Expert discusses common medical record documentation mistakes, including failing to update prepopulated or copied notes from a previous visit. I am a family nurse practitioner and, for the last few ...

Effective use of electronic medical record technology requires examination of the communication approaches of both care providers and patients. Objective: To determine the agreement between ...

Each patient has a story, and one quality of a good doctor is how that story is collected and documented in the medical record. Understanding the patient, their symptoms, and what they’ve tried is the ...

Serbin Medical Billing published guidelines for medical record documentation that apply to medical and surgical services in all settings. Ensure services billed are supported by the medical record ...

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 ...

To begin, the authors did not define how they quantified burnout, which is essential for reproducibility, and precludes any comparison of their findings with other results in the literature.

Accidents occur every day that involve one or more at-fault parties and victims. Some victims pursue personal injury claims. Yet, a personal injury case can feel overwhelmingly difficult for a ...

To determine whether electronic health record (EHR) tools improve documentation of pre- and postanalytic care processes for genetic tests ordered by nongeneticists. We conducted a nonrandomized, ...

SimboAlpha is a cloud-based application programming interface (API) platform that acts as a voice-based virtual doctor assistant for creating Electronic Medical Record (EMR) documentation using ...

Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the services they provide. 1. AAPC, formerly ...