Category Archives: Electronic Health Record (EHR)

What We’re Reading – Montefiore Employee Terminated after Data Breach Affected up to 4,000 Patient Records

An article in Healthcare Finance News recounted a recently uncovered employee’s theft of patient information at a New York hospital over a period of two years.  The breach of patient addresses, dates of birth and social security numbers was detected … Read Full Post

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What We’re Reading – 5 Providers Settle After Withholding EHR Access, Violating HIPAA

The HIPAA Right of Access Initiative allows patients the right to timely access to their health records at a reasonable cost and in the manner in which they request it [emphasis intentional], or they may file a complaint with the … Read Full Post

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Reminders for Proper Documentation

We all know providers are stressed for time and want to provide the best medical care to each and every one of their patients even in a short window of time. Unfortunately, the first thing to suffer is the documentation … Read Full Post

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Coding E/M Services – Part 2

Welcome back to our two-part series on Coding E/M Services.  As we covered in part one of this series, the level of E/M service determines the payment for the visit an there are seven components that factor into the E/M … Read Full Post

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The Joys & Perils of Templates

Most of us will jump at the chance to find an easier way to accomplish the same result.  I mean, who doesn’t love shortcuts?!  Electronic medical records (EMRs) are probably one of the biggest time-savers for a medical practice.  The … Read Full Post

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Coding E/M Services – Part 1

Few things cause as much provider confusion – even frustration and angst – than medical coding.  But coding is intricately linked to payment so the importance of doing it correctly has significant repercussions.  The Centers for Medicare and Medicaid Services … Read Full Post

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What We’re Reading – More Than 1 in 5 Patients Perceived Mistakes in their Medical Visit Notes

More than one in five patients perceived mistakes in their notes, judging more than 40% of them as serious. Such is the conclusion of a study published in the June 9, 2020 issue of JAMA. With the proliferation of electronic … Read Full Post

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7 Ways to Maintain Patient Interaction in the Age of the EHR

A common criticism of EMR (electronic medical records) use in medical practices is that it causes doctors to become less engaged and impersonal.  This causes frustration for all parties – patients and physicians – because doctors didn’t sign up for … Read Full Post

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What We’re Reading – CMS Creates New Tip Sheet to Help Specialists Meet Meaningful Use

Navigating through all the information and requirements to meet meaningful use, and to successfully complete the necessary attestation, can be confusing and – at times – complicated for many providers. This tip sheet gives a full introduction of the EHR … Read Full Post

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Do EHRs Contribute to Coding and Payment Inaccuracies?

Many providers have touted the electronic health record (EHR) as the magic bullet to improve billing accuracy.  However, according to the Center for Public Integrity, “Medicare regulators also acknowledge they are struggling to rein in a surge of aggressive — … Read Full Post

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