Audits and Appeals Overview

Promoting Interoperability Programs Audit Overview

All Medicare and dually-eligible (Medicare and Medicaid) providers who are participating in the Promoting Interoperability Programs may be subject to an audit by CMS and its contractor, Figliozzi and Company. States, and their contractor, will perform audits on Medicaid providers participating in the Medicaid PI Program.

Additional information, including an overview of the audit process can be found in the EHR Incentive Programs Audits Overview fact sheet (PDF).

Preparing and Maintaining Supporting Documentation

Providers should retain ALL relevant supporting documentation (in either paper or electronic format) used in the completion of the Attestation Module responses for six years post-attestation.

Medicare Promoting Interoperability Program Appeal Overview

CMS has an appeals process for all providers that use certified electronic health record technology to participate in the Medicare Promoting Interoperability Program, but were unable to successfully register or attest to meaningful use. A designated contractor accepts appeals on behalf of CMS for Medicare eligible professionals and eligible hospitals, as well as hospitals that are dually-eligible for the Promoting Interoperability Programs.

Appeal inquiries and submissions can be sent to EHRinquiries@cms.hhs.gov.

Additional information, including an overview of the appeal process can be found in the EHR Incentive Programs Appeals Overview fact sheet (PDF).

Page Last Modified:
12/03/2019 07:17 PM