Current Coding Tip

Beware the Tender Trap: EHR Auto Populating Fields

The keys to providing excellent health care are the same, whether you are using paper or electronic records. First you determine why the patient is in the office and then you customize your case history and physical examination to match those needs. The questions you ask and the tests you do and what you record in the patient’s file for the day are all related to the reason for visit. Some electronic records provide the opportunity to mark lots of fields automatically, possibly filling all of fields in the history and examination before the patient arrives in the office, based on data from a previous visit. Convenient? Sure. Problematic? Maybe. The best way to enter data in a patient’s record is as it is being gathered…Not before and not after, to be sure that nothing is left out and that no fields include information on questions that were not asked or on tests that were not done at the visit.

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U.S. Supreme Court Issues Ruling on Health Care Law

In an historic ruling just issued this morning, the United States Supreme Court dismissed challenges to the constitutionality of major provisions of the Affordable Care Act (ACA). Largely ending the uncertainty about the fate of the new health care reform law, AOA anticipates that federal and state-level agencies will now increase efforts to shape state-based health insurance exchanges and implement further provisions of the sweeping new law, including the AOA-backed Harkin Amendment, Stabenow Amendment, and pediatric vision care essential benefit.

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