What if my hospital/provider does not agree with the amount of EHR incentive funds we have received?

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

The Centers for Medicare and Medicaid Services do not process appeals for provider’s, hospital’s or CAH’s who dispute the amount of their EHR inventive payment. After an EP successfully attests, a monthly report determines whether the allowable claims threshold for the program participation year has been met. After the close of the incentive payment year, incentive payments are made based on 75% of Medicare allowed charges for covered professional services furnished during the payment year that have been successfully submitted by the EP. After a hospital or critical access hospital successfully attests, an initial incentive payment is issued based on the latest available cost report which is then reconciled when the cost report is finalized.

Here is the CMS Frequently Asked Question regarding appeals regarding the dispute of the amount of the incentive payment.