tci Medicare Compliance & Reimbursement - 2010 Issue 24

Compliance Trends: Keep These 4 Trouble Spots On Your Radar Screen for 2011 and Beyond

The list includes EMR documentation, E/M coding, ACOs, and more. Looking to shore up your compliance plan? Below experts cite what they see as key areas of vulnerability and give you some pivotal survival tips.1. Physician electronic medical record documentation. The HHS Office of Inspector General auditors will be looking for "'cloned note' cases where all of a physician's E/M notes look identical because of documentation software," cautions Mary Falbo, MBA, CPC, president of Millennium Healthcare Consulting Inc. in Lansdale, Pa. She notes that the 2011 OIG work plan specifically states that "Medicare contractors have noted an...

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