decisionhealth Newsletters, Part B News - 2006 Issue 5 (May)
EMR & E/M: Beware of software's potential to upcode
Subscribe or sign in to view the full article.
Article Overview
This article examines concerns about electronic medical records and related software influencing evaluation and management billing levels. It covers government scrutiny, compliance and fraud risk concerns, and industry commentary about software controls, auditing, and documentation practices. The piece is relevant to coders, compliance staff, physicians, and health information management professionals following E/M documentation and fraud-prevention oversight.
Why This Topic Matters
It helps readers understand why EMR-driven documentation and coding workflows may attract audit attention and compliance review. The topic is important for organizations that rely on software-assisted documentation and want to monitor billing integrity and risk exposure.
What You Will Learn
- Why EMR documentation software can raise concerns about higher-level E/M billing
- How government and Medicare oversight may relate to automated documentation and coding tools
- What compliance and fraud-risk issues are associated with software-assisted record generation
- How industry groups and vendors have discussed controls and safeguards in EHR/EMR systems
Who Should Read This
- Physicians
- Coders
- Billing staff
- Compliance officers
- Health information management professionals
- Practice administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com