tci Medicare Compliance & Reimbursement - 2017 Issue 23
Compliance: OIG Settlement Reveals Critical Need for EHR Vendor Vetting
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Article Overview
This compliance-focused article explains why healthcare organizations should carefully evaluate electronic health records vendors and maintain strong oversight of EHR-related security and audit readiness. It discusses a notable federal settlement, the role of certified EHR technology, the importance of accurate health information, and general steps practices can take to prepare for audits and vendor due diligence. The piece is aimed at healthcare providers, compliance staff, practice managers, and others responsible for health IT oversight.
Why This Topic Matters
EHR systems affect documentation, patient care, incentive program participation, and compliance risk. Understanding vendor reliability and audit preparedness can help organizations reduce exposure to regulatory scrutiny and protect sensitive health information.
Article Sections
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Landmark Settlement and Compliance Concerns
Introduces the federal settlement and explains the broader compliance and vendor oversight concerns raised by the case. It frames the article’s focus on EHR reliability and related healthcare fraud issues.
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EHR Incentive Program and Certification Issues
Discusses the relationship between certified EHR technology, program participation, and the significance of accurate system capabilities. It also describes the compliance concerns associated with certification and incentive payments.
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EHR Best Practices
Covers general considerations for selecting, implementing, and maintaining an EHR system. The section emphasizes vendor research, clinician involvement, system updates, and ongoing operational oversight.
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Audit concerns
Addresses the likelihood of increased audit scrutiny and the need for organizations to assess security and privacy preparedness. It also highlights compliance planning for covered entities and business associates.
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Do this
Summarizes broad preparatory steps organizations can take before an audit, including reviewing infrastructure, vendor relationships, response roles, and mock audit readiness.
What You Will Learn
- Why EHR vendor due diligence is important for compliance and operations
- How EHR certification and incentive program participation relate to the article’s compliance discussion
- What general practices support better EHR selection and implementation
- How organizations can think about audit readiness for health IT and privacy/security oversight
Who Should Read This
- Healthcare providers
- Compliance officers
- Practice managers
- Health information management professionals
- Health IT administrators
- Privacy and security staff
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