Documenting the Case of False or Nonsensical Medical Records

Tuesday, Oct. 31, 2017
10-10:30 a.m. ET; 7-7:30 a.m. PT
Program 302
Reed D. Gelzer, MD, MPH,
Former Co-Chair, HL7 EHR Standards Workgroup,
Co-Facilitator, HL7 Records Management, and
Evidentiary Support Workgroup Trustworthy EHR, LLC

Holly Louie, RN, BSN, CHBME
Past President, Healthcare Business and Management Association

Gustavo P. Camarano, MD, PhD, CPC, CDIP, CHCQM;
Laurie M. Johnson, MS, RHIA, FAHIMA; and H. Steven Moffic, MD

The topic of counterfeit or otherwise deeply flawed medical records continues to generate buzz nationwide. The case of “Robert,” a Talk Ten Tuesdays listener, reported during a recent edition of the weekly Internet broadcast revealed that in reviewing his electronic medical record (EMR), a documented physical exam was counterfeit – no exam was performed.

There are countless other uncovered examples of medical records that are nonsense, clearly false, or lacking in credibility. This assessment comes from someone who knows: Holly Louie, past president of the Healthcare Business and Management Association (HBMA) and next Tuesday’s broadcast co-host. Corroborating this assessment will be Reed Gelzer, MD, MPH, co-chair of the HL7 EHR Standards Workgroup, co-facilitator of the HL7 Records Management and Evidentiary Support Workgroup, and head of the Newbury, N.H.-based consulting firm Trustworthy EHR. Dr. Reed will address the need to establish thresholds that will help improve documentation of legitimate medical necessity, accuracy of coding, and correct payments. That will not only improve quality and patient safety, it will reduce malpractice risk and potential false or fraudulent claims allegations.

Other segments to be featured on the broadcast include:

  • Mental Health Report: Nationally renowned psychiatrist H. Steven Moffic will respond to recent developments regarding the ancient Hippocratic Oath and its mandate of “first, do no harm.” A World Medical Association amendment last week encourages physicians to focus on their own mental health.

  • News Desk: Laurie M. Johnson, MS, RHIA, FAHIMA, senior healthcare consultant for Revenue Cycle Solutions, will report on the latest healthcare news.

  • DocTalk: Dr. Gustavo Camarano, a physician advisor with Allegheny Health Network, will discuss the role of Lean Six Sigma in healthcare.

  • CDI Report: Rhonda Buckholtz, vice president of practice optimization for ECL, will report on the importance of clinical documentation integrity (CDI) in light of the 2018 Outpatient Prospective Payment System (OPPS) proposed rule changes.

Register now to listen and learn on Tuesday, Oct. 31, 2017 at 10 a.m. ET.

Talk Ten Tuesdays. More than just talk.™