Health Information Management

PPV: Watch out for EMR-related coding pitfalls

HIM-HIPAA Insider, March 13, 2007

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

There's a new trend in coding--and it's a dangerous one. Physicians are using electronic medical record (EMR) software with built-in coding intelligence to choose CPT evaluation and management (E/M) coding levels.

The risk in using the EMR to code visits is high, says Deborah Grider, CPC, CPC-H, CPC-P, CCS-P, CCP, EMS, president-elect of the Salt Lake City-based American Academy of Professional Coders National Advisory Board. "If you turn the coding function on, it will actually prompt a physician to upcode." For example, the EMR will prompt a physician with a message such as, "If you complete one additional review of systems, you can bill a level four." This is a real problem, says Grider.

Click here to read more. Subscribers to Electronic Health Records Briefing can sign on for free access.

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular