What applications of an electronic health record system may have possibly helped avoid the auditing errors made by Medicare?  

Health · High School · Mon Jan 18 2021

Answered on

The implementation of an electronic health record (EHR) system can offer several features and functionalities that may help avoid auditing errors and improve accuracy in healthcare billing. Some potential applications include:

  1. Automated Billing and Coding: EHR systems often include tools for automated billing and coding. By using standardized codes and automating the billing process, the likelihood of manual coding errors is reduced.
  2. Real-time Documentation: EHRs allow healthcare providers to document patient encounters in real time. Accurate and timely documentation can contribute to more precise billing and reduce the risk of errors.
  3. Decision Support Systems: EHRs may include decision support tools that assist healthcare providers in selecting the appropriate codes and billing information based on the patient's condition and the services provided.
  4. Audit Trails: EHRs typically maintain detailed audit trails, documenting changes made to patient records. This feature can be valuable for auditing purposes, providing a transparent view of who accessed the record and what changes were made.
  5. Integration with Coding Standards: EHR systems often integrate with standardized coding systems (e.g., ICD-10, CPT) to ensure consistency and compliance with industry standards.
  6. Quality Assurance and Reporting: EHRs can generate reports and analytics that allow healthcare organizations to monitor and assess the accuracy of their billing practices. This can help identify discrepancies and areas for improvement.
  7. Electronic Submission of Claims: EHRs can facilitate the electronic submission of claims to payers, reducing the chances of errors associated with manual data entry and paper-based processes.
  8. User Training and Education: Proper training for healthcare providers and administrative staff on using the EHR system can improve awareness of billing practices and coding standards, reducing the likelihood of errors.