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 EHR Incentive Payment Audits

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 authorized the implementation of the Texas Medicaid Electronic Health Record (EHR) Incentive Program. The Medicaid/CHIP Division of the Texas Health and Human Services Commission (HHSC) began making incentive payments to eligible providers and eligible hospitals in 2011 for the adoption, implementation, upgrade, and meaningful use of certified electronic health record technology.

The HITECH Act requires states to conduct audits of payments to providers and hospitals participating in the incentive program. HHSC has contracted with the CPA firm of DK Partners, PC, (formerly Davila, Buschhorn & Associates, P.C.) to conduct audits of incentive payments on behalf of the State..

Representatives of DK Partners, PC, (formerly Davila, Buschhorn & Associates, P.C.) will be contacting 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, (formerly Davila, Buschhorn & Associates, P.C.) 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.

Note: You may appeal an audit finding. Refer to “Texas Medicaid EHR Incentive Program Post Payment Audit and Appeal Process” for the appeal process.

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