BC Advantage - 2014 Issue 8

Mitigate Fraud Audit Risk by Ensuring Clients Create Unique Notes

By: Justin PierceFor efficiency's sake, there are times when physicians using electronic health record (EHR) systems may copy and paste the same progress notes from one chart to the next, especially if patients frequently present with the same complaints and conditions.This process, often referred to as "cloning," may be common1, but it has come under increased scrutiny by the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services. In January 2014, the OIG reported that the activity may "mask true authorship of the medical record and distort information in the...

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