Audit Challenges with Electronic Health Care Records

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 Minutes
Product Description

Overcome the Auditing Challenges Associated with Emergence of Electronic Records.

As the world turns paperless, the focus of chart documentation has shifted from paper to electronic and new challenges have popped up for auditors. Various policies and other regulations are there in some areas but in other areas they don’t exist. You need to identify the rules that apply to electronic records and the rules that have changed from paper world. This is the key in completing a compliant audit.

The attractive customization of an electronic software system sometimes makes it possible to change areas that should not be.  Offices and staff continue to falsely decree "if it was wrong the software shouldn't let me do it" or "we got paid so it must be ok for us to do it this way."  Knowing where to find policies, how they apply to EHR is important for an auditor to know. It is also important to know where the most common shortcuts in the software are taken and how to spot them. In this conference, with expert speaker Jill Young, CPC, CEDC, CIMC, you will understand:

  • Where to find CMS and other payer policies regard health records
  • How to make your own checklist of areas of risk
  • Tips on spotting inappropriate or manipulated entries
  • Key elements of the OIG's reports on Electronic Health Records

Session Highlights:

  • "Cut and paste", cloning and carry forward - are they helping or hurting your documentation
  • Physician's selection of diagnostic codes - are you monitoring this area to avoid compliance risks
  • Common process areas that cause coding errors within your EHR and billing process
  • Templates - are they OK to use - if so when and how
  • "Over documenting" what it means, how it can expose you to an outside audit and flag you for more problems
  • Auditing with a suspicious attitude - what new problems areas can be identified

Who should attend: Practice Managers, Office Managers, Coders, Billers and Providers

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
More Events By The Speaker

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