How do I prepare for a Meaningful Use audit?

Understanding Meaningful Use Audits

Any provider who has received Meaningful Use EHR Incentive payments is eligible to be audited for six years. Providers who have been audited must prove that they met Meaningful Use requirements during the reporting period for which they attested.


Medicare works with an auditing agency, Figliozzi and Co., to perform audits, while Medicaid programs often conducts audits themselves.


Information to provide when first contacted regarding an audit

If you have been notified by Figliozzi or Medicaid that you are being audited, we recommend gathering the following information:

  • Contact Customer Service for a Proof of Possession Letter
  • If you are being audited for the 2011, 2012,or 2013 reporting year, utilize the Meaningful Use Dashboard - Historical to provide a copy of your dashboard for your reporting period. If you are being audited for 2014 or subsequent years, you may utilize the Meaningful Use Dashboard.
  • If you claimed an exclusion for any measures, collect and provide proof of the exclusion. For example, this may include a letter explaining that your specialty doesn’t e-Prescribe or collect vitals, or communication with an immunization registry regarding their inability to accept HL7 2.5.1 files.
  • If you calculated any measures separately from the Practice Fusion Meaningful Use Dashboard, you must provide proof that your external calculations are accurate. Please note that you may manually calculate only core and menu measures. Clinical Quality Measures (CQMs) may not be manually calculated.
  • If you met any measures outside of Practice Fusion (e.g. Protect Electronic Health Information), you must provide proof that you met these measures.

Information to provide if you are further contacted

If an auditor follows up again after your initial response, they are most likely looking for additional proof that you have met the requirements.


Practice Fusion is a tool to help providers meet Meaningful Use. If you have properly documented and met each requirement in Practice Fusion, the data will exist and be available in the EHR to validate this. While our Customer Service team is not able to prove that a provider has met a particular measure, there are several resources available within the EHR to help providers gather proof. For example, you may utilize the Audit Report or Chart Notes Report, both accessible via the Reports section, to track activity and patient visits.


You may also use our Meaningful Use Calculation Guides to reference the criteria and workflows for a specific year.

Next Steps

We understand that audits can be difficult and stressful for providers. If you have been audited, you can use this experience when attesting for Meaningful Use going forward. Practice Fusion encourages you to gather and maintain data and documentation at the time of attestation should you be audited again in the future.

Meaningful Use

  1. What is Meaningful Use?
  2. How do I attest for Meaningful Use?
  3. How does the Meaningful Use Dashboard work?
  4. 2018 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  5. 2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  6. 2018 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  7. 2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  8. 2018 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  9. 2018 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  10. 2018 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  11. 2018 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  12. 2018 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  13. 2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  14. 2017 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  15. 2017 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  16. 2017 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  17. 2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  18. 2017 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  19. 2017 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  20. 2017 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  21. 2017 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  22. 2017 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  24. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  25. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  26. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  27. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  28. What are the exclusions for Meaningful Use?
  29. What patients are counted for Meaningful Use?
  30. How do the components of a chart note relate to Meaningful Use?
  31. How do I print the Meaningful Use Dashboard?
  32. How do I minimize or refresh CDS notifications?
  33. How can I send a referral using Direct Messaging?
  34. How does patient portal access and auto-invite relate to Meaningful Use?
  35. What constitutes a "unique" patient?
  36. Meaningful Use attestation for previous years
  37. How do Meaningful Use payment adjustments work?
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. How do I find Practice Fusion's CMS EHR Certification ID?
  40. How do I register for the Medicaid Meaningful Use Program?
  41. Can I change, modify, or cancel my attestation?
  42. How do I choose my reporting period duration for Medicaid Meaningful Use?
  43. Is Practice Fusion a certified EHR?
  44. Patient records maintained in the EHR for Meaningful Use attestation
  45. How do I get my AIU letter from Practice Fusion?
  46. How do I report eCQMs for Medicaid Meaningful Use?
  47. Do I have to meet all 10 objectives to achieve Meaningful Use?
  48. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  49. Are there patient education materials available in Spanish?
  50. How do I select or change my reporting period start date?
  51. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  52. How do I contact my state about the Medicaid EHR Incentive Program?
  53. How do I qualify for Meaningful Use if I see patients in multiple locations?
  54. How many exclusions can each provider claim for meaningful use?
  55. How do I use multiple EHR's to qualify for Medicaid Meaningful Use?
  56. What stage of Medicaid Meaningful Use am I in?
  57. How do I prepare for the PQRS Penalty Informal Review?
  58. How do I prepare for a Meaningful Use audit?
  59. How do I batch export patient data from the EHR?
  60. How can I report CQMs for PQRS?
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  62. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (CMS 182v5)
  63. Use of Appropriate Medications for Asthma (CMS 126v4)

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