Welcome to the 22nd installment of the ifa academy IMS tutorial series. These
brief emails are intended to inform and prepare the ophthalmic community for
pending coding and system changes affecting ophthalmology in 2014 and beyond.
Today's tutorial addresses the processes and risks of Meaningful Use audits (part 2).
A: There are no specific guidelines for the documentation volume and quality.
According to lessons from the field, the documentation should cover all the
questions regarding the Meaningful Use of the certified EHR system. The auditors
expect detailed documentation dedicated to all registered objectives
(core and menu). According to the experiences from several audits, the following
documentation volume can be expected:
- Audit MU stage 1 -> 80 to 120 pages of documentation
- Audit MU stage 2 -> 100 to 150 pages of documentation
The basic documentation requires all the legal information, e.g. approval of
eligibility of the provider, the contract with the EHR provider and the certification
document, invoices, installation protocols, general implementation and training
plans (signed by the attendees), etc.
The dedicated documentation per provider needs specific information for each
core and menu objective, such as the description of the functionality (how-to documents),
screen shots taken within the reporting period, training protocols, gap and risk analysis
(approval for HIPAA compliance)