On Tuesday, December 16, at 1 p.m. CT, Fitch & Associates will present the webinar, “Patient charting to improve billing ...

Maintaining high quality clinical documentation is essential for a number of reasons, including improved patient safety and better adherence to accreditation standards. Marie Boyd, administrator at ...

Keeping accurate documentation and nursing charts of your patients' information is sound business practice for your health care facility, doctor's office or clinic. All health care personnel should be ...

"We must remember that the EHR is a tool; it should not dictate how we practice," wrote a Medscape reader. Perhaps it should not, but does it? The fact is, EHRs are far more than a method of entering ...

Here are five best practices for maintaining accurate, complete and thorough clinical documentation in your ambulatory surgery center. 1. Put a formal policy in place. Jack Egnatinsky, MD, a medical ...

Proper documentation is a necessary component of modern health care. Diligent documentation is essential for more than just good patient care. It is also the surest way to protect your professional ...

Thanks to the rise of AI and machine learning, electronic health records (EHRs) are finally starting to demonstrate their ...

MINNEAPOLIS--(BUSINESS WIRE)-- Wolters Kluwer Health, a leading global provider of information for healthcare professionals and students, announced today that Northern California Surgery Center has ...

Medical documentation by practicing physicians has been a challenge since the creation of the medical chart. During his years of practice, Dr. Will Carracino, chief medical information officer at ...

Cardiopulmonary resuscitation in hospitalized patients with advanced cancer is associated with high rates of morbidity and mortality. Although advance care planning (ACP) in this population improves ...

What's going on with the patient? The ability to read a patient's "story" is highly valued in healthcare, not only by nurses but also by clinicians in many other disciplines. [10] Following the advent ...