Medicare eligible professionals participating in Stage 1 of the EHR Incentive Programs are required to report on a total of 5 meaningful use objectives from the menu set of 9 objectives. When selecting five objectives from the menu set, eligible professionals must choose at least one option from the public health menu set. If an eligible professional is able to meet the measure of one of the public health menu objectives but can be excluded from the other, he or she should select and report on the public health menu objective he or she is able to meet.
If an eligible professional participating in the Medicare EHR Incentive Program can be excluded from both public health menu objectives, he or she may meet the menu requirement one of two ways:
1. Claim an exclusion from only one public health objective and report on four additional menu objectives from outside the public health menu set.
2. Report on five menu objectives from outside the public health menu set.
Eligible professionals participating in Stage 2 are required to report 3 meaningful use objectives from the menu set of 6.
We encourage eligible professionals to select menu objectives that are relevant to their scope of practice, and claim an exclusion for a menu objective only in cases where there are no remaining menu objectives for which they qualify or if there are no remaining menu objectives that are relevant to their scope of practice. For example, we hope that eligible professionals will report on 5 measures, if there are 5 measures that are relevant to their scope of practice and for which they can report data, even if they qualify for exclusions in the other objectives.
The CMS Registration and Attestation System may prompt a Medicare eligible professional to report on additional measures if he or she claims an exclusion. This is because starting in 2014, the exclusion criteria will no longer count as reporting a meaningful use objective from the menu set. A Medicare eligible professional must meet the measure criteria for the objectives or report on all of the menu set objectives through a combination of meeting exclusion and meeting the measure.
However, some Medicare eligible professionals who elect option 1 above may be asked to report on non-public health measures when they claim that exclusion in the CMS attestation system. These providers should document this issue for their records and then claim the exclusion for the remaining measures in order to allow the attestation system to accept their attestation.
These options only apply to eligible professionals participating in the Medicare EHR Incentive Program. Eligible professionals participating in the Medicaid EHR Incentive Program should contact their state for guidance on attesting to public health objectives.
If Medicare providers still experience issues when attesting to menu objectives, please contact the EHR Incentive Program Information center at (888) 734-6433.
For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms.
Updated on 3/12/2015