ELECTRONIC HEALTH RECORDS (EHR) AND ADEQUATE DOCUMENTATION

February 23, 2016

Medicaid providers have expressed concern to Missouri Medicaid Audit and Compliance (MMAC) about accessing their Electronic Health Records (EHR) during an audit.  Some providers have been unfamiliar with the process to access the records due to having a newly acquired EHR system.

 

Per state regulation, providers may maintain records in an electronic medium, and paper records may be transferred to an electronic medium, as well, as long as all information contained in the original record, including signatures, handwritten notations, or pictures, is contained in the durable medium.   Records may be retained in any form that can be made available for review at the same site at which the service was provided or at the provider’s address of record with the Department of Social Services.

 

Copies of records must be provided upon request regardless of the media in which they are kept.  Providers are encouraged to be familiar with their EHR systems and know how to produce the records upon request.  Electronic records do not need to be printed off in paper form for MMAC during an audit; electronic form is preferable.  MMAC auditors will accept the records in electronic form on a CD, DVD, or portable drive.

 

CONSUMER DIRECTED SERVICES (CDS) REPORTING REQUIREMENTS

February 23, 2016

Missouri Medicaid Audit and Compliance (MMAC) recently posted information about CDS quarterly and annual reports on its website.  Click here to read that information.   MMAC updated the quarterly and annual reports.  The quarterly financial report and quarterly service report are now one complete package, so CDS vendors do not have to submit two separate packages to MMAC.  The annual service report has been redesigned to a more functional format.  Vendors can link to the reports from the MMAC website.

 

MMAC also recently posted guidance regarding the yearly financial audit.  Click here to read that information.

 

CDS Vendors who fail to submit quarterly reports, the annual report, or the yearly financial audit may be subject to sanctions.  MMAC will advise vendors, in writing, if reports are not received by their due date, to alert the vendors, and give them an opportunity to submit the reports.