Mythbuster: Debunk 3 EHR Myths That Could Be Setting You Up for Payer Audits

Why This Topic Matters

EHR systems can streamline documentation, but they can also encourage incomplete, overbuilt, or unsupported records that increase audit exposure and jeopardize payment.

Article Sections

1. Myth 1: Exam Documentation Will Carry Over for Follow-Up Visits

   Discusses how EHR carryover can affect documentation for established patients and follow-up encounters. The section focuses on general E/M documentation concerns and recordkeeping expectations.

2. Myth 2: EHR’s Calculation of Time Spent Qualifies You to Code Based on Time

   Reviews time-based E/M reporting in the context of EHR-generated time totals. The section covers the broad documentation elements associated with time-based coding and visit counseling/care coordination.

3. Myth 3: You Should Use the EHR’s Code Selection in Every Case

   Addresses EHR-generated code suggestions and the relationship between documentation, medical necessity, and code selection. The section focuses on general payer expectations for E/M level support.