What Providers Need to Know About EHR Audits

April 18, 2013

AGA alerts all members who participate in the Medicare or Medicaid Electronic Health Record (EHR) Incentive Program that you may be subject to an audit. AGA offers the following details to help you prepare. 

CMS and its contractor, Figliozzi and Company, perform audits on Medicare and dually eligible (Medicare and Medicaid) providers who are participating in the EHR Incentive Programs. States perform audits on Medicaid providers participating in the Medicaid EHR Incentive Program. In addition to the post-payment audits that have been conducted since 2012, CMS began pre-payment audits this year, starting with attestations submitted during and after January 2013. 

For those providers selected for pre-payment or post-payment audits, CMS and its contractor will request supporting documentation to validate submitted attestation data. To prepare for a potential audit, view CMS' new supporting documentation for audits fact sheet

Want more information about the EHR Incentive Programs? Visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.

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