Elec­tronic health records con­trib­ute to up­cod­ing

Modern Healthcare - - COMMENT -

Re­gard­ing the ar­ti­cle “Up­cod­ing in Medi­care Ad­van­tage may cost the gov­ern­ment $2 bil­lion a year” (Mod­ern Health­care.com, June 1), an­other fac­tor that leads to up­cod­ing is the use of elec­tronic health records. It takes a sim­ple key­stroke to list 20 med­i­cal prob­lems ad­dressed in a sin­gle en­counter. This jus­ti­fies a Level 4 or 5 visit even if only a sin­gle prob­lem was ad­dressed. The doc­tor needs only to quickly men­tion the other prob­lems and he/she is cov­ered. The gov­ern­ment is driv­ing the costs of medicine through the roof.

Dr. Michael Jaindl Naples, Fla.

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