HIT Policy Committee to Study EHR Overbilling

Farzad Mostashari, M.D., national coordinator for health information technology, has asked the advisory HIT Policy Committee to study if providers are using electronic health records to up-code billings to Medicare, according to the Center for Public Integrity, a nonpartisan investigative journalism organization.

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Comments (7)
Translation: "We're going to spend more tax payer money to try and find out why all the tax payer money that we've already spent has increased medicare costs".
Posted by russ.reese | Thursday, October 18 2012 at 1:55PM ET
Clinics were also mentioned as a possible source of up-coding by the House members. As the CEO of a Federally Qualified Health Center, ie a "clinic" I would like to clarify that FQHCs are paid a set rate for Medicaid and Medicare visits. Up-coding is of zero advantage to us as we will never get more than our rate for each visit. I think the members of the House are unclear on both the complexity of HIT technology and payment methodology for different types of medical providers.Don't tar us all with the same brush.
Posted by Beatrice B | Thursday, October 18 2012 at 2:01PM ET
So they have figured out that more documentation results in higher level E&M codes DUH!!! So just like laywers the more we write the higher we get paid. JUSTICE is served!!!!
Posted by mackley | Thursday, October 18 2012 at 8:30PM ET
So just like laywer the more you document the higher the pay! Justice is served.
Posted by mackley | Thursday, October 18 2012 at 8:32PM ET
Possibly upcoding occurs as described. However, for years, paper charting has likely resulted in downcoding because of the complexity of documenting all required aspects of the encounter and the accompanying fears of the providers concerning aggressive audits. EMR has its faults and can be abused, but it may also permit better, and higher, coding more appropriate to the work done.
EMR has its benefits, but also can hurt productivity. If the powers that be start throwing impediments to charting and using electronic medical records, they will risk further impairing productivity.
Posted by DONALD H | Sunday, October 21 2012 at 6:46PM ET
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