Six Republican senators expressed concern over a Department of Health and Human Services’ Office of Inspector General (OIG) report concluding that the Centers for Medicare & Medicaid Services (CMS) has not sufficiently addressed vulnerabilities in electronic health records (EHRs).
The OIG report (http://tinyurl.com/ngo6ntr), released January 7, found CMS and its contractors had adopted few program integrity practices specific to EHRs; that few contractors were reviewing EHRs differently from paper medical records; and that not all contractors reported being able to determine whether a provider had copied language or overdocumented in a medical record, inserting false or irrelevant documentation to create the appearance of support for billing higher-level services. The report also states that CMS offered limited guidance to Medicare contractors on EHR fraud vulnerabilities.
Mitka M. Republican Senators: Oversight of Medicare, Medicaid EHRs Insufficient. JAMA. 2014;311(10):1005. doi:10.1001/jama.2014.2002