tci General Surgery Coding Alert - 2019 Issue Q3

Compliance: Shun Cloned Notes in Medical Record Files

Identical claims could trigger fraud audit. Even though your electronic health (medical) records (EHR or EMR) software grants you timesaving features like autofill and templates, you better use those features judiciously. Payers are on the lookout for cloned notes or health records that are overly similar (or exactly similar) among patients and reports. “It’s becoming an issue that you could potentially see costing you a recoupment in your practice,” says Terry Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA, owner of Terry Fletcher Consulting Inc. and consultant, auditor, educator, author, and podcaster...

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