Medicare Compliance & Reimbursement - 2019 Issue 7
MIPS: 2 Keys Unlock Audit Preparedness
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Article Overview
This article covers general audit-preparedness guidance for practices participating in the Merit-Based Incentive Payment System (MIPS). It focuses on documentation retention, how to preserve evidence generated by health IT systems, and the role of vendors and third-party intermediaries in supporting audit readiness. The piece is relevant to coding, quality reporting, compliance, and practice administrators who need to understand what types of records to keep and for how long.
Why This Topic Matters
MIPS participation creates long-term recordkeeping and verification responsibilities. Understanding the documentation categories discussed in the article helps practices better prepare for audit requests and maintain supporting evidence across changing reporting tools and software versions.
Article Sections
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Master Your Documentation
This section discusses broad documentation-retention practices for MIPS participation, including preserving evidence generated from reporting tools and health IT systems. It also addresses general preparedness for audit support and record validation across MIPS categories.
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Use Your Vendors
This section explains the vendor-related side of audit preparedness, including maintaining access to older software environments and keeping records of vendor interactions. It also describes the general role of third-party intermediaries in supporting MIPS documentation.
What You Will Learn
- How MIPS audit preparedness depends on long-term documentation retention
- What kinds of EHR- and registry-generated records practices should preserve
- Why vendor coordination matters when reporting systems change over time
- How third-party intermediaries fit into the broader MIPS documentation process
Who Should Read This
- Surgeons and surgery practices
- Practice administrators
- Quality reporting staff
- Compliance staff
- Medical coders and auditors
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