The easy access to medical records stemming from technological advances has given rise to questions about the medical benefits to such easy access, questions now being explored by researchers in the U.S. and Europe.
RheumPACER Dashboard System Aims for Quick Organization of Patient Data
The system synthesizes information from several sources that are usually scattered, and presents physicians with an easy-to-access guide to a patient with up-to-the-minute information.
Volunteering Is Informative—and Fun
A former ACR board of directors member chronicles his interpretation of the activities of the board over the past three years, highlighting issues that are likely on the minds of ACR members.
Electronic Health Record Contracts Done Right
Consider both your practice’s needs and the long-term viability of the technology when selecting an EHR system.
What’s In A Note?: The Use of Electronic Health Records
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.