Meaningful Use FAQ

This results from an issue with your email settings. To resolve the issue:

1. Log in to ChiroTouch with provider credentials.
2. Open the ChiroTouch Launcher.
3. Right-click the Launcher icon.
4. Select Options.
   
   
5. The software will open the Options window. Click the MU Settings button.
   
   
6. The software will open the MU Settings window.
   1. Select MyChiroTouch Configurable from the Email Type: drop-down menu.
   2. Enter your practice's primary email address in the Return Email: field.
   3. In the Port: field, enter a value of 0 and click Save.

If you continue to receive an error message, follow steps 1-5 above, enter a value of 587 in the Port: field and click Save.

If this still does not work, follow steps 1-5 above and enter a value of 465 in the Port: field and click Save.

Email the ChiroTouch EHR Department. We'll need to connect to your server to resolve the issue. Let us know a few dates and times that you are available for us to assist you.

This error often results from incorrect Clock, Language and Region settings on either your workstation computer or server computer. Verify that both computers are set to your correct date, time zone and correct time. To check this: 

1. Open each computer's Control Panel from the Start button. Click Clock, Language and Region settings.
2. Under Date and Time, click Set the time and date.
3. Your operating system will open the Date and Time dialog box displaying the date, time and time zone.
4. Check that the date, time zone and time information is correct.

NOTE:  
If you need help determining the exact time in your area, visit http://www.timeanddate.com/worldclock/ and search for your city.

If both computers are set to the correct date, time, and time zone and you are still getting the SSO-209 error, create a case with the Meaningful Use Department. Let us know a few dates and times that you are available for us to assist you.

Please create a case with the Meaningful Use Department and include the following information:

1. Whether the error is occurring for all patients or just one patient
2. The names of the patient or patients the error is occurring for
3. Whether the error is occurring on all workstations
4. A few dates and times that you are available for us to assist you

This error results when a DrFirst account is inactive or disabled.

Please email the ChiroTouch EHR Department with the following information:

1. Your Client ID
2. The name of the provider who received the error
3. The provider's ChiroTouch User Name (not their password)

This error results from mismatched information between your ChiroTouch system and your DrFirst portal.

Please create a case with the Meaningful Use Department and include the following information:

1. Your Client ID
2. The name of the provider who received the error
3. The provider's ChiroTouch User Name (not their password)

1. Navigate a web browser to the MyChiroTouch.com Accounts page.
2. Scroll through the list of services enabled on your account to CTRx.
3. Click Cancel Service under the appropriate provider.

Per your CTRx purchase agreement, there are no refunds after your credit card is charged for the CTRx service. You must submit a cancellation request via the MyChiroTouch.com Accounts page prior to the renewal date if you not want to renew your subscription..

NOTE:  
Canceling the CTRx service for a provider will result in non-compliance for that provider's Meaningful Use reporting period.

Your CTRx service will automatically renew annually. The renewal date is the same month and day as your initial billing date. You must submit a cancellation request via the MyChiroTouch.com Accounts page prior to the renewal date if you not want to renew your subscription. We will send you a reminder email during the month before your subscription renewal date.

No. Each provider at your practice who is participating in the EHR Incentive Program must have a unique CTRx subscription.

The basic CTRx service has nothing to do with prescribing medication.

As part of the Meaningful Use Program requirements set by CMS, each participating provider must have individual access to both an active medication and allergy list, and that information must be on the e-copy that you send to the patient portal for Patient Electronic Access – Timely Access. The basic CTRx subscription meets these requirements.

We do offer the full e-prescribing version of the CTRx service for doctors who do prescribe medication. Again, the CTRx subscription is designed to meet a CMS requirement for the Meaningful Use Program.

Yes.

The CMS payment adjustment for not participating is 1% each year starting January 1, 2015. The penalty is cumulative every year that you do not demonstrate meaningful use of your CEHRT software, and the penalty caps at 5% in 2019.

Providers who meet the requirements for Meaningful Use can receive an incentive payment equal to 75% of their total allowed Medicare Part B charges for the year up to the maximum thresholds listed in the table below. Keep in mind that these thresholds are maximums and are not a guarantee of what you will actually receive.

Previously, the maximum thresholds were $12,000, $8,000, and $4,000, respectively, but budget sequestration by the United States federal government in 2013 mandated reductions in federal spending including Medicare EHR incentive payments.

Per CMS, there will be a 4-6 week wait time from your successful attestation submission to the processing and distribution of your incentive payment if you have met the maximum threshold in total allowed Medicare Part B charges for the year.

If you have not met the maximum but demonstrated compliance with all the requirements and successfully submitted your attestation, you will still receive an incentive payment, but the wait time may be longer than 4-6 weeks.

If you reach the maximum threshold in total allowed charges for the calendar year before you attest, CMS will begin to process your incentive payment when you attest.

Please contact CMS directly for payment information and details: 888-734-6433

All eligible providers participating will report for any consecutive 90 days to a full year, between 01/01/2016 - 12/31/2016.

Reporting is gathering the required data and completing each of the objectives and sub-measures that are applicable to you throughout the reporting period each year.

Attesting is the process you go through to provide that data from your reporting period to CMS through the Attestation System website.

