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.
- 2014 Stage 1 Meaningful Use Calculation Guide
- 2014 Stage 2 Meaningful Use Calculation Guide
- 2015 Meaningful Use Calculation Guide
- 2016 Meaningful Use Calculation Guide
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.