Skip to Main Content

EHR Incentive Program Audits 

 

Who will be performing the Medicaid Audits?

EHR Incentive Program Medicaid Audits for the State of Illinois will be conducted by the Department of Healthcare and Family Services, Office of the Inspector General, Bureau of Medicaid Integrity. 

Who may be subject to an audit?

Any eligible professional (EP), eligible hospital (EH) or critical access hospital (CAH) attesting to and receiving an EHR incentive payment through the Illinois Medicaid EHR Incentive Program.

Preparing for an audit:

It is the provider’s responsibility to maintain the proper documentation that supports the meaningful use claims and the clinical quality measures submitted during attestation. Documentation supporting provider eligibility and Medicaid volume calculations also must be retained. It is recommended that EPs, EHs, and CAHs should retain all supporting attestation documentation in both electronic and paper format. If retaining screenshots, make sure all protected health information has been blackened out. To demonstrate that electronic documents have not been manipulated, save in a version that is not able to be manipulated such as PDF. Documentation supporting attestation should be kept for six years post-attestation.

Documentation to save:

Utilization of this document does not guarantee that the EP will pass a CMS or State of Illinois audit.
For more information: The Official Web Site for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs