Documentation:
Avoid Billing E/M Service Based on Cloned Documentation, Or the OIG Will Come Knocking
Published on Fri Dec 14, 2012
Ensure your EMR is not setting you up for failure. If you have reviewed the HHS Office of Inspector General (OIG) hot list of areas it will be scrutinizing for 2013, you know that evaluation and management billing makes the top 10. In its 2013 Work Plan, released on Oct. 2, the OIG indicates that it intends to go back in time -- all the way to 2010, to be exact, when reviewing E/M claims. "We will determine the extent to which CMS made potentially inappropriate payments for E/M services in 2010 and the consistency of E/M medical review determinations," the Work Plan states. The OIG also plans to review multiple E/M notes for each provider to determine whether electronic medical records (EMR) errors are creating cloned notes across services. Your EMR system may things easier for your practice in many ways, but it won’t make your E/M claims entirely "audit-proof." [...]