EHR systems can’t protect you from the False Claims Act

  • John Danza
  • Aug 11, 2017
  • Comments
helloquence-61189-unsplash

The recent Department of Justice (DOJ) $155 million False Claims Act settlement with eClinicalWorks highlights a problem that has existed in the EHR software industry for a long time.  Any EHR system that attests to do everything for the integrated health system can’t possibly provide the highest possible level of all aspects of functionality.  Some parts of the system will be concentrated upon while others will get just enough attention so the vendor can say they have the ...

FWA, program integrity, EHR coding, payment integrity, Billing Integrity,

Why Your EHR System Might Get You Audited: ICD-10 Dropdown Menu Fails

  • Margaret Klasa DC, APN BC
  • Mar 15, 2017
  • Comments
bigstock_man_working_on_computer_late_a_18399773

Most EHR systems have drop-down menus in which ICD-10 code choices or search returns are in numerical order where say the fifth digit of 0 – indicating unspecified – is the first return or choice, while the more specific choices are farther down the list. Physicians are often picking the first code that appears in the drop-down menu therefore claims may be at risk due to continuous submission of unspecified diagnoses.

EHR coding, EHR coding issues, EHR coding risk, medical coding, ICD 10, ICD-10,

Subscribe to Our Blog:

Connect With Us

Authors


Proudly Affiliated with:

Proud_Members_Logo_250X100Affiliate with FedRAMP and AWSNational Association of Dental Plans Member