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Case Study - Compliance Auditing

Compliance Outreach and Reviews to Cover EVV Attestation and Data Submission Requirements
Why Garnet River Staffing
The Client

State Office of the Medicaid Inspector General.

The Challenge

The Centers for Medicare & Medicaid Services (CMS) dedicated to improving interoperability and patients´ access to health information invested billions to promote the adoption and use of electronic health records (EHRs) through the Medicare and Medicaid EHR Incentive Programs. Through the New York State Medicaid EHR Incentive Program, eligible professionals (EPs) and eligible hospitals (EHs) in New York who adopted, implemented, or upgraded certified EHR technology (CEHRT), and subsequently became meaningful users of CEHRT, could qualify for and receive financial incentives.

The Solution

Garnet River conducted post-payment audits to verify provider eligibility and EHR technology usage, identifying potential recoupment of fees through data and documentation review.

The Impact

The client ensured compliance with CMS eligibility requirements, guaranteeing that EHR technology investments supports patient care effectively into the future.

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