Hold on to attestation documentation when preparing for a meaningful use audit

January 19th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers audit preparation for CMS meaningful use attestation, including the kinds of supporting records auditors may request, how audit timing can affect response planning, and why information security and documentation retention matter. It is aimed at HIM, compliance, coding, and IT professionals who support EHR incentive program attestation and audit readiness. The discussion also touches on Medicare, Medicaid, and OIG audit activity, along with broader internal self-audit considerations.

Why This Topic Matters

Meaningful use audits can affect incentive payments and trigger repayment or compliance exposure if documentation is incomplete or unsupported. Understanding the general documentation, security, and governance issues involved helps organizations prepare before an audit request arrives.

Article Sections

  1. Audit activity and enforcement context

    Summarizes the audit environment for meaningful use attestation and the roles of CMS contractors, Medicaid offices, and the OIG. It also discusses the broader compliance and repayment context surrounding audit findings.

  2. Supporting documentation

    Describes the categories of records organizations are expected to maintain for audit readiness. It focuses on documentation retention, response timing, and the general preparation process.

  3. Information security

    Covers the intersection of audit readiness with information security oversight for EHR systems. It addresses risk assessment, system safeguards, and related documentation considerations.

  4. Go beyond government audits

    Discusses internal review practices and broader documentation integrity concerns within organizations participating in incentive programs. It emphasizes self-audit planning and governance across HIM and related teams.

What You Will Learn

  • How CMS meaningful use audits fit into broader compliance oversight
  • What broad categories of documentation are commonly involved in audit preparation
  • Why information security review is part of audit readiness
  • How internal self-audits can support documentation integrity and readiness
  • Which operational teams may need to coordinate during audit preparation

Who Should Read This

  • HIM directors and managers
  • Compliance professionals
  • Health information management staff
  • Coding professionals
  • Healthcare information technology staff
  • Hospital and provider administrators
  • Medicaid and Medicare attestation teams

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