Clinical, Financial and Administrative Insights For Physicians

Top 3 EHR Compliance Risks - How to avoid Auditor Scrutiny?

Posted by Suzanne Prasad

EHRs provide physicians with many benefits; however, there are also compliance risks inherent in the technology. Physicians must be aware of these risks and take steps to address them, said Sandy Giangreco, RHIT, CCS, CCS-P, RCC, CPC, COC, CPC-I, COBGC, coding compliance audit senior manager at CHAN Healthcare, and Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, independent coding and reimbursement consultant.

Giangreco and Huey both spoke during the 88th annual American Health Information Management Association’s (AHIMA) convention held October 16-19, 2016 in Baltimore, MD.

This article addresses several compliance vulnerabilities that Giangreco and Huey discussed and provides tips on how to mitigate risk.

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Medicare Overpayments: 6 Tips to Comply with CMS’ New Rule

Posted by Suzanne Prasad

If you find an overpayment, don’t expect to keep it. That’s because physicians must report and repay Medicare overpayments within 60 days of identifying them, according to a final rule that took effect March 14, 2016. This includes overpayments identified within six years of when the overpayment is received.

Do not forget the top 6 tips (given below) that will help physicians identify what could constitute an overpayment and how they should report overpayments as they discover them.

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Medical Coding: ICD-10 - Is It Too Specific?

Posted by Alok Prasad

This year is the official deadline for the switch to the new International Statistical Classification of Disease and Related Health Problems version 10, known simply as ICD-10. One of the more controversial, or beneficial depending on how you look at it, features of ICD-10 is the expansion of code classifications. Some in the health care industry think that ICD-10 takes it just a little too far. The federal agencies that developed the classification standards went into great detail with version 10 as a way to enhance coding, but may end up bogging it down instead.

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Coding Compliance Audit - Still a Good Idea for Physicians?

Posted by Alok Prasad

This time I decided to write this post about a slightly different topic - Coding Compliance. As we discuss below, when physicians implement EMR or EHR, the need for a good compliance plan will not disappear contrary to what some physicians may believe.

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