Think your batch size limit is 1,000 EP's at a time? Think again ... you can't include all your EP's in one big batch.
There is the first, and most obvious catch. Batch Attestation of Meaningful Use is only for Medicare. We continuously monitor individual State Medicaid MU programs, but have yet to find one that has Batch Attestation on their Radar. We will keep trying, though.
Now, for Medicare. The specifications permit a thousand or more EP's in a single batch. Of course, that is only the upper limit. As a practical matter, you will have to create and submit multiple batches of EP's, even if everyone is ready all at the same time (unlikely in a 90 day reporting period). When you submit a batch file to CMS for Meaningful Use Attestation, all the EP's in a batch will need to have similar attributes. Here's the list:
- Year and Stage
- Home Clinic Address and Tax ID
- Proxy for Attestation
- Mix of Core / Menu and CQM
- CQM e-filing Method
- Reporting period
Your "batch management" tools should help align EP's into batches, track progress by batch, and help identify un-batched EP's for later submission. It is a little extra work, but still orders of magnitude less work than the old, one-at-a-time fill out the CMS website process!
Of course, the best option is Meaningful Use Monitor - the middleware between EHR, Quality Reporting - and CMS! And be sure to download the Meaningful Use Manifesto for a summary of Best Practices around the job of administering and defending Meaningful Use.