Attestation

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The act of attestation is presenting information in support of the truth or accuracy of a claim. This term is most commonly known in the health care industry as the process of submitting data for the Centers for Medicare & Medicaid Services' (CMS) Meaningful Use incentive program. In this process, the physician or physician's employee must enter numerators and denominators for many of the measures and also indicate completion of other measures not met by a specific ratio. The data entered is obtained by reports or dashboards offered by the health care organization's electronic health record (EHR) system. The clinician is not required to submit these reports along with their numerator and denominator data, so they are expected to submit data on the contingency that it is accurate. This is why the term attestation best defines this process; a process where data is presented with the expectation that it is accurately supporting the claim.

Definition of Attestation

According to AHIMA e-HIM Workgroup, “Attestation in electronic health records, is the act of applying an e-signature to the content, showing authorship and legal responsibility for a particular unit of information.” The standardization and consistency related to attestation is preserved by HL7 EHR-System Records Management and Evidentiary Support Functional Profile Standard. It detects system functionality and conformity by linking content to the authors, recognizing all authors or contributors of an entry, and display identifying information that include the name and credentials of authors. [1]

Sittig, et.al. (2008). Grand Challenges in Clinical Decision Support. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660274/ .


References

  1. AHIMA e-HIM Workgroup: Best Practices for Electronic Signature and Attestation. "Electronic Signature, Attestation, and Authorship (Updated)." Journal of AHIMA 80, no.11 (November-December 2009): expanded online edition. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_045551.hcsp?dDocName=bok1_045551#Notes