Banner

EMRs & Fraud

Article

I am wondering about the hoopla I am hearing about “canned” documentation not being up to par and how carriers might deny service documented on EMRs as not medically necessary.What have you heard?

Question: I am wondering about the hoopla I am hearing about “canned” documentation not being up to par and how carriers might deny service documented on EMRs as not medically necessary.

What have you heard?

Answer: That is what I'm hearing, too.

Creating canned documentation - in which you can’t tell one patient from another - is clearly good for neither patient care nor documentation.

On the other hand, the only reason payers care is because so many practices are charging higher E&Ms thanks to their EMRs.

The bottom line: You should be able to purchase an EMR that produces accurate (not canned) documentation. If that documentation is complete and it supports a higher code, then you should bill for it and appeal it if denied.

It’s a matter of creating good notes, not a matter of all EMRs being insufficient.

Recent Videos
Using AI agents
Using AI agents
Stephen A. Dickens, JD, MAEd, FACMPE, on strategic planning in times of uncertainty.
Using AI agents
Stephen A. Dickens, JD, MAEd, FACMPE, VP of medical practice services at SVMIC, shares a success story of strategic planning in action.
Stephen A. Dickens, JD, MAEd, FACMPE, VP of medical practice services at SVMIC, identifies warning signs that your practice needs a new plan
© 2025 MJH Life Sciences

All rights reserved.