MACRA and Order Entry Requirements

The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015 (MACRA) mandated that the Medicare Electronic Health Record (EHR) Incentive Program come to an end on December 31, 2016. One of the new payment mechanisms for Medicare established by MACRA is the Merit-Based Incentive Payment System (MIPS). Under the primary reporting method of MIPS, an eligible provider is not required to report to the Centers for Medicare & Medicaid Services (CMS) that medication, laboratory, and diagnostic imaging orders are being entered by credentialed medical assistants or licensed health care professionals.

CMS, however, offers eligible providers an alternate reporting method under MIPS. Under this method, providers are permitted to report on optional measures, such as computerized provide order entry (CPOE).

This issue will be addressed in greater detail in the upcoming January/February 2017 issue of CMA Today. In the meantime, all past Public Affairs articles by CEO Balasa can be found on the AAMA website

About Donald A. Balasa

Donald A. Balasa, JD, MBA, chief executive officer and legal counsel for the American Association of Medical Assistants, keeps his eye on what is happening in the profession.
This entry was posted in Centers for Medicare & Medicaid Services, Computerized Provider Order Entry (CPOE), EHR Incentive Programs, On the Job and tagged , , , , , , , . Bookmark the permalink.

9 Responses to MACRA and Order Entry Requirements

  1. Christine B. macaulay says:

    Are medical assistants that are not certified or do not have a credential such as RMS allowed to enter standing orders for point of care test?

    • AL says:

      I don’t think they decifer POC vs regular orders. To them an order for a lab is the same across the board. No license no placing of orders. Some hospitals have created an order system for non-licensed clinical people which requires provider verification but it depends on the institution which are practicing.

    • Thank you for your question. I will have to correspond with you via e-mail to get a handle on these facts. I will e-mail you tomorrow morning.

      Donald A. Balasa, JD, MBA
      Chief Executive Officer, Legal Counsel
      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org
      The CMA (AAMA): Health Care’s Most Versatile Professional®

      • MMary says:

        “…Some hospitals have created an order system for non-licensed clinical people …”
        please share that correspondence, as that “system” may be in place at other sites.

  2. Knicely, Christina *HS says:

    Can you tell me if doing medication reconciliation is within the scope of practice for MAs in Virginia?

    I appreciate your help!

    Tina Knicely, BSN, RN, CPN
    Assistant Nurse Manager
    UVA Children’s Hospital Clinics/Battle Building
    1204 W. Main St. Charlottesville, Virginia 22903
    PO Box 800232
    Office: 434-243-4276
    Cell: 434-960-3451
    Pager: 7286
    Cmk9d@hscmail.mcc.virginia.edu
    https://www.facebook.com/UVA.Childrens.Hospital.Friends
    [cid:image001.png@01D24FEB.2F6EB8E0]

  3. Susan M says:

    What are you referring to as “medication reconciliation” I’m not sure I understand…….
    Thanks

    • Thank you for your question. I just posted my position on what medical assistants can and cannot do in regard to reconciliation of medication. I hope you find it helpful.

      Donald A. Balasa, JD, MBA
      Chief Executive Officer, Legal Counsel
      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org
      The CMA (AAMA): Health Care’s Most Versatile Professional®

  4. Kate says:

    So you don’t have to be certified to enter into the computer ?

    • Thank you for your question. The Medicaid Incentive Program continues to require that only credentialed medical assistants and licensed health care professionals are permitted to enter medication, laboratory, and diagnostic imaging orders into the CPOE system for meaningful use calculation purposes. The Medicare Incentive Program has been replaced by the Qualified Payment Program. Although the expectation of CMS is that only qualified health professionals will enter orders, CMS is not requirement reporting of the percentage of orders that are entered by credentialed medical assistants or licensed health care professionals.

      I hope this is helpful.

      Donald A. Balasa, JD, MBA
      Chief Executive Officer, Legal Counsel
      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org
      The CMA (AAMA): Health Care’s Most Versatile Professional®

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