Audit

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 requires states to ensure the accuracy of EHR incentive payments disbursed to eligible professionals and eligible hospitals. Program integrity operations include pre-payment verification of various eligibility and meaningful use requirements prior to issuance of a payment. HHSC also conducts post-payment audits of payments to eligible professionals and eligible hospitals participating in the incentive program, as required by the Centers for Medicare & Medicaid Services (CMS). HHSC currently contracts with the CPA firm of DK Partners, PC, to conduct audits of incentive payments on behalf of the State.

Representatives of DK Partners, PC, contact providers who have been selected for audit. If you receive a notice of audit, please respond within ten (10) days with all requested information. The information you provide will be used for the sole purpose of the Texas Medicaid EHR Incentive Program audits.

If you transmit information to DK Partners, PC containing HIPAA Protected Health Information (PHI) of Medicaid clients, the transmission must be compliant with existing provider contract and regulatory requirements that the data be adequately safeguarded. For example, electronic PHI should be encrypted when emailed or mailed using secure portable media, such as an encrypted CD or flash drive. Providers may also upload data securely and directly through the EHR Incentive Program Portal which uses HIPAA-compliant encryption technology. PHI that is mailed in hard copy (paper form) should be mailed securely and marked confidential.

Please note that federal regulations require eligible professionals and eligible hospitals to save auditable documentation to fully support their attestations for a minimum of six years. Failure to keep proper and complete records could result in an adverse audit finding and recoupment of a previously issued EHR incentive payment.

Pre-Payment Verification

Post-Payment Audit