Enos Medical Coding
  • Home
  • Chart Audits
  • Consulting
  • About Us
  • Contact Us

EMR Risk- If it wasn't done, don't document it: Tackling E&M coding errors in the age of EHR's

9/26/2012

 
sepcodeofconduct.pdf
File Size: 141 kb
File Type: pdf
Download File

Mike Enos, CPC, CPMA, CEMC and Nancy Enos FACMPE CPMA, CEMC, CPC-I, CPC have authored a series of articles published in MGMA's Connexion Magazine.  The September issue features the first part in the Code of Conduct Section, and Part 2 will be published in October.

The importance of medical necessity is always the most important component is selection of an E/M level. The features in many EHRs can create auto-text and complete checklists, leading to documentation of elements that were not actually done.

Cloned notes (using the exact same verbage from patient to patient), copied notes, and automatically generated notes should be examined closely, and physicians should be trained on how to delete, correct, and authenticate the contents of their notes to ensure that the notes actually reflect the services provided to a particular patinet, and nothing more.

EHR's that have a "coding tool" can be especially risky, when the level is calculated based on data elements, and not medical necessity.

The Heat is On....CMS Approves RAC audits for Evaluation and Management

9/26/2012

 
CMS has approved complex audits of high level E/M services, following their May 2012 Report on improper billing and coding of high level Evaluation and Management Services. 

Connolly has today posted on their web site their new audit scope related to E&M audits:

http://www.connolly.com/healthcare/pages/ApprovedIssues.aspx

Impacts: Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia.

    Author

    Mike and Nancy are independent consultants and coding educators.  They are a mother/son team who are active in local and regional professional organizations.

    Archives

    July 2022
    July 2021
    January 2021
    March 2020
    January 2020
    April 2019
    January 2018
    September 2017
    May 2013
    April 2013
    January 2013
    December 2012
    November 2012
    October 2012
    September 2012
    May 2012
    March 2012
    January 2012
    November 2011
    October 2011
    September 2011
    July 2011
    June 2011

    Categories

    All
    Auditing
    Awv
    Certification
    Certified Coding Exam
    Coding
    Coding And Billing
    Coding Certification
    Coding Course
    Coding Education
    Coding Seminars
    Cpc
    Cpc Course
    Cpc Exam
    Cpt
    Health Information Technology
    ICD-10
    ICD-10 Education
    ICD-9
    Implementation
    Medical Billing
    Medical Coding
    Medicare
    Mgma
    Nancy Enos Coding
    News
    Oig
    Preventative
    Primary Care
    Spotlight
    Today.
    Work Plan

    RSS Feed