On September 4 2012, CMS published a final rule listing Stage 2 criteria that eligible professionals (EPs), hospitals, and critical access hospitals (CAHs) have to meet to continue to participation in Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.

By June 13, 2013 only three vendors are ready for inpatient, and three for ambulatory on  the CMS website that shows which EHR vendors have their product certified for Meaningful Use under the 2014 Standard.

This creates an issue for all Eligible Providers (EPs) who achieved meaningful use Stage 1.  Unless their EHR vendor meets the Stage 2 requirements, those EPs no longer qualify for Meaningful Use stimulus dollars.

These developments come in the same year that all HIPAA Covered Entities should be moving toward ICD-10.

The 2014 Edition Standards and Certification Criteria final rule:

  • Introduces new privacy, security, interoperability, safety, portability, quality measures, and transitions of care standards.
  • Redefines the meaning of Certified EHR Technology while aiming to permit greater innovation and reduced regulatory burden;
  • Adopts certification criteria for transitions of care that will ensure EHR technology supports standards-based electronic health information exchange
  • Requires test reports used for EHR technology certification be made publicly available and that EHR technology developers follow certain price transparency practices related to the types of costs (i.e., one-time, ongoing, or both) associated with EHR technology implementation for meaningful use; and
  • Makes available for the first time, “gap certification” for certain certification criteria, which will enable more efficient EHR technology certification.
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