Compliance & Audit
CloneSleuth automatically detects patient documentation within the electronic health record that contains inappropriate levels of data created with copy-paste functionality. With the specific clinical note cloning that CloneSleuth uncovers, your compliance and other operational departments have the data they need to determine:
- If any cloned notes resulted in fraudulent billing
- If a patient’s record is accurate
- Where education programs need to be targeted
- Whether education programs are successful in the future
CloneSleuth puts the collective data of patient record notes to work for you, providing you the evidential proof you need to help:
Improve Revenue integrity – The HHS’s Office of Inspector General (OIG) has recently included copy-paste as an area of focus, noting how the practice fails to maintain an accurate picture of care.
“When doctors, nurses, or other clinicians copy-paste information but fail to update it or ensure accuracy, inaccurate information may enter the patient’s medical record and inappropriate charges may be billed to patients and third-party health care payers…inappropriate copy-pasting could facilitate attempts to inflate claims and duplicate or create fraudulent claims.” — HHS-OIG Report, 2014.
Improve Patient Care – The use of copy-paste without appropriate updates can harm patients when clinicians are forced to sift through masses of irrelevant documentation to try to determine the current status of a patient or when medical errors occur because clinicians are relying on outdated information to make critical decisions.
Establish Clinician Education – Physicians might not even know what practices are acceptable. The OIG reports that only 25% of hospitals have policies in place regarding the use of copy-paste. CloneSleuth uncovers examples that can help guide you as you develop policies to train and measure your staff on when copy-paste use is appropriate and when it is detrimental to your hospital’s commitment to patient record accuracy.