Electronic health record systems (EHRs) are patient-focused digital records that provide information securely and in real time—they allow providers to offer the highest quality of care. However, as EHR implementation has become standard, facilities face a new set of challenges. Our white paper, EHR Best Practices for Reducing Denials, discusses these challenges, as well as how to balance patient communication with accurate documentation of care. One of the most important first steps for EHR documentation is creating a thorough process.
Prioritizing Quality Information
EHR systems, though valuable, often require considerable time to maintain. Physicians sometimes spend the same amount of time keeping records up to date as they do interacting with patients, according to studies. Some providers, in an effort to make this process more efficient, copy and paste from basic templates—but this can lead to myriad mistakes.
For example, during a 2019 congressional hearing, Dr. Phil Roe explained how, during his years as a medical practitioner, lengthy patient notes were often copied and pasted without sufficient review. Sometimes Roe received documentation full of data that had become obsolete, which forced him to spend precious time searching for vital information that would help him treat his patients.
Some physicians are also guilty of using standard templates—this data can quickly become outdated or in conflict with a patient’s medical problems, which can then lead to serious mistakes. Not only that, but if a template also lacks specificity, it might not accurately reflect the problems a patient is presenting—giving payors the opportunity to deny the claim because it does not contain the necessary data. Pre-made templates, or copy-and-paste notes, can sacrifice quality for efficiency and, when it comes to patient care, quality information should always be the priority.
EHRs are now standard, and technology has streamlined the collection and transference of patient information. When this data is not reviewed objectively, however, it poses a threat to reimbursement. Our white paper, EHR Best Practices for Reducing Denials, can help your facility overcome account challenges related to EHR setbacks, while also revealing process inefficiencies—and providing actionable ways to correct them.
With a combined 110 years of experience in the hospital operations field, ARx’s leadership has served healthcare facilities nationwide in order to provide timely and accurate account resolution. Don’t settle for solutions that fail to meet you where you are. Contact our team to start developing an informed plan focused on your objectives.