Knowing the risks EHRs pose is the first step to improving E/M documentation. By Ellen Risotti-Hinkle, CPC, CPC-I, CPMA, CEMC, CFPC, CIMC The use of electronic health records (EHRs) is steadily increasing, and so are the number of high-level evaluation and management (E/M) services being billed. These claims may very well be substantiated by documentation contained ...
Sep 30th, 2013
September 23 is right around the corner. Has your practice updated its standard privacy notice yet? Covered entities—including health care providers who conduct covered healthcare transactions electronically—are required to develop and distribute a notice to patients that provides a clear, user-friendly explanation of the provider’s privacy practices and patients’ rights to privacy of protect...
In Coding
Feb 1st, 2010
EMR documentation can create risky record keeping. By Cheryl L. Toth Documentation like the following is becoming more common as coding consultants audit practices that have moved to an electronic medical record (EMR): ¡  A 90-year-old woman who “denied pregnancy as a sign.” ¡  An infant with “good dentation.” ¡  The note for every female ...
Nov 2nd, 2009
The Federal Trade Commission’s (FTC) compliance deadline for creditors and financial institutions to develop and implement an identity theft prevention program under the Red Flags Rule was delayed—yet again. The implementation date originally set for Nov. 1, 2008 has been delayed three times to 2009 dates: May 1, Aug. 1, and Nov. 1. At the request of ...
Sep 1st, 2007
By Robert A. Pelaia, Esq., CPC Every year at the AAPC national conference, several members of AAPC’s Legal Advisory Board present an open forum session to respond to a wide variety of questions from attendees. For the past few years, without fail, numerous audience members have asked for guidance on the timeliness of entries to ...