“This study is an early assessment of CMSs oversight of the Medicare electronic health record (EHR) incentive program, for which CMS estimates it will pay $6.6 billion in incentive payments between 2011 and 2016. Because professionals and hospitals self report data to demonstrate that they meet program requirements, CMSs efforts to verify these data will help ensure the integrity of Medicare EHR incentive payments…CMS faces obstacles to overseeing the Medicare EHR incentive program that leave the
program vulnerable to paying incentives to professionals and hospitals that do not fully meet the meaningful use requirements. Currently, CMS has not implemented strong prepayment safeguards, and its ability to safeguard incentive payments postpayment is also limited. The Office of the National Coordinator for Health Information Technology (ONC) requirements for EHR reports may contribute to CMSs oversight obstacles.”
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