Electronic Health Records

Meaningful Use Fraud

Greenway to Pay $57.25M for False EHR Certification Allegations

February 6, 2019 - Greenway Health LLC has agreed to pay $57.25 million to resolve complaints that its “Prime Suite” EHR product caused users to submit false information to the EHR Incentive Programs.  The federal government has also accused the company of falsely obtaining 2014 Edition Certified EHR Technology (CEHRT) status. The allegations claimed that Greenway misrepresented the...

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CMS, ONC Fall Short of Addressing Fraudulent EHR Use

by Kyle Murphy, PhD

Both the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) have fallen shorting in implementing safeguards for preventing fraud related to EHR use. In its...

Texas healthcare CFO charged with meaningful use fraud

by Kyle Murphy, PhD

Allegations of meaningful use fraud and identity theft have a Texas hospital CFO facing prison time and hefty fines, according to the Dallas News. Mile Moffeit is reporting that a grand jury in the Eastern District of Texas has indicted...

OIG: Most meaningful use hospitals lack EHR fraud safeguards

by Kyle Murphy, PhD

Hospitals receiving incentive payments through the Medicare EHR Incentive Program have not taken the necessary actions to protect against EHR-related healthcare fraud, according to a report published by the Office of Inspector General. The...

What do EHR audits reveal about clinical documentation?

by Kyle Murphy, PhD

A major component of meaningful use audits is the ability of eligible professionals and hospitals to provide documentation substantiating their numerators, denominators, and information used for clinical quality measures. And while these...

HITPC hearing addresses healthcare fraud, cloning, upcoding

by Kyle Murphy, PhD

During last week’s Clinical Documentation Public Hearing, the most important questions concerning Medicare fraud and over-billing stemming of EHR-mediated clinical documentation were likely posed to members of the fourth and final panel:...

Medicare billing increases in EDs with EHRs: fraud or sicker patients?

by Jennifer Bresnick

Billing fraud has been a top concern for the Centers for Medicare and Medicaid Services (CMS) and the Government Accountability Office (GAO) since the widespread adoption of EHRs began.  Worried about the possibility of physicians...

Healthcare CIO challenges meaningful use naysayers

by Kyle Murphy, PhD

In his latest entry on the Life as a Healthcare CIO, John Halamka, MD, has some choice words for critics of meaningful use and progress made in the adoption and use of electronic health records (EHRs). In defense of the advancements in...

OIG begins investigations of meaningful use fraud

by Kyle Murphy, PhD

The investigation by the Office of the Inspector General into meaningful use fraud is currently underway. According to Scott Mace of HealthLeaders Media, hospitals that have successfully achieved meaningful use for the first phase of...

Managing EHR, HIE, and meaningful use audits with Benefis CIO: CIO series

by Kyle Murphy, PhD

The adoption of electronic health records (EHRs) and the process of health information exchange (HIE) is challenging enough before addressing the additional challenge of providing healthcare in rural and remote areas of the country. As if...

Senators request EHR Incentive Programs, meaningful use meeting with HHS

by Kyle Murphy, PhD

Secretary Kathleen Sebelius has received another letter from Congress on the subject of meaningful use. This time is comes from the desks of Senators John Thune, Richard Burr, Tom Coburn, and Pat Roberts, who are requesting that...

Legal perspective on EHR meaningful use fraud

by Patrick Ouellette

Two weeks ago, the Department of Justice (DoJ) and Department of Health and Human Services (HHS) sent out a warning letter to healthcare providers that made it clear fraudulent meaningful use claims were no longer acceptable. And then...

Medicare Fraud Strike Force presses billing charges

by Patrick Ouellette

Following up last week’s New York Times warning letter from Attorney General of the Department of Justice (DoJ) and Secretary of the Department of Health & Human Services (HHS) on fraudulent EHR incentive payments, Medicare Fraud...

AHA, AAHC Challenge Meaningful Use, Payment Fraud Accusations

by Kyle Murphy, PhD

In response to the September 24 letter from the Department of Justice (DoJ) and Health & Human Services (HHS) claiming providers are abusing meaningful use incentives and Medicare reimbursements, leaders of the Association of Academic...

Meaningful use fraud: HHS, DoJ issue warning

by Kyle Murphy, PhD

Falsely demonstrating meaningful use would not only defeat the purpose of using electronic health records (EHRs) to improve the care of American patients but also warrant investigations by federal law enforcement, according to the Attorney...



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