Based on these four resources:
2) http://www.slideshare.net/success_ehs/c7-menusetmeasures (slide 3)
3) https://www.federalregister.gov/articles/2012/03/07/2012-4443/medicare-and-medicaid-programs-electronic-health-record-incentive-program-stage-2#p-201 | "We propose that EPs must meet or qualify for an exclusion to 17 core objectives and 3 of 5 menu objectives."
an exclusion would work as one of the Menu objectives being met. BUT, CMS will first look for if you could have met 5 of the 10 menu objectives, without marking an exclusion prior to accepting an exclusion as being one of the five met objectives.
[EHR Incentive Programs] Do specialty providers have to meet all of the meaningful use objectives for the Medicare and Medicaid EHR Incentive Programs, or can they ignore the objectives that are not relevant to their scope of practice?
For eligible professionals (EPs) who participate in the Medicare and Medicaid EHR Incentive Programs, there are a tot... more
For eligible professionals (EPs) who participate in the Medicare and Medicaid EHR Incentive Programs, there are a total of 25 meaningful use objectives. To qualify for an incentive payment, 20 of these 25 objectives must be met. There are 15 required core objectives. The remaining 5 objectives may be chosen from the list of 10 menu set objectives. Certain objectives do provide exclusions. If an EP meets the criteria for that exclusion, then the EP can claim that exclusion during attestation. However, if an exclusion is not provided, or if the EP does not meet the criteria for an existing exclusion, then the EP must meet the measure of the objective in order to successfully demonstrate meaningful use and receive an EHR incentive payment. Failure to meet the measure of an objective or to qualify for an exclusion for the objective will prevent an EP from successfully demonstrating meaningful use and receiving an incentive payment.