What are the quality-of-care and legal issues related to the data entry error described in the following scenario? As a clinical documentation analyst (CDA) while reviewing a rejected claim, you noticed that a hysterectomy on a patient was recorded in the medication reconciliation section of the EHR as hysteroscopy. After comparing the two, you noticed that hysteroscopy costs way less than the actual procedure done on the patient. Upon further digging, you discovered that the error had happened repeatedly during the same year. You also found that hysterectomy is just one step up from hysteroscopy on the medication reconciliation section in the EHR drop-down box.

P.S. Definition of hysterectomy hysteroscopy is not necessary. The quality-of-care and legal problem that could arise from the data error presented in the case is the most important.