CATEGORY: Electronic Medical Records (EMR) Electronic Health Records (EHR) Coding

OIG TARGETS MISUSE OF ELECTRONIC MEDICAL RECORDS

Oct 28, 2011
The recently released OIG 2012 Work Plan will focus investigative and enforcement attention on E&M codes suggested or determined by electronic medical records and their templated chart notes.

Avoid the Dark Side of EHR Documentation

Mar 11, 2011
Don’t let the point-and-click mentality entice your time-pressed provider

Coder vs. Machine—10 Rounds in the Ring - Impact of EMRs

Feb 16, 2011
The growing acceptance of electronic medical records (EMRs) continues to affect auditing services in new and significant ways. The number of our clients who use EMRs is on the
rise, and recently we’ve encountered groups who increasingly rely on computerized selection of evaluation and management (E/M) level of service codes. Such audits provide an opportunity
for a “head-to-head” comparison of conventional coding principles versus computerized coding systems that select level of service codes based on user input.

EHRs Pose Challenges, Provide Opportunities

Feb 16, 2011
A recent survey published in New England Journal of Medicine found that only approximately 17 % of US physician offices are using electronic health records (EHRs). EHRs are part of a federal plan to improve the quality and effectiveness of US Health Care.

Auto-Population Gone Wild: EMR documentation creates risky record keeping and frustration.

Feb 16, 2011
Physicians are usually in a hurry, and assume the EMR is going to do most of their documentation work for them. When the medical assistant is knocking on the door signaling “hurry up,” physicians can take risky shortcuts.