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Eligible Professional (EP) Attestation Worksheet for Stage 1 of the Medicare Electronic Health Record (EHR) Incentive Program The EP Attestation Worksheet is for EPs in Stage 1 of meaningful use and
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How to fill out ehr ep attestation worksheet

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How to fill out an EHR EP attestation worksheet:

01
Begin by gathering all necessary information and documentation related to your electronic health record (EHR) system and your practice's meaningful use objectives. This may include reports, screenshots, and attestations from your EHR vendor.
02
Review the EHR EP attestation worksheet carefully to familiarize yourself with the sections and requirements. Pay attention to any specific instructions or guidelines provided.
03
Enter your practice or organization's information in the designated fields. This may include your practice name, address, National Provider Identifier (NPI), and other relevant details.
04
Provide details about your EHR system and its certification. Include the product name, version number, certification ID, and the dates when the system was implemented and upgraded, if applicable.
05
Indicate your practice's participation in the Medicare or Medicaid EHR Incentive Program by selecting the appropriate program and entering the attestation year.
06
Identify the meaningful use objectives and criteria that you have met. Carefully review each objective and determine if your practice has met the required measures. If you have, indicate the percentage or numerator/denominator values as requested.
07
Document any exclusions or exemptions that apply to your practice if you are unable to meet certain objectives. Provide a brief explanation for each exclusion or exemption claimed.
08
Include any additional documentation or supporting evidence as required. This may include reports, screenshots, or other documentation that validate your attestation claims.
09
Review the completed EHR EP attestation worksheet for accuracy and completeness. Make any necessary revisions or additions before finalizing.
10
Sign and date the worksheet, confirming that all the information provided is accurate and true to the best of your knowledge.
11
Keep a copy of the completed attestation worksheet for your records.

Who needs an EHR EP attestation worksheet?

01
Eligible professionals (EPs) who have participated in the Medicare or Medicaid EHR Incentive Program and are seeking to attest for meaningful use.
02
EPs who wish to receive incentives for adopting and demonstrating meaningful use of certified EHR technology.
03
EPs who want to report their progress and compliance with meaningful use objectives and criteria to the Centers for Medicare & Medicaid Services (CMS) or state Medicaid agencies.
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The ehr ep attestation worksheet is a form used by eligible professionals to attest to meeting the criteria of the Electronic Health Record (EHR) Incentive Program.
Eligible professionals participating in the EHR Incentive Program are required to file the ehr ep attestation worksheet.
The ehr ep attestation worksheet must be completed online through the designated portal provided by the Centers for Medicare & Medicaid Services (CMS).
The purpose of the ehr ep attestation worksheet is to verify that eligible professionals have met the requirements of the EHR Incentive Program.
The ehr ep attestation worksheet requires eligible professionals to report on various EHR usage metrics, patient demographics, and clinical quality measures.
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