Copying, Pasting Health Record Information Can Lead to Patient Care Errors

Copying and pasting information on electronic medical records occurs on most surgical notes and can lead to billing inaccuracies and patient harm, according to American Medical News.

The practice, known as "sloppy and paste" is the rule with EHRs, rather than the exception, according to a study, which found 82 percent of notes contained more than 20 percent copied text. Nearly 75 percent of attending physicians' notes also contained a large portion of copied text.

Copying, or cloning, is seen as a time saver, but copied information can lead to misinformation and create confusion for physicians.  The Office of the Inspector General plans to crack down on the practice because it can be implicated in fraudulent billing and coding practice.

More Articles on Coding, Billing and Collections:
Healthcare Quality Agency To Look at HIT's Impact on Practice Workflows
Will Your Vendors Be ICD-10 Compliant in Time?
South Dakota Introduces Legislation to Give Patients Greater Out-of-Network Choice

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Articles We Think You'll Like

 

Featured Whitepapers

Featured Webinars