- Eligible hospitals and CAHs must select at least four electronic quality measures (eCQMs) from a set of 16 for eCQM reporting
- The rule also finalizes two new optional e-Prescribe measures focused on opiods