EHR integrated medical billing and coding services are in great demand as it improves front office reduces coding errors and helps improve reimbursement. Here are some challenges involved in EHR medical coding: https://goo.gl/ibbDZw
2. Electronic Health Records (EHRs) ensure more
accurate documentation, more complete coding,
and ultimately, more accurate reimbursement
claims.
With information readily available on HER-
integrated billing software, medical coders can
review and start the coding process as soon as
the patient is discharged.
EHR Medical Coding - Know
the Challenges Involved
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3. Practices using EHR software find their billing
processes streamlined because procedure and
diagnosis codes are automatically created and
assigned.
Services of skilled medical coders could be crucial
to review these codes and ensure that compliance
with CMS and private payer guidelines.
Reported benefits include:
Time-saving
Better documentation
Improved consistency and completeness in
medical records
Proven Benefits and Risks
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4. Certain risks involving improper use of EHRs are:
Copy/paste
Auto-creation of default documentation, and
Templates with limited options.
Proven Benefits and Risks
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5. Excessive copying and pasting of notes in EHRs
result in inaccurate, outdated, or incomplete
information.
Copy- pasted notes bring issues such as:
Compromising communication among the
members of the care team
Medical errors resulting from inaccurate or
outdated clinical information, and
Chances of missing important pieces of
information
Copy and Paste Issues
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6. Develop policies/procedures addressing the
proper use of the copy/paste feature to ensure
compliance with governmental, regulatory, and
industry standards
Address the use of features such as copy/paste in
information governance processes
Provide comprehensive training and education on
the proper use of copy/paste to all EHR system
users
Monitor compliance and enforce
policies/procedures regarding use of copy/paste
and institute corrective action as necessary
AHIMA Standards on
“Copy and Paste”
Functionality Use
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7. Never use EHR shortcuts, as it can lead to risks
for physicians.
By using shortcuts, untrained staff members may
miss revenue opportunities for the practice and
create a backlog of carrier denials.
To avoid coding errors, healthcare providers
should:
Employ well-trained staff responsible for the
medical coding process
Ensure proper training for all medical staff
involved in the medical coding process
Invest in medical coding certification training
for all coding staff
Avoid EHR Shortcuts
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8. Professional medical coding companies offer
the services of certified medical coding
specialists to protect both patients and
providers against delayed, denied and
incorrect reimbursement.
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