Audit Challenges with Electronic Health Care Records

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

How Auditors Can Transition and Implement Policies for Physical Health Records Electronically

Physician offices have moved towards transitioning physical patient health records to their electronic counterparts. However, this has created a cluster of challenges for auditors who prefer following guidelines and policies created for dealing with paper records. The E&M rules for 1995 and 1997 are still around, and auditors may not know how to apply those guidelines to EHRs.

Join this informative session by nationally-recognized expert Jill M. Young, CPC, CEDC, CIMC, to learn more about this transition and determine key risk areas. Jill will share tips for spotting manipulated entries, while also discussing policies and OIG reports relating to EHRs. The session will also shed light on the most common transitions/translations made by EHR software that contribute to noncompliant documentation.

Session Highlights

  • Cut and paste, cloning, and carry forward: Do they help or hurt your documentation?
  • Templates: Whether it is OK to use them, and if so, when and how?
  • Physician's selection of diagnostic codes: How to monitor this area to avoid compliance risks
  • Common process areas that cause coding errors within your EHR and billing process
  • What is "over-documenting," and how does it expose you to an outside audit and flag you for more problems?
  • Auditing with a suspicious attitude: What new problem areas can be identified?

Session Agenda

  • Electronic medical records and electronic health records (EHRs)
  • EHR technology approaches
  • Latest OIG report and recommendations
  • Are EHRs facilitating fraud?
  • EHR problem areas
  • Volume documentation vs. medical necessity
  • E&M problem areas
  • Medicare contractors
  • Statistics
  • Physician coding
  • Evaluating your practice risk
  • References

Who Should Attend

  • Practice Managers
  • Office Managers
  • Coders
  • Billers and Providers

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
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