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CMS Plans To Audit 5 Percent of Meaningful Use Participants

Posted on April 29, 2013 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Are you ready to be reviewed?  Well, get prepared. As part of its ongoing program of supervision, CMS plans to audit 5 percent of participants in the Meaningful Use program for compliance, according to Modern Healthcare.

Since January, CMS has been auditing program participants that have already received their money, as well as those who have applied to receive incentive payments.  Going forward, the two groups will receive about the same level of attention, with a total of 5 percent of program participants ending up getting closer scrutiny from the feds, MH reports.

To date, there haven’t been many adverse findings by CMS, though the agency has discovered a few questionable situations, Robert Anthony, deputy director of the HIT Initiatives Group at CMS, told the magazine. But a few providers are already beginning the appeal process, and several providers may face fraud enforcement investigations, he said.

The bulk of the Meaningful Use reviews will be what the agency dubs “desk audits,” done by the CMS audit contractor Figliozzi and Co., in which information is exchanged electronically. However, a few on-site audits may be conducted as well, Anthony told Modern Healthcare.

To date, among the most common problems CMS has learned about has been provider failures to meet the requirement that they complete a data security risk assessment, a step also required by HIPAA.  When the auditors find that a provider hasn’t done the required data security risk assessment, they could be referred to the HHS Office of Civil Rights for a HIPAA compliance investigation.

Another issue which has turned up frequently has been a lack of adequate documentation that providers have answered some of the “yes or no” questions which are part of Meaningful Use criteria, such as whether their EMR has been tested for clinical data exchange. In that case, providers must be able to document what happened whether or not the test was successful.

Meaningful Use Audit Costs, Email and HIPAA, and OpenEMR

Posted on April 7, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Reports like this one and others are what scare many organizations when it comes to meaningful use. Reminds me of the post I did about EHR penalties after Meaningful Use failure. These crazy meaningful use audit experiences should scare many people. If you’ve attested to meaningful use you should read the article above to learn more about the MU audit process. I expect many aren’t ready. The article does make the auditors sound like they don’t know what they’re doing. That’s the worst thing in an audit.

I assume that 9/23 is a HIPAA Omnibus date. I bet there’s a lot of PHI going over email right now that shouldn’t be. It could be a big issue if the institution hasn’t gotten it under control.

I love open source, so I’m always glad to hear about good progress from the open source EMR community. OpenEMR has long been a leader in that area when it comes to ambulatory EMR.