Mobius MD

APRIL 8, 2025

In the case of house calls , physicians need to document that the home visit was medically necessary. Here are a few reminders to consider before you bill for a house call: Providers need to document if the home visit is based upon a one-time, ongoing, or permanent need. These can be documented and billed in addition to the visit code.

Billing

Practice Index

JANUARY 30, 2025

This left shift of activity forms a key component of this plan, which seeks to create capacity in secondary care in part by moving activity into primary care. What can we learn about the left shift of activity from this document? to 4M, with a payment of 20 per advice and guidance request for general practice attached.

Follow-Up

Medical Economics

JUNE 23, 2025

In 2027, at least 80% of electronic prior authorization approvals (with all needed clinical documentation) will be answered in real-time. These changes will be operational for fully insured and commercial coverage by Jan. 1, 2026, with a focus on supporting regulatory changes for expansion to additional coverage types.

Insurance

Arkenea

JULY 23, 2025

These systems offer significant advantages in data consistency and workflow efficiency, as clinical documentation automatically flows into billing processes without manual intervention. The system should offer RESTful APIs with comprehensive documentation and developer support.

Billing

Serenity Nurse Aide Academy

DECEMBER 12, 2024

Healthcare training in North Carolina emphasizes the development of strong decision-making skills, empowering trainees to evaluate patient needs and implement appropriate care plans efficiently. With training, trainees learn how to operate complex machinery, conduct accurate testing, and maintain meticulous records.

Medication

Arkenea

AUGUST 2, 2025

Activity and engagement tracking helps care teams understand resident behavior patterns and identify changes that might indicate health concerns. This data provides valuable insights for care planning and wellness program development. This automation reduces administrative burden while ensuring consistent regulatory compliance.

Emergency Response

Arkenea

JUNE 23, 2025

Unlike conventional AI models that rely solely on their training data, RAG combines the power of large language models with real time information retrieval from your organization’s specific databases and documents. Here’s the proven roadmap we’ve developed through multiple healthcare RAG deployments.

Documentation

Arkenea

JULY 9, 2025

The business case should quantify expected benefits including improved clinical efficiency, reduced documentation burden, enhanced patient safety through clinical decision support, and operational cost savings through workflow optimization. Epic configuration should accommodate both in-person and virtual care workflows.

Unit Organization and Environment

The Healthcare Blog

JUNE 11, 2025

This includes a Clinical AI Agent, AI-driven insights at the point of care, AI-powered summaries, and personalized care plans. Even today, as Seth Joseph documents , Epic is already attracting lawsuits from multiple “smaller, adjacent vendors.”

Billing

Walker Info - Patient Experience

JANUARY 20, 2025

By using Success, Effort, Emotion, and Trust (SEET) as measurements for every PX processfrom appointment setting to care plans to paymentsthe healthcare community can expand its potential for providing excellent care. No touchpoint is too small for inclusion.

Patient Experience

Arkenea

AUGUST 2, 2025

Healthcare technology investments