decisionhealth Newsletters, Part B News - 2015 Issue 4 (April)
OIG ramps up meaningful use audits on top of CMS’ audit efforts
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Article Overview
This article explains new audit activity by HHS’ Office of Inspector General related to the meaningful use electronic health record incentive program and compares those reviews with CMS contractor audits. It is aimed at physicians, practice managers, compliance staff, and coding/reimbursement professionals who need to understand the scope of the audits, the agencies involved, the time periods under review, and the types of supporting documentation discussed in the article.
Why This Topic Matters
The piece highlights that meaningful use attestations may face scrutiny from more than one federal audit process, increasing compliance and repayment risk for providers. It matters to organizations that participated in the EHR incentive program and need to maintain records supporting their attestations and quality reporting.
Article Sections
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Meaningful use
Introduces the audit focus and compares the federal review process with other meaningful use oversight activity. It discusses the general areas emphasized in the reviews and the timing of document requests.
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Audits part of OIG’s Work Plan
Places the audits in the context of HHS oversight priorities and references prior agency work related to incentive payment reviews. It also discusses the possibility of repayment if attestation does not withstand review and the types of supporting records providers should retain.
What You Will Learn
- How federal oversight of meaningful use attestation is being applied through audit activity
- Which agencies and contractors are involved in reviewing meaningful use participation
- What kinds of documentation providers may need to have available for audit response
- How the audit approach described in the article differs across reviewers
- Why meaningful use appears in the OIG work plan and what that implies for providers
Who Should Read This
- Physicians
- Medical practice managers
- Healthcare compliance staff
- Billing and reimbursement professionals
- Health information management professionals
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