Views 251
Citations 0
Capitol Health Call
March 12, 2014

Republican Senators: Oversight of Medicare, Medicaid EHRs Insufficient

Author Affiliations

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2014;311(10):1005. doi:10.1001/jama.2014.2002

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 (, 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.

First Page Preview View Large
First page PDF preview
First page PDF preview