AbaAiCheck

Medicaid clawback protection

Real-Time Cloned & Copy-Pasted Note Detection for ABA Agencies

Copy-pasted narratives are one of the easiest patterns for an auditor to spot. AbaAiCheck compares every note with recent documentation and warns before signature when a note is too similar to one already written.

Why auditors target copy-pasted narratives

Program-integrity guidance for Medicare and Medicaid has long warned that cloned documentation — the same wording repeated across sessions or clients — may not support the medical necessity of each individual service. Two sessions are never identical: when the notes are, reviewers question whether either reflects what actually happened, and the claims behind them can be recouped.

How the detection works

Fingerprints, not text

Each note is reduced to an irreversible fingerprint of 4-word sequences. The note text itself is never stored for this check.

Recent-note comparison

Every review is compared with the same clinician's last 60 notes from the past 180 days. Similarity above 80% raises a "Cloned Note" warning with the date of the matching note.

Across the agency

With Cross-Employee Clone Detection on, notes are also compared with those of other clinicians in the same agency — catching shared templates copied between staff.

Safeguarding billing integrity before claims submission

Before signature, not after

The warning appears in the same review as the compliance score, while the note can still be individualized.

Fair to corrections

Re-reviewing the same note within 30 minutes after correcting it does not count as a clone.

A concrete fix

The finding comes with a rewrite suggestion: today's specific activity, antecedent, intervention and client response instead of reused text.

Review your next note before you sign it

Install the extension, sign in, and run a review from Chrome's side panel — or start in the web app with a 5-note free trial.

AbaAiCheck supports clinical documentation review. It does not replace clinical judgment, legal advice or payer-specific guidance, and it does not guarantee payer approval: the clinician reviews every suggestion and remains responsible for each note they sign.