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Do EHRs Contribute to Coding and Payment Inaccuracies? Print E-mail
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Sunday, 17 March 2013 00:00

Many providers have touted the electronic health record (EHR) as the magic bullet to improve billing accuracy.  However, according to the Center for Public Integrity, "Medicare regulators also acknowledge they are struggling to rein in a surge of aggressive - and potentially expensive - billing by doctors and hospitals that they have linked, at least anecdotally, to the rapid proliferation of the billing software and electronic medical records.  A variety of federal reports and whistleblower suits reflect these concerns."

In the 'paper world,' physicians document the visit note and then generate a billing slip or superbill with the codes represented in the documentation.  Pre-printed diagnoses are either checked off for the patient's visit, or if a particular condition is not listed, the clinician writes it freehand on the form.  With regard to procedures, here too, the most common ones are pre-printed on the form and checked off by the doctor.  It is rare that a provider adds a procedure to the billing slip.  This document is routed to the biller for processing.  It is important to note that the biller's role is to process billing information and follow up on outstanding payments, not to assess the accuracy of the clinician's documentation.  Click here to read more.

Source:  Coleman Consulting Group (CCG)

Last Updated on Monday, 18 March 2013 08:53

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