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Eligible Professional Attestation Worksheet for Modified Stage 2


Medicare Electronic Health Record (EHR) Incentive Program in 2016

Year Developed: 2016

Resource Type: Publication.

Primary Audience: Enabling Staff

Language(s): English

Developed by: HITEQ (See other resources developed by this organization).

Resource Summary: The Eligible Professional (EP) Attestation Worksheet is for EPs in the EHR Incentive Program in 2016, and allows them to enter their meaningful use data to use as a reference when attesting for the Medicare EHR Incentive Program in the CMS system. Please note that this worksheet differs in format and presentation when compared to the Attestation User Guide and Attestation system. Although the reporting deadline for the 2016 EHE Incentive Program Reporting Period had passed, the new worksheet for 2017 has yet to be released by CMS. In the meantime, we recommend interested parties to use the 2016 worksheet as a baseline since the reporting items are largely identical, with the exception of various cut-off values. The Eligible Professional (EP) Attestation Worksheet is for EPs in the EHR Incentive Program in 2016, and allows them to enter their meaningful use data to use as a reference when attesting for the Medicare EHR Incentive Program in the CMS system. Please note that this worksheet differs in format and presentation when compared to the Attestation User Guide and Attestation system. For each objective with a percentage-based measure, certified EHR technology must include the capability to electronically record the numerator and denominator and generate a report including the numerator, denominator, and resulting percentage for these measures. However, eligible professionals may use additional data.

Resource Topic: Health Information Technology (HIT)/Data

Resource Subtopic: Electronic Health Records (EHRs).

Keywords: Attestation , Content Management System (CMS), Eligible Professionals , Incentive Programs, Meaningful Use.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.