Palmetto GBA
^ Back to Top
Close Window [x]
  • J11 HHH
  • J11 Part A
  • J11 Part B
  • NSC
  • Railroad Beneficiaries
  • Railroad Providers
 
+
SubHomeHeader


Bookmark E-mail Print Digg It! Tweet FB Like Show/Hide Google+ line
Standard Font Serif Font Decrease Font Size Increase Font Size
permaLink

Jurisdiction 11 Part B
Medical Record Cloning

The word 'cloning' refers to documentation that is worded exactly like previous entries. This may also be referred to as 'cut and paste' or 'carried forward.' Cloned documentation may be handwritten, but generally occurs when using a preprinted template or an Electronic Health Record (EHR). While these methods of documenting are acceptable, it would not be expected the same patient had the same exact problem, symptoms, and required the exact same treatment or the same patient had the same problem/situation on every encounter.

Cloned documentation does not meet medical necessity requirements for coverage of services. Identification of this type of documentation will lead to denial of services for lack of medical necessity and recoupment of all overpayments made.


 

last updated on 11/06/2012
ver 1.0.51