copy & paste

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    Question HPI Copy and Paste

    I have a Hospitalist that copies the ER provider's HPI and pastes it into their note with "Per ER MD:" as the title. Is this allowed? My gut tells me no, but I have searched all over to find a guideline that specifically states that the provider must document in their own words, but have been...
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    Link to CMS Regulations on Copying & Pasting

    Could someone please provide a direct link to the CMS regulations on copying & pasting within documentation? I've found some Fact Sheets that reference this, particularly in regard to the use of EHRs, but have not been able to find the specific regulation. Thanks for any help you can provide!