Medicare auditors received electronic attachments of only 85,000 medical records, 5.5% of the records requested, through the Electronic Submission of Medical Documentation (esMD) system in the program's first year, which ended Sept. 15, 2012. The Centers for Medicare and Medicaid Services (CMS) has still not implemented standards that would allow physicians and hospitals to send electronic claims attachments to commercial payers that request them to support claims.
