Once an audit notice is received, Tenet has a policy that its audit response team decides a course of action within 36 hours. Among other things, Tenet has had to demonstrate to auditors that clinical decision support rules are firing correctly. OIG staff even visited Tenet facilities in person to see some of these rules in action.
A Necessary Burden
The twists and turns of these audits seem to go on and on. Not every provider tuned into this CHIME Webinar, so I hope raising the issue to a higher profile here is useful to all providers. Like too many things in healthcare, it seems that larger organizations, with more clinical, financial and legal resources, might be better able to respond to these audit requests.
Probably those at greatest risk, as usual, are smaller community hospitals, while the very smallest of practices might benefit from being more simply organized than larger providers.
As with audits in so many areas of healthcare, audits of Meaningful Use are a necessary burden of leadership, and the continuing scrutiny of the value of technologies purchased with Federal and state funds shows no sign of easing.