Medical Billing Blog

When Documenting in the EMR - Medical Necessity Remains Central

Posted by Scott Shatzman on Fri, Mar, 31, 2017 @ 09:03 AM

Since electronic medical records (EMR) have become prevalent, there has been concern whether documentation in the patient record accurately reflects medical necessity and the services provided. When I started working in the healthcare setting, we always told providers, “Not documented, not done.” Now, when I review a chart note, the question I have to ask myself is, “There is documentation, but was it done, today?” With the ability to import previously gathered information into the current note with just a few clicks, it’s possible that the information wasn’t reviewed at that specific encounter.

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AMA Releases List of 8 EHR Priorities

Posted by Scott Shatzman on Thu, Oct, 09, 2014 @ 07:10 AM

Following widespread discontent with the meaningful use program and EHR policies, the American Medical Association (AMA) has released a list of eight priorities to improve quality and usability during EHR adoption.

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Hospitals Increasingly Outsourcing Coding Efforts

Posted by Scott Shatzman on Mon, Aug, 11, 2014 @ 09:08 AM

More hospitals are planning to outsource coding efforts in the coming year, according to a new survey published by Black Book Rankings.

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CMS Proposes EHR Changes

Posted by Scott Shatzman on Thu, Jun, 05, 2014 @ 08:06 AM

On Tuesday, May 20, 2014, CMS released a proposed rule that would make changes to the current Certified EHR Technologies (CEHRT) requirements and formally extend Stage II of Meaningful Use through 2016.

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