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Independent Clinical Judgement in Chart Preparation

Legal Eye on Medical Assisting

Specifically, they wanted to know whether they could read a providers diagnoses and use that information to decide which documents they need to gather to prepare a patients chart. Two of my Public Affairs articles published in… Continue reading Independent Clinical Judgement in Chart Preparation

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5 Best Medical Document Management Services

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. As digitalization increases day by day the management of digital documents becomes easy. The creation and distribution of digital documents have become faster than physical documents. Illegal copying is prohibited.

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Underappreciated Harms of the Electronic Medical Record

Sensible Medicine

He encouraged me to document clinic visits in notes that I’d be comfortable with my patients reading. ” In this wonderful article , Dr. Delbanco explains the philosophy behind open notes. When I document about a patient, I am writing about a person. Delbanco explains the philosophy behind open notes.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

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5 Risk Control Considerations as Nurse Practitioners’ Scope of Practice Expands

Minority Nurse

If a patient suffers adverse outcomes and lacks documented informed consent, NPs could face liability claims for failing to provide adequate information. Therefore, establishing clear communication and maintaining thorough documentation is essential. Documentation. Malpractice Insurance.

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Unlocking Optimized HCC Documentation and Coding

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. This […] The article Unlocking Optimized HCC Documentation and Coding appeared first on electronichealthreporter.com. Illegal copying is prohibited.

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Taking The Sting Out of Patient Care Documentation

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article Taking The Sting Out of Patient Care Documentation appeared first on electronichealthreporter.com. The article Taking The Sting Out of Patient Care Documentation appeared first on electronichealthreporter.com.