decisionhealth Newsletters, Part B News - 2013 Issue 4 (April)
Save original meaningful use data — even if you switch EHRs — to prepare for audits
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Article Overview
This article explains why providers should keep the original EHR-based documentation used for meaningful use attestation and how audit review can be affected when records are scattered across multiple systems or older EHR platforms. It also discusses the possibility of alternate documentation, the need to coordinate with audit contractors, and the broader compliance context involving HIPAA-related EHR requirements. The piece is aimed at eligible providers, practice managers, and compliance-focused billing or consulting professionals who need to prepare for CMS audit requests.
Why This Topic Matters
Meaningful use payments can be scrutinized after attestation, and providers may need to retrieve supporting records long after an EHR change or upgrade. Knowing what documentation should be preserved helps practices reduce audit risk and respond more effectively if CMS requests proof.
Article Sections
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Meaningful use audit documentation
Introduces the audit context for meaningful use attestation and the importance of retaining supporting EHR records. Discusses why original source documentation is emphasized.
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Challenges when EHR systems change
Describes practical problems that can arise when documentation is stored in older systems or across multiple EHR platforms. Covers the operational burden of locating records after upgrades or vendor changes.
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Back-up plan: alternate documentation
Addresses situations where the original attestation report is unavailable and discusses alternate documentation in a general sense. Emphasizes communication with the audit contractor.
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Unknown MU piece: HIPAA
Explains the article’s discussion of HIPAA-related EHR compliance as it relates to meaningful use readiness. Frames the topic as part of broader due diligence and audit preparedness.
What You Will Learn
- Why retaining original attestation support materials matters for meaningful use audits
- How EHR upgrades or system changes can complicate audit response
- What to consider if original documentation is unavailable
- How HIPAA-related EHR requirements fit into the compliance discussion
- Why audit preparedness should be treated as an ongoing operational task
Who Should Read This
- Eligible providers
- Practice managers
- Medical billing and coding professionals
- Healthcare compliance staff
- EHR administrators
- Healthcare consultants
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