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EMR Companies, Leveling the Playing Field, and The Eatery: Around Healthcare Scene

Posted on February 10, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.


What Really Differentiates EHR Companies?

EHR companies are a dime-a-dozen. So what makes them different? While price is sometimes a big deal to some, it isn’t an indicator of success. Marketing and sales can make a difference as well to some. However, there are a few things that should differentiate EHR companies. This includes the importance of efficiency.

Android’s Advantage Over iPhone in Mobile Health Applications

While many in the healthcare world love the iPhone, Android devices may present more options to healthcare professionals. Android offers more customization than the iPhone, and has more flexibility. It may cause developers more headaches, as the iPhone only requires them to only code their application once to work with most iOS devices. But the benefits are countless.

Hospital EMR and EHR

Level the Playing Field with RACs as They Enter Practice Settings

This article is by Lori Brocato, Director of Audit at HealthPort. She lists four ways that hospitals can do to level the playing field with RACs. These reasons are: knowledge is power, it’s a team effort, connect the dots, and learn from mistakes.

How EMR Vendors and Providers Can Partner Effectively

The LinkedIn HIMSS group posed the question — what does a good partnership between an EMR vendor and a provider look like? This post includes a few of Anne Zieger’s thoughts on this question.

Smart Phone Healthcare

The Eatery: A Visual Food Diary

The Eatery puts a twist on the typical food diary — instead of recording food, you take a picture. The user then can rate their food, and others can too.

RACs Ordered To Analyze EMR Template Data

Posted on December 26, 2012 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

EMR templates are coming under increasing fire of late, with regulators arguing that they’re not doing a good job of justifying the reimbursement that doctors are requesting. Now, in a move that can only be described as racheting up the pressure, CMS has revised its instructions to Recovery Audit Contractors (and their brethren) to demand that they look more closely at template documentation.

According to a report in EHR Intelligence, CMS has issued new orders asking RACs and other recovery contractors to review templates, extract usable data, and use that to determine whether reimbursement requests are legit. Specifically, it’s asking contractors to focus in on limited space progress note templates and open-ended progress note templates.

CMS isn’t asking providers to stop using templates, but it does seem fairly disapproving, particularly of limited space templates, which it regards as largely inadequate for payment purposes

“Review contractors shall remember that progress notes created with Limited Space Templates in the absence of other acceptable medical record entries do NOT constitute sufficient documentation of a face-to-face visit and medical examination,” the agency says in its contractor instructions.

The agency notes that templates using checkboxes and predefined answers to enter information generally don’t work. “Claim review experience shows that limited space templates often fail to capture sufficient detailed clinical information to demonstrate that all coverage and coding requirements are met,” the instructions note.

Well, there you have it. You’ve got an agency that’s coming down hard on the use of inadequate templates, but “does not endorse or approve any particular templates.”  Seems like a recipe for disaster.

If CMS refuses to propose a specific template design, I say it’s incumbent on the industry to do so. With so much at stake, it’s time to lay out a design that vendors and providers can live with and hand it to CMS.  Maybe that will spur the agency to take a stand.