Fraud Prevention in Your EHR/Clinical Documentation

Recent changes to the Health Information Portability and Accountability Act (HIPAA) have brought stiffer penalties for fraud prevention, with new levels of enforcement among smaller and independent medical practices. Electronic medical record users should be aware of issues that pertain to electronic documentation compliance, including patient identification and demographic accuracy; and documentation, auditing and authorship integrity. This webinar reviews these and other concepts, including:

• Are you “gaming” the EMR?
• Locking the record before billing
• Cut and paste rules
• Macro/template rules
• Using a scribe
• Choosing the E/M Code
• Closing the order to bill
• Rules for split/shared visits
• Rules for documentation by medical students and residents
• Providing a well visit and a sick visit at the same time