Electronic Medical Records Systems & Interdisciplinary Services

554 views
488 views

Published on

Electronic Medical Records Systems & Interdisciplinary Services by Eldon Schulz, MD

Published in: Economy & Finance, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
554
On SlideShare
0
From Embeds
0
Number of Embeds
7
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Electronic Medical Records Systems & Interdisciplinary Services

  1. 1. EMR & Interdisciplinary Activities Eldon G. Schulz, MD LEND Meeting March 2010
  2. 2. Background • Many false starts and ‘do overs’ • 1.5% of the ~3000 AHA facilities used a comprehensive EMR in ’09, • 10-20% pediatrics • Training is Extremely time consuming • Onsite IT support immediately available • Reduced clinical flow for 2-4 m (daily use)
  3. 3. Standards • 12/2009 Office of the National Coordinator for Health Information Technology (ONC) – Interim final rule on Standards & Certification Criteria for EMRs: Regs designed to provide standards for EMRs in Medicare http://healthit.hhs.gov – Public Comment ends – ‘meaningful use’ criteria – 3 phases – 2011 - 2015 – ARRA incentives to convert – After ’15, reduce reimbursement if not converted – Public Comment: 15 Mar: http://www.regulations.gov
  4. 4. Reducing Fraud and Abuse • Invisible “owned by….” audit tag • If a non-physician practitioner enters parts of the report that is mandated to be entered by the physician, the reimbursement will be denied or down-coded • Cut & Paste: 4 m boy “with nl dentition” • Labs authorized NPP • Sampling, the extrapolation: consistent error= 100% denials • CMMS audit can go back 3 (7) years
  5. 5. Payments and Penalies • Am Acad. of Professional Coders – www.aapc.com
  6. 6. Compare Products • AAP Council on Clinical Information Technology – Critiques of 33 EMR venders/products – EMR Review Kit – http://www.aapcocit.org/emr/
  7. 7. Challenges for IDT • No DBP/IDT templates: develop or limp along • Disciplines combined vs separate reports – Discourages ‘team process” – Invites conflicting information • Limited signatures • Password protected “attending statement” – “I personally reviewed this this patient’s history, completed pertinent PEx and agree with the edited report by Dr. Fellow” – Where to place “attending statement” on IDT report – Time vs Complexity-based (fellows) coding
  8. 8. Short/Helpful ‘Playbook’ • http://www.ttuhsc.edu/billingcompliance/doc uments/EMR_Playbook.pdf <http://lists.aamc.org/t/50853/37842/3760/0 /> 
 • Encourage your institutional compliance office to review your reports, become their BFF…. • They can help find ways to compliance
  9. 9. Thanks You

×