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Best Practices to Modify Electronic Health Records While Maintaining Record Integrity

 

Gain peace of mind that your organization has the right practices in place to ensure the integrity of medical records even if they must be amended.

The HITECH Act of 2009 offered financial rewards to encourage the widespread adoption of electronic health records (EHRs). To further encourage acquisition of a particular EHR system, vendors had incorporated convenience features, such as cloning and auto-fill. Some vendors touted that certain convenience features ensured compliance with documentation standards to support higher reimbursement. In 2015, the HHS Office of Inspector General (OIG) reported that EHR convenience features were jeopardizing patient record integrity and leading to fraudulent claims for higher reimbursement. Several additional studies in 2017 continued to highlight these risks as well as patient safety concerns. This topic will help health information management (HIM), compliance and legal professionals recognize and address EHR integrity issues that place patients and providers at risk. The material will explain best practices to reduce these risks. You will also learn about recommendations made by the American Medical Association and the National Institutes of Standards & Technology (NIST). Failing to have adequate EHR documentation policies and procedures along with user training could contribute to patient harm and lead to hefty fines and penalties under specific laws. This information is critical to an effective compliance program.

Agenda

Faculty

Margaret Young Levi

Margaret Young Levi

Wyatt Tarrant & Combs LLP

  • Member of the Health Care Service Team at Wyatt, Tarrant & Combs LLP
  • Advises health care providers in the areas of data privacy, security and other health care matters
  • Served as General Counsel at Ephraim McDowell Health
  • Currently an adjunct professor at the University of Louisville Brandeis School of Law and formerly taught at the UK College of Law
  • Graduate of Centre College, William & Mary, and the UK College of Law
  • Member of the American Health Lawyer’s Association; on the board of the Kentucky Academy of Hospital Attorneys; and former chair of the Kentucky Bar Association’s Health Law Section
  • Author of a recent Chamber book entitled The Impact of Health Care Reform on Kentucky Employers and frequent contributor to a data privacy and security blog at: wyatthitechlaw.com
  • Can be contacted at [email protected]
Kathie M. McDonald-McClure

Kathie M. McDonald-McClure

Wyatt Tarrant & Combs LLP

  • Partner at Wyatt, Tarrant & Combs, LLP
  • Concentrates her law practice on health care with a focus on contractual and regulatory compliance and on data privacy and security with a focus on incident response and policy development
  • Certification in Healthcare Compliance and is a regular presenter on healthcare law and data privacy and security. She creates and edits Wyatt HITECH Law, a legal blog about data privacy and security
  • Member of the Kentucky, Louisville and American Bar Associations, the American Health Lawyers Association, the Health Care Compliance Association and International Association of Privacy Professionals, among others
  • Recognized by Woodward/White’s The Best Lawyers in America® Health Care Law (2009-2018) and received the highest Professional Rating by Martindale-Hubbell Law Directory
  • Attended both Murray State University and the University of Louisville, earning her B.S.B.A. with highest honors from UofL. She earned her law degree from UofL Brandeis School of Law, where she served as the law review’s executive editor
  • Can be contacted at [email protected]

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