The transition to EMR made it easier for insurance companies and federal agencies to collect data on doctors and it simplified their auditing process. As a result, in 2014 alone, the federal government’s Health Care Fraud and Abuse Control Program (HCFAC) collected penalties of $3.3B from hospitals and providers for errors and inconsistencies found in patient records.
Ultimately, doctors are responsible for what is documented in charts and what is billed. Erroneous billing and improper documentation can lead to penalties from the Office of Inspector General (OIG) in excess of three times insurance payments received plus $10,000 per patient visit extrapolated for three years.
EHR Command Center’s innovative compliance tool helps doctors comply with federal regulations and insurance standards. This protects patients by preventing medical errors and protects practices by ensuring proper chart documentation. Our cross-referencing capability verifies concordance between what was documented during patient visits versus what was actually billed. By identifying mismatches, it both prevents compliance issues and ensures that services are accounted for and billed correctly. Our powerful technology automates referrals and pre-authorizations, verifies medical necessity, and warns of documentation inconsistencies.
EC2 facilitates fast and accurate decision making for better outcomes.
We employ pattern recognition that catches inconsistencies.
EHR Command Center aligns treatment plans with medical standards.
EC2 strengthens revenue integrity programs by verifying compliance.