In Coding
Aug 6th, 2019
Alert coders of Excludes1 conflicts to help you catch problems in problem lists and avoid costly denials and rework. By Rebecca Caux-Harry, CPC In April’s Healthcare Business Monthly (pages 56-57), in the article “Take the Problem Out of Problem Lists,” authors Mary Wood, CPC, CPC-I, and Michael Warner, DO, CPC, CPCO, CPMA, AAPC Fellow, include ...
Timesaving tools can be financially burdensome on the patient and a compliance liability for the provider. By Cindy Rushton, CPC As a coder and biller for more than 21 years, I can spot errors on my medical bills, as well as my loved ones’ bills. With my husband’s permission, I’ll share one of my more ...
Mar 30th, 2017
Since electronic medical records (EMR) have become prevalent, there has been concern whether documentation in the patient record accurately reflects medical necessity and the services provided. When I started working in the healthcare setting, we always told providers, “Not documented, not done.” Now, when I review a chart note, the question I have to ask ...
Don’t forget medical record integrity as you strive to improve productivity. By Kellie S. Hall, CPC, CPCO, CCS-P Electronic health records (EHRs) offer providers many benefits, but using the technology in compliance with government standards takes a bit of know-how. One such compliance risk EHRs facilitate is called “cloning.” Recognizing cloning and discouraging its use ...
Jun 1st, 2014
Maximize the full potential of EHR tools, but abide by the documentation rules. By Ronda Tews, CPC, CHC, CCS-P Electronic health records (EHRs) are supposed to save providers time and improve the quality and legibility of their documentation. Another hoped-for advantage of EHRs is better patient care. EHRs are not intended to increase the quantity ...