Electronic Medical Records Cloning

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Electronic Health Records Provider

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/docmatters-ehr-providerfactsheet.pdf

Copying and Pasting in EHRs | Duke …

https://physicians.dukehealth.org/articles/copying-and-pasting-ehrs

It’s so easy to do—just use the “copy and paste” feature in an electronic health record (EHR), and all the prior information about a patient appears in the document. No need to retype patient …

Cloning: Address the Elephant in the …

https://www.aapc.com/blog/29747-cloning-address-the-elephant-in-the-room/

Don’t forget medical record integrity as you strive to improve productivity. By Kellie S. Hall, CPC, CPCO, CCS-P …

EMR Cloning: A Bad Habit — Chicago Medical Society

http://www.cmsdocs.org/news/emr-cloning-a-bad-habit

The EMR's benefit as a platform for improved communication among medical team members is diminished when cloning generates redundancy and doubts exists about the …

Compliance Risk of Cloning Medical Record …

https://www.mmplusinc.com/kb-articles/compliance-risk-of-cloning-medical-record-documentation

The medical record must be authenticated by the provider of services. CMS acceptable signature methods are hand written and electronic signatures. Stamp signatures are not …

Medical record cloning: When documenting, avoid the …

https://www.reliasmedia.com/articles/62436-medical-record-cloning-when-documenting-avoid-the-temptation

Medical record cloning is rapidly becoming a target of Medicare audits as more hospitals and medical practices move to electronic medical records (EMRs). As …

Department of Health and Human Services

https://oig.hhs.gov/oei/reports/oei-01-11-00571.pdf

Electronic health records (EHRs) replace traditional paper medical records with computerized recordkeeping to document and store patient health information. Experts …

Documentation Matters Toolkit | CMS

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation

Documentation Matters Toolkit. Providers are responsible for documenting each patient encounter completely, accurately, and on time. Because providers rely on documentation …

Documentation Bad Habits: Shortcuts in Electronic …

https://library.ahima.org/doc?oid=81008

“Documentation is considered cloned when each entry in the medical record for a beneficiary is worded exactly like or similar to the previous entries,” the newsletter states. …

Medical Record Cloning Compliance Risk: Electronic …

https://www.hallrender.com/presentation/medical-record-cloning-compliance-risk-electronic-health-record-documentation/

With the shift to electronic health records, vendors have incorporated “copy and paste,” carry forward, and other cloning features into technological tools in an …

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