Is Electronic Health Records Up-Coding a Myth?

In the article and commentary No upcoding caused by EHRs – yet, post in Modern Health-care, the authors assert that there is no systematic up-coding by the use of the Electronic Health Record, while the commentary interprets the data the opposite way.

There is a general feeling that the Electronic Health Record with the ability to click, cut and paste, and create Macros (preassembled scripts to meet various documentation requirements), allows the billing companies to up-code the claim.

here is an alternative interpretation. In the past most claims were under-coded due to poor documentation. The EHR allows one to document appropriately and get paid according to the standard conventions. If the documentation is fraudulent, that is a separate issue. An even more separate issue is the true and fitting cost of medical care, which the world wants neither to go up, nor to pay appropriately for receiving. When I complained to a plumber recently about the bill, saying, “Look I am a doctor, and I don’t make that much! He said: “neither did I when I was a doctor.”

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