Meaningful Use reporting is not going away. CMS is already imposing payment penalties on providers who do not demonstrate meaningful use of a Certified EHR Technology (CEHRT) and planning the next stages of the program.

If you did not participate in the program and demonstrate meaningful use in 2014, you would have already received a 1% payment penalty on all Medicare reimbursements in 2016.

If you also chose not to participate in 2015, you will receive a 2% payment penalty on all Medicare reimbursements in 2017. CMS will increase this penalty by 1% for each year that you fail to demonstrate meaningful use until your penalty caps at 5% after 5 successive years of non-compliance.

Providers who have at least one Medicare patient may participate.

No, you only need to register for the program once.

This number is located in the bottom left corner of your EHR Dashboard and on the EHR Training Page on MyChiroTouch.com under Attest.

If you began participating in the EHR Incentive Program prior to the current year, your reporting period will last the full calendar year. Your EHR dashboard should be set from 1/1/2016 to 12/31/2016 to monitor your compliance for the full year.

If 2016 is your first year participating in the EHR Incentive Program, your reporting period will last for 90 days.

You do not need to indicate to CMS or to ChiroTouch that you are beginning your reporting period. To begin your reporting period,

1. Log in to ChiroTouch with provider credentials.
2. Open the EHR Dashboard.
3. Adjust your date range to reflect the start and end dates of your reporting period.
4. You are responsible for compliance, as reflected on your EHR dashboard, throughout this period.

Stage 1: Any EP who started with the Meaningful Use program in 2015, or if 2016 is your first year, than you are considered to be a Stage 1 reporter.

Stage 2: Any EP who began participating prior to 2015 is considered a Stage 2 reporter.

CMS released Modified Stage 2 in October 2015. All providers will report to the Modified Stage 2 requirements, but those considered to be Stage 1 for 2016, will be able to exclude Radiology and Laboratory Orders under the CPOE Objective, however, in 2017 all providers will report for all Objectives no matter what Stage you are.

Please refer to the Modified Stage 2 Quick Reference Guide posted on the EHR Information page and CT Community.

Report based on the year you first demonstrated meaningful use and completed an attestation submission with CMS. Click here to view your reporting responsibilities based on the year you began participation in the EHR Incentive Program.

CMS released Modified Stage 2 in October 2015. All providers will report to the Modified Stage 2 requirements, but those considered to be Stage 1 for 2016, will be able to exclude Radiology and Laboratory Orders under the CPOE Objective, however, in 2017 all providers will report for all Objectives no matter what Stage you are.

Starting in 2015, all providers will use the same EHR Intake Form, regardless of which year of reporting they are in. Click here to download a copy of the form or click EHR Intake Form in the Meaningful Use training manual’s table of contents.

The Stage 2 Service Pack is $295/year per provider with a one-time $100 setup fee for an ID verification. You need the Stage 2 Service Pack for 2016 if you meet any of the following criteria:

1. You will do more than 100 radiology orders (in-house or via referral) during the reporting period. First and second year participants are excluded from this measure.
2. You will do more than 100 laboratory orders (in-house or via referral) during the reporting period. First and second year participants are excluded from this measure.
3. You will do more than 100 transitions of care or outbound referrals during the reporting period.
• If you don't meet any of those criteria, you do not need the Service Pack (i.e. MaxMD and LifePoint) because you will exclude the measures that require it.
• If you determine that you will need the Service Pack, you will need it in addition to the CTRx subscription that the provider already has. The pricing is $295/provider per year plus a one-time $100/provider set up fee.
• Every time you open the EHR Dashboard, a pop-up will prompt you to sign up for the package. You can sign up at any time this year as long as you allow yourself enough time to complete all of your Stage 2 Pack-related measures by December 31st, 2016.

If a patient does not have an email on file, you can still register them for the portal. View Setting Up the Patient Portal for Your Patients.

Each state differs in which Public Health Measures (i.e. Objective 10A-C) they require chiropractors to complete for the Meaningful Use Program. Chiropractors can only claim exclusions for the measures that are not required in their jurisdiction, so it is important that you contact your state health department to find out what is required of you. We advise documenting any information you receive, and save that documentation as evidence in case of a future audit.

Find out more information about your Public Health reporting requirements and local contact by clicking on your state below.

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

MaxMD is a Health Information Service Provider (HISP). You must identify a provider at your practice to be your practice's HISP administrator before you sign up for the Services package.

A MaxMD Direct mdEmail^® account provides a way to send secure e-mail communications containing health information directly to a trusted recipient over the internet in a HIPAA compliant manner.

Direct Messaging has more robust security than traditional e-mail accounts. The Direct messaging protocol is specifically designed for the exchange of patient health information across different EHR networks. Traditional means of communication can be compromised by unauthorized users, but Direct Messaging allows credentialed health care providers to securely share patient information electronically with outside providers.

Watch this video to learn more about how to use your MaxMD Direct Messaging service:

The HISP administrator should be the primary practicing provider (usually the practice owner).

The HISP administrator is responsible to ensure that all staff who have access to the system use it responsibly.

The provider who will be your practice's HISP administrator must be the first person at your practice to register for the EHR Stage 2 Services package.

The HISP administrator must also complete identity verification via a recorded video conference.