The dictum “to write as long as possible” has become the norm for some physicians. Quality, not quantity, should be our goal.
Coding Corner: Evaluation and Management
Coding and cloned notes.
Coding Corner Answer: Evaluation and Management
Coding and cloned notes.
The Good and Bad of Cloned Notes
Having an electronic heath record (EHR) system in your practice has many benefits, such as Medicare incentives, quality improvement, and increased office efficiencies. Falling in the “office efficiencies” category is the ability to clone notes, which allows you to cut and paste notes from one visit to another. This documentation option for physicians using EHRs puts them at risk for audits.
ACR Coding Specialist Responds to Letter: Of Coding and Perception
Thank you for forwarding this concern; feedback on the “Coding Corners” is greatly appreciated. I would like to discuss each issue line by line.
Letter: Of Coding and Perception
Regarding the February “Coding Corner,” although I know that the upcoding was legitimized by the time spent (30 minutes), I have some philosophical concerns, especially because our business manager stresses that coding based on time can be a delicate issue.
Data-Driven, Optimal Patient Care and Clinical Research
Expanded opportunities to advance rheumatology will be offered by ACR’s ongoing registry efforts
Data Rich, Information Poor
Did you know that the health information stored by your practice could be one of your most valuable assets?
Planning is Key to Meaningful Use
Practices face many challenges when adopting EHRs
Stage 2 of the EHR Incentive Program
Although reporting for Stage 1 of the Centers for Medicare and Medicaid Services (CMS) Electronic Health Record (EHR) Incentive Program began just this year, the rules, objectives, and measures for Stage 2 are already being established. Last June, the Office of the National Coordinator (ONC) for Health Information Technology (IT) presented CMS with its recommendations for Stage 2 of the CMS EHR Incentive Program which builds on the Stage 1 objectives supporting EHR utilization for data capture and sharing.
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