General Question for the Week of December 5, 2016

General Compliance Question of the Week

Question:

In regard to medical records, what does the phrase “cloning” mean?

Answer:

Copying and pasting documentation from a previous visit into the current visit of a medical record is known as “cloning.” In some systems some information is automatically populated from the previous visit information. Providers who do not validate the information that is brought forward and/or just accept the information can cause tremendous headaches from several different standpoints. Information that is not relevant to that patient visit and/or is inaccurate may be used to code and bill inappropriate charges. Inaccurate or incomplete information may pose a legal issue when someone is called upon to testify about the medical record documentation in a legal proceeding.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.