What happens if I fail the audit?

  • MU-EH-Stage 1-Audits
  • MU-EH-Stage 2-Audits

Once the audit is concluded, the EH will receive an Audit Determination Letter from the audit contractor. This letter will inform the EH whether they were successful in meeting Meaningful Use of electronic health records. If, based on the audit, an EH is found not to be eligible for an EHR incentive payment, the payment will be recouped. CMS may also pursue additional measures against EHs who attest fraudulently to receive an EHR incentive payment. Punishment may involve imprisonment, significant fines or both. In some states, health care organizations may lose their licenses. Convictions also may result in exclusion from Medicare participation for a specified length of time. Medicare fraud may also result in civil liability.