May 09, 2018

- Posted at 5:35 pm -- By Joey - administrator

Oh, no! Your Document Integrity Audit revealed gaps! Here’s what to do…

Oh, no! Your Document Integrity Audit revealed gaps! Here’s what to do…

“You don’t know what you don’t know” 

So you’re running along thinking all is well with your EHR. Then, you get the itch to have an independent auditor look at your systems, data, and processes. And voila. You discover minor, or worse yet, some major flaws in the data integrity of your EHR that have a ripple effect – anywhere from simple annoying errors, to misdiagnosis, mistreatment, reduced revenues, all the way up to substantial and material legal (civil and possibly criminal) liability. The last thing you should ask yourself is “what are the odds?”.

No need to panic.

With a concerted effort and a strategic approach, finding and diagnosing data gaps is like diagnosing a patient. A treatment is then needed to heal the wounds of the EHR data gaps. The solution is often found in one of these three areas:EHR challenges

  1. Does the EHR system need to be tweaked or users trained to hospital documentation requirements? Read More Here
  2. Physician lapses— Physician training and follow-up with specific examples. Read More Here
  3. Fragmented record due a combination of the above.  Do certain reports need to be transcribed to create a clearer picture of the patient story? Read More Here

iData would enjoy having a conversation with you about how we could address these issues. Feel free to reach out to us and stay tuned for our next Webinar, “Advanced Examples of Data Integrity Issues in the EHR.” This free webinar (CEU’s certificates provided) is scheduled for Wednesday, June 6, at 12 noon (eastern) and is the second installment in a Webinar Series facilitated by Darice Grzybowski, president of H.I.Mentors, and sponsored by iData Medical. To register, see below!


Grzybowski is a nationally recognized leader, author, and speaker on the topic of electronic health record management and document integrity.Attend to learn actionable steps for improving productivity, risk mitigation, and revenue by improving your clinical documentation in the electronic health record. Appropriate audience include HIM & CDI professionals, Risk/ Compliance/ Quality Managers, Clinicians, IT Professionals, and Legal Experts.

ABOUT THE PRESENTER:Darice M. Grzybowski, MA, RHIA, FAHIMA, President and Founder, H.I.Mentors, since 2005 and is a certified AHIMA Approved ICD-10-CM and ICD-10-PCS Trainer and Ambassador. Visit H.I.Mentors at

Darice has spoken at numerous conferences, professional associations, government and corporate meetings over the past 30 years. Topics have included; HIM best practices, electronic health records, clinical documentation improvement, workflow performance data analytics, strategic marketing, and revenue cycle process improvement.

Previous engagements have included presentations at regional and national HIMSS, AHIMA, HFMA conventions, as well as other major conferences and international meetings. Darice has also presented in online interviews, webinars and numerous vendor users group meetings and is an Adjunct Assistant Professor at the University of Illinois at Chicago in the School of Biomedical and Health Information Sciences.


Find iData Medical at

Now celebrating its 10th year as a medical document management leader, iData Medical specializes in transcription, speech recognition editing, and coding documents. Operating out of their offices in Florida and Maryland, iData’s success hinges on its rigorous focus on document integrity, a product of its trademark iD3 process, its focus on the customer, hiring and managing the best people, and operating its work flow using industry leading security.

iData focuses on creating quality clinical documentation documents and overall medical records (accurate patient’s “story”), performs document integrity audits for small and large facilities, and provides back-up services as part of facility contingency and business continuity plans.

Over the years, iData has partnered with leading professionals, consultants, speakers and industry experts to not only improve its work flow, but promote knowledge in the document integrity realm.


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