tci Medicare Compliance & Reimbursement - 2011 Issue 6

Compliance: Beware: 'Audit-Proof' EHRs Don't Exist, Experts Say

The responsibility is on your practice to ensure that you're reporting the right codes. Your electronic health record (EHR) may make your job easier, but it won't make your claims entirely "audit-proof."Case in point: A practice recently noted that one of its new physicians has been billing almost all 99215s for his E/M visits, which the EHR calculates based on the information that the physician enters into it. The practice manager pointed out that the vendor who sold her the EHR told her that its E/M calculator was auditproof, so she had been submitting the 99215s without checking...

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