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The International Meeting for Simulation in Healthcare
2015-01-10 - 2015-01-14    
All Day
Registration is Open! Please join us on January 10-14, 2015 for our fifteenth annual IMSH at the Ernest N. Morial Convention Center in New Orleans, Louisiana. Over [...]
Finding Time for HIPAA Amid Deafening Administrative Noise
2015-01-14    
1:00 pm - 3:00 pm
January 14, 2015, Web Conference 12pm CST | 1pm EST | 11am MT | 10am PST | 9am AKST | 8am HAST Main points covered: [...]
Meaningful Use  Attestation, Audits and Appeals - A Legal Perspective
2015-01-15    
2:00 pm - 3:30 pm
Join Jim Tate, HITECH Answers  and attorney Matt R. Fisher for our first webinar event in the New Year.   Target audience for this webinar: [...]
iHT2 Health IT Summit
2015-01-20 - 2015-01-21    
All Day
iHT2 [eye-h-tee-squared]: 1. an awe-inspiring summit featuring some of the world.s best and brightest. 2. great food for thought that will leave you begging for more. 3. [...]
Chronic Care Management: How to Get Paid
2015-01-22    
1:00 pm - 2:00 pm
Under a new chronic care management program authorized by CMS and taking effect in 2015, you can bill for care that you are probably already [...]
Proper Management of Medicare/Medicaid Overpayments to Limit Risk of False Claims
2015-01-28    
1:00 pm - 3:00 pm
January 28, 2015 Web Conference 12pm CST | 1pm EST | 11am MT | 10am PST | 9AM AKST | 8AM HAST Topics Covered: Identify [...]
Events on 2015-01-10
Events on 2015-01-20
iHT2 Health IT Summit
20 Jan 15
San Diego
Events on 2015-01-22
Articles

Is This The Summer Of EMR Incentive Audits?

audits

When hospitals attest to Meaningful Use compliance, the stakes are high. As blogger Jim Tate points out, a 30-bed hospital might receive $1M plus in incentives for meeting MU criteria in 2011, and that’s nothing to sneeze at.

Unfortunately, some facilities are facing CMS audits, both pre-payment and post-payment, to verify that they actually met Meaningful Use criteria.  So many audit notices have gone out that Tate has dubbed this the Summer of EHR Incentive Audits.

Perhaps the toughest challenge for many providers is having to defend what they did in 2011, Tate notes:

[Responding to such audits] can be tough because back in those pre-historic days there were giant knowledge gaps, abundant mis-information, and a sense the incentives might disappear so it was best to move fast and worry later.

It’s critical for hospitals to pass their audit nonetheless. If not, Tate notes, they’ll get a letter demanding that the facility repay the entire incentive within just a few weeks.  And that, as Tate accurately points out, could be catastrophic.

Tate, not surprisingly, has something to sell here. He heads a consulting firm, EMR Advocate, which among other things helps eligible professionals and hospitals address Meaningful Use compliance and concerns.

But I have no doubt that he’s telling the truth about the upsurge in audits; after all, it was just a matter of time before they started to happen.

If you’re not prepared to defend your attestation, now is the time to review what you did and see if you can manage to address any gaps in documentation or otherwise sloppy paperwork.  You don’t want to be caught completely unprepared by an auditor.

(Source)