Hospital CEO recommends Jim Tate for CMS EHR Incentive Audit Appeals
"Our hospital was a participant in the CMS "Meaningful Use" Incentive Payment Program and attested to CMS that we had achieved Stage 1 Meaningful Use in November, 2011. We subsequently received payments of $1,014,764 from Medicare and $763,570 from Medicaid. In November 2012 we were notified that our Meaningful Use attestation was going to be audited.........In April 2013 we were notified by the (audit) subcontractor that our hospital had failed the audit.....CMS notified our hospital that all of their prior payments made under the program were to be recouped."
"In May 2013 a demand letter from CMS was received by our hospital requesting recoupment of $1,014,764 for the Medicare portion of our Meaningful Use payment. CMS requested full payment by June 27, 2013. It was at this time we engaged the services of Mr.Tate and EMR Advocate. Mr. Tate was very helpful to us with the preparation of a formal appeal to CMS."
"On June 24, 2013 we were notified by CMS that the adverse audit decision was being overturned and we did not have to return the 2011 EHR Incentive Payment. I would recommend the services of Mr. Tate and EMR Advocate in the event your facility is notified that it will be subject to a Meaningful Use audit or your facility is audited, or you have an adverse outcome and need to file an appeal."
Hospital CEO recommends Jim Tate for CMS EHR Incentive Audit Support
"Recently we were selected to undergo an audit of our Stage 1 meaningful use attestation. Our first reaction was panic as we have gone through significant changes since the early (2011) attestation by the hospital and was fearful of not being able to provide adequate documentation backing up our claim. I immediately contacted Jim Tate as I recognized him as a leader, author and advocate of the EHR/EMR program required by the government. Jim's knowledge and comprehensive study of the requirements set forth by CMS were instrumental in helping us achieve a favorable outcome in the audit."
Best Practices and Support for CMS EHR Incentive Audits
The proper documentation and maintenance of records used to support attestation is critical for being prepared for a potential audit. If you are in doubt of your compliance, we can provide an in-depth review and identify gaps and assist in mitigation prior to an audit.
If you are facing an audit or are aware of significant issues with an already submitted attestation, contact us immediately so we may assist with proper remediation. CMS is taking the potential for fraud in the EHR Incentive Programs seriously and both prepayment and post payment audits have been increasing. Jim Tate is an active educator and presenter on the CMS EHR Incentive program and related audits. Jim has worked directly with both Eligible Hospitals and Professionals undergoing active incentive audits.
Educational Posts/Webinars on CMS EHR Incentive Audits