SCGhealth Blog

Eligible Professionals, Do You Qualify for A Hardship Exception?

Wednesday, September 27, 2017

By Brandy Dehaven, Intern

The Center for Medicare & Medicaid Services (CMS) is allowing a one-time hardship exception to eligible professionals in the electronic medical record (EMR) incentive program. This will give you time to adjust to the Advancing Care Information (ACI) performance category of the Merit-based Incentive Payment System (MIPS).

You may also be eligible for a one-time hardship exception if your EMR technology has become decertified during the 2018 payment adjustment year.

Who Qualifies?
To qualify for the one-time hardship exception, you need to be participating in the Medicare EMR Incentive program in 2017 as a first-time participant. You should also be transitioning to MIPS during the 2017 performance period. In addition, you must intend on reporting measures under the ACI performance category in 2017.

To qualify under the exception for decertified EMR technology, the following requirements must be met:

  • The EMR technology was decertified during the 12-month preceding the applicable EMR reporting period for the 2018 payment adjustment year under ONC’s Health IT Certification Program or during the applicable EMR reporting for the 2018 payment adjustment year.
  • The eligible professional made an effort to obtain another certified EMR technology for the applicable reporting period.

What Steps to Take and The Approaching Deadline
The deadline for the EMR Incentive Program Hardship application is quickly approaching. Eligible professionals that meet the criteria for the one-time hardship must submit a Medicare EMR incentive program hardship exception application no later than Saturday, October 1, 2017.

This deadline also gives eligible professionals time to report ACI performance measures under MIPS during the last 90-day reporting period for 2017.

Apply for the one-time EMR Incentive Program Hardship Exception using this form.

Learn more by checking out CMS’s payment adjustments and hardship information page.

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