MMAC employees conduct announced or unannounced reviews (audits) of MO HealthNet providers to collect documentation supporting claims that were submitted for services provided to Medicaid participants. Providers are increasing utilization of Electronic Health Record (EHR) and/or Electronic Visit Verification (EVV) systems to generate and retain their documentation of services provided. Those records are usually pulled up on the EHR or EVV system by one of the provider’s authorized users and then transferred onto a CD, DVD, or thumb drive for MMAC personnel.
MMAC is noticing that the staff responsible for managing providers’ EHR and/or EVV systems frequently encounter difficulties producing the requested records during MMAC’s visit. MMAC encourages all MO HealthNet providers to make sure appropriate staff are familiar with their EHR or EVV system and know how to retrieve and transfer records for specified Medicaid participants and service dates.