Audits and Appeals Overview
EHR Incentive Program Audit Overview
All Medicare and dually-eligible (Medicare and Medicaid) providers who are participating in the EHR Incentive 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 EHR Incentive Program.
The 2015 and 2016 EHR reporting periods include alternate exclusions and specifications for some objectives and measures where there is not a Stage 1 measure equivalent to the Modified Stage 2 (2015 through 2017) measure or where a menu measure is now a requirement. CMS will not require documentation that a provider did not plan to attest to a menu objective for the provider to claim the alternate exclusion.
Additional information, including an overview of the audit process can be found in the EHR Incentive Programs Audits Overview fact sheet.
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. For more information on preparing and maintaining documentation for audits, please review the Supporting Documentation for Audits fact sheet.
EHR Incentive Program Appeal Overview
CMS has an appeals process for all providers that use Certified Electronic Health Record Technology (CEHRT) to participate in the Medicare EHR Incentive 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 (EPs) and eligible hospitals, as well as hospitals that are dually-eligible for both the Medicare and Medicaid EHR Incentive Programs.
To formally file a Medicare EHR Incentive Program appeal*:
*Hand written applications may delay processing.
Appeal inquiries and submissions can be sent to email@example.com.
Additional information, including an overview of the appeal process can be found in the EHR Incentive Programs Appeals Overview fact sheet.
The Electronic Health Record (EHR) Information Center is open to assist you with all of your registration and attestation system inquiries. EHR Information Center Hours of Operation:
9:00 a.m. – 5:00 p.m. (Central Time) Monday through Friday, except federal holidays.
1-888-734-6433* (primary number) *(press option 1) or 888-734-6563 (TTY number)
- Page last Modified: 03/16/2018 3:24 PM
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