Meaningful Use 2011 Edition Extension-What Does It Mean for You?

Lea Chatham May 23rd, 2014

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The CMS and the ONC announced a proposed rule this week that gives eligible professionals (EPs) the option to attest for Stage 1 of Meaningful Use for 2014 using 2011 Edition certified EHRs. The rule also formalizes past changes extending Stage 2 to 2016 and beginning Stage 3 in 2017.

So, what does this actually mean for healthcare providers who are currently attesting or plan to attest this year? It’s a little complicated, but here is an overview of your options:

  • Any EP attesting for Stage 1 in 2014 can use a 2011 Edition, 2014 Edition, or a combination of the two. Reporting periods stay the same: 90 continuous days for Year 1 and a 3-month period on the calendar quarter for subsequent years. See the chart below for which objectives and measures to use.
  • EPs who started Stage 1 in 2011 or 2012 who were required to start Stage 2 in 2014 have a reprieve. They can attest again for Stage 1 using a 2011 Edition, 2014 Edition, or a combination of the two on a 3-month calendar quarter. See the chart below for which objectives and measures to use.
  • EPs who were required to start Stage 2 in 2014 who have a 2014 Edition certified EHR have the option to start Stage 2 and attest on the 3-month calendar quarter as previously planned using the 2014 meaningful use criteria.
  • Medicaid EPs seeking a first incentive must adopt, implement, or upgrade to 2014 Edition certified EHR only. Incentives will not be given for adopting 2011 Edition systems that will be out of date for 2015.
  • In 2015, things go back to the way the way they were. So, those EPs who were required to attest to Stage 2 in 2014 must attest to Stage 2 in 2015 whether they opted to do one more year of Stage 1 in 2014 or go ahead with Stage 2.

MU Extension Overview

According to the proposed rule, all of the Meaningful Use timelines stay the same. So, providers choosing to attest for the first time in 2014 still need to get started by July 1, 2014 and report by October 1, 2014. This extension is only for 2014 and doesn’t change the reporting periods. Everything goes back to the previous schedule in 2015. According to the CMS, “We will maintain the existing policy that all providers must use 2014 Edition CEHRT for the EHR reporting periods in CY 2015, FY 2015, and in subsequent years or until new certification requirements are adopted in subsequent rulemaking.”

If adopting an EHR for the first time, it would only make sense to choose a solution that is already 2014 Edition certified. Tweet this Kareo story
As the CMS stated for the Medicaid EPs, it just doesn’t make sense to adopt Meaningful Use technology today that will be outdated for attesting in 2015.

The extension is really intended to help those practices that are currently using a system that is in the backlog of EHRs trying to get certified for the 2014 Edition or for EPs who are struggling to get their 2014 Edition EHR implemented.

For more information, read the full proposal which provides updated attestation charts and examples for providers based on current stage and year.

For help getting started with Meaningful Use, visit the Meaningful Use Resource Center.

Note: This Meaningful Use information is subject to change. For the latest updates, visit

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