tci Part B Insider - 2007 Issue 7

ELECTRONIC HEALTH RECORDS: Beware--Too Much Cutting And Pasting Could Wound You

Will your doctor's E/M notes stand up to EHR audit scrutiny?Your electronic health records (EHRs) could soon need an upgrade. RTI International (RTI) just released a draft version of anti-fraud standards for EHRs. The standards could put more pressure on your doctor to support evaluation & management levels in documentation. RTI convened a panel of experts to suggest ways that EHRs could guard against fraud and incorrect billing. The experts said EHRs should:- Make sure cut-and-pasted documentation keeps the original time-and-date stamp from the records it was cut from. (But if the doctor cuts and pastes from one...

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