The study reviewed CMS' oversight of professionals' and hospitals' self-reported meaningful use of certified EHR technology in 2011, the first year of the program.
OIG's audit found that CMS has not implemented strong prepayment safeguards, and its ability to safeguard incentive payments postpayment is also limited.
In order to address these issues, OIG made several recommendations:
1. CMS should obtain and review supporting documentation from selected professionals and hospitals prior to payment to verify the accuracy of their self-reported information.
2. CMS should issue guidance with specific examples of documentation that professionals and hospitals should maintain to support their compliance.
3. ONC should require that certified EHR technology be capable of producing reports for yes or no meaningful use measures where possible.
4. ONC should improve the certification process for EHR technology to ensure accurate EHR reports.
According to the report, CMS has put the second recommendation into effect, and ONC has concurred with both of CMS' documentation examples.
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