Federal investigators Thursday released a report charging that the Medicare electronic medical records (EMR) program lacks effective fiscal oversight. The report, issued by the Inspector General's office of the Department of Health and Human Services (HHS), states that the Medicare EMR program may be paying incentives to healthcare providers and hospitals that do not fully meet the quality standards known as "meaningful use". The report stated that the program's self-reporting format lacks audit oversight requirements so it's impossible to prove whether reports from physicians and hospitals are accurate.