Caution Urged When Using EHR Shortcut Features

Share this content:
Caution Urged When Using EHR Shortcut Features
Caution Urged When Using EHR Shortcut Features

(HealthDay News) -- Caution should be exercised with use of electronic health record (EHR) documentation short cuts, according to a report published in Medical Economics.

The article addresses potential misuse of short cuts with EHRs, including templates and sets of information that can be inserted easily, copying verbatim from one's own or another provider's notes.

According to the article, cloning (copy-and-pasting) allows users to select information from one source and paste it elsewhere. However, the information should be updated and verified in order to ensure that information is accurate and billing is correct. Some EHRs auto-populate fields when using templates and others generate documentation by clicking a single checkbox. Physicians must edit appropriately, otherwise the documentation can suggest that the practitioner performed more comprehensive services than were billed (up-coding).

"If you use [shortcut features], be sure to review and update the information to reflect the any changes in the patient's history or condition -- and your work -- specific to that day's visit," according to the article.

More Information

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Plan to Relax Coal-Fired Power Plant Rules Could Up Mortality

Plan to Relax Coal-Fired Power Plant Rules Could ...

EPA predicts between 470 and 1,400 premature deaths a year by 2030

FDA Extends EpiPen Expiration Dates to Tackle Shortage

FDA Extends EpiPen Expiration Dates to Tackle Shortage

Shortages due to factors such as supply disruptions and manufacturer issues

USPSTF Updates Guidance for Cervical Cancer Screening

USPSTF Updates Guidance for Cervical Cancer Screening

Cytology recommended every three years from age 21; different screening options from age 30 to 65

is free, fast, and customized just for you!




Already a member?

Sign In Now »