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Urology Coding Alert

Evaluation and Management:

Don't Let 3 EHR Pitfalls Compromise Your E/M Coding

Published on Sun Nov 18, 2012

These mistakes may cost your practice money and set you up for payer scrutiny.Many urology practices either are already using electronic health records (EHRs) or are considering implementing an EHR system. An EHR can be a helpful tool to save your urologist time and ensure that his documentation is thorough and neat. But there can be a downside to EHRs if you aren't careful: They can mislead you into creating documentation you don't really need--and in some cases, cause you to fail to document items required to support your code choices.Consider these three EHR myths, all of which are based on questions submitted to Urology Coding Alert, to show you exactly where your EHR system could be leading you astray.Myth 1: Exam Documentation Will Carry Over for Follow-Up VisitsIf your EHR is producing documentation that is robust in one section (such as History) and thin in another (such as the [...]
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