Health Information Management
Clinical documentation is at the core of every patient encounter. In order to be meaningful it must be accurate, timely, and reflect the scope of services provided. Successful clinical documentation improvement (CDI) programs facilitate the accurate representation of a patient’s clinical status that translates into coded data. Coded data is then translated into quality reporting, physician report cards, reimbursement, public health data, and disease tracking and trending.
CloneSleuth provides Health Information Management (HIM) personnel with a solution to ensure coded data is accurately inputted in the patient record by identifying instances of potential abuse of patient note cloning. Instead of relying on random searching of patient records to find the “needle in the haystack” of non-compliance, CloneSleuth identifies suspect activity automatically on a time schedule you determine through its unique functionality. The results provide a clear picture you can share with individual physicians or department heads to establish proper education programs – a key recommendation from auditing and accreditation organizations like the Centers for Medicare and Medicaid and the Department of Health and Human Services.