Doctor Admits to Copy and Paste in EHR Records and May Face Accusations of Fraud
A Veterans Health Administration pulmonologist admitted to the copy-and-paste of prior information entered by other providers into the assessment of over 1200 patients. Prosecutors are saying this...
View ArticleOpportunity Opens for Coders in the Digital World
Coding professionals should take advantage of advances in health information technology and the now ubiquitous electronic health records (EHRs). The demand for HIT professionals with terminology...
View ArticleArticle Discussion: Concealed Improper Billing in EHRs
This informative article (link below) discusses EHR features that may lead to inaccurate documentation and billing that may be more “concealed” than traditional fraud potentiating features such as...
View ArticleCMS Allows Combination of 95 and 97 E/M Guidelines
For 16 years CMS did not allow the 1995 and 1997 versions of their Documentation Guidelines for Evaluation and Management Services to be used interchangeably. However, in September of 2013 CMS decided...
View ArticleBeware of the Problem List in Compliance Audits
The problem list is a required feature of certified EHRs and must be used by providers in order to attest for Meaningful Use, starting with Stage 1. Prior to Meaningful Use, problem lists were used...
View ArticlePrepare to Fight ICD-10-CM Denials
ICD-10-CM will be the mandatory code set for reporting starting on October 1, 2015, unless another unforeseen issue arises in the federal government that leads to its delay. The complexity of...
View ArticleMedical Necessity
Medical necessity should be considered foremost when determining the appropriate level of documentation of the history, physical examination and complexity of medical decision making, usually contained...
View ArticleCutting Costly Codes Act of 2013 and ICD-10-CM
Below is the text taken from a government website. Even though it was drafted in 2013 and is representative of efforts in Texas to seek a delay in ICD-10. The text of the bill is provided here. More...
View ArticleHow EHRs Can Cause Inaccurate E/M Coding
Many EHRs come with automated evaluation and management (E/M) coding tools, the suggest a level of service to a provider either during or at the end of an encounter. Many of the systems that have been...
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