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Guidance Released on EHR Incentive Programs Audits

The Centers for Medicare & Medicaid Services (CMS) has released guidance regarding pre and postpayment audits for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. Any hospital or provider that receives an EHR incentive payment for either the Medicare or Medicaid program may be subject to an audit. For the Medicare EHR Incentive Program, CMS and its contractor, Figliozzi and Company, will conduct audits of 5 to 10 percent of eligible hospitals and providers chosen either randomly or through a risk profile to identify suspicious or anomalous data. States will perform audits on providers participating in the Medicaid EHR Incentive Program. Hospitals and providers are advised to maintain all documentation and support attestation data for meaningful use objectives and clinical quality measures for six years

Hospitals and providers selected for audit for the Medicare EHR Incentive Program will receive a notification letter from Figliozzi and Company with more details. Please contact Xiaoyi Huang, JD, director of policy, at xhuang@essentialhospitals.org or 202.585.0127 with feedback or questions.

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About the Author

Matt Buechner is the policy and advocacy associate for America's Essential Hospitals.

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