CJ Wolf
Many medical practices strategize and work hard to experience growth. It can be exciting and rewarding. Increased growth is often accompanied by increased revenues, along with an opportunity to positively impact the health of more people.
Kristen Poat
Education related to documentation in the patient electronic medical record (EMR) is an area of health information management overdue for a tune-up. Lack of regular and formal education in this area poses a problem for healthcare providers who are expected to appropriately record information in the...
CJ Wolf
Some members of governing boards are not entirely comfortable with their oversight responsibilities related to the organization’s compliance program.
Kristen Poat
The third and last installment of this series focuses on the part human error plays in conflicting EMR documentation. Conflicting documentation in physician or Advanced Practice Provider (APP) SOAP notes is a significant issue that can lead to miscommunication, errors in patient care, and...
CJ Wolf
In June 2024, a provider organization settled False Claims Act allegations with the government by agreeing to pay $14.9 million. Improper billing of chronic care management (CCM) was among the alleged improper billing schemes.
CJ Wolf
'Exclusion checks, exclusion checks, exclusion checks,’ what is it all about?
Kristen Poat
Electronic Medical Record (EMR) systems have revolutionized healthcare documentation, allowing for streamlined record-keeping and improved patient care. However, lack of governance over EMR templates means they may contain outdated language that can hinder effective communication, delay revenue due...
CJ Wolf
The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...
