Awareness : OBC Tips

Steps to Avoid Electronic Health Record Compliance Risks

Avoid using entries from someone else such as another provider, medical student or non-physician practitioner as their own documentation. Using documentation from a previous visit to document a current visit should always be avoided. Do not use templates that may not represent what happened at the current visit. If you bring a note forward it must reflect the activity for the current visit with appropriate editing DO NOT copy forward HPI, exams, and assessment plans.