One of the most common questions I am asked is, “Will my state accept Therap documentation in an audit or survey?”.

The answer to this has never been desperately clear, but thankfully now is becoming more and more so around the country.  This is obviously assisted by the fact that we are the official system in states such as Delaware, Montana, and North Dakota.  However there is more and more coming out that proves the value of our model and your choice to use Therap.

As I blogged a while back, CMS issues guidelines to Medicaid Surveyors saying:

The Department of Health and Human Services (HHS) and the Centers for
Medicare & Medicaid Services (CMS) are committed to the goal that by 2014,
most Americans will have access to health care providers who use EHRs. CMS
recognizes the importance of the use of EHRs and their benefits to better
patient/resident care and reduced costs.

You can read the whole document here

More recently, Richard blogged, about some clarification coming out of OMRDD in New York.  What they said was:

Electronic Signature Clarification

OMRDD verified that the agency and the OMIG will accept Electronic records and Electronic signatures. This has been possible for years, based on OMRDD and OMIG policy documents and practice. OMRDD has agreed to issue clarification within the next 3 to 4 weeks on these issues. OMRDD will also ensure that the OMIG is aware of and agrees with these clarifications.

Some of the issues to be clarified include:

  • The OMIG verified that Electronic records and signatures are acceptable in an audit, unless regulations specifically re
    quire “hand?written”. Electronic signatures have the same validity as a hand?written signature. Provider must be able to authenticate that the person supposed to sign did sign.
  • Electronic records and signatures must meet all standing Medicaid documentation requirements and be maintained for 6 years from the date of service or payment (whichever is longer).
  • The OMIG will not endorse any one vendor or system.
  • Concern from an auditing perspective is that electronic information may be overwritten. Any electronic records that show evidence of overwriting will be rejected.
  • The OMIG will require that all electronics records can be reproduced on paper upon request.

You can read the full document here

This is really important stuff, and there are a few key points, the biggest of which I think is: “Any electronic records that show evidence of overwriting will be rejected.”  This is exactly why Therap security and update histories are so important.  If it is possible for you to change data either through an interface or directly into your database, you won’t be able to survive an audit.  Therap has gone to great lengths (and will continue to do so) to lead the way in security and authentication.

Learn more by coming to our User Groups and Conferences.

:: Justin ::