With the use of EMR, I have heard that it is easier to copy previous notes from patient's last office visit and modify them for present visit. There is some confusion about how much is needed modify them to be within compliance. I need to discuss this issue with my providers as I am starting to see this in their notes. Since the documentation needs to support the reason why patient is being seen, wouldn't the HPI and all treatment notes need to be totally different from previous visit notes? I have instructed them not to keep notes for symptoms that were resolved at the last visit and that only new onset or recurrent symptoms can be listed as a new problem, but if patients are only being seen just to manage conditions with no new symptoms, such as HTN, CAD, etc., then how would they document to be within compliance without repeating the previous note? Are there any webinars available to teach providers on this issue?