tci Medicare Compliance & Reimbursement - 2006 Issue 14

EHRs: Lacking Audit Trails Could Render EHRs Moot In Court

Most EHR systems fail to track revisions' sources, study shows. Electronic health records need more work--the most common EHR systems still fail to provide a good audit trail that indicates who changed what.Many EHR systems allow "canned" documentation that a provider cuts and pastes from a previous visit or a template, according to a study of roughly 30 products by consultants Patti Trites and Reed Geltzer with Advocates for Documentation Integrity and Compliance in Augusta, MI. And with many systems, finding a record that shows that the provider used "canned" documentation is impossible.Many systems don't show which...

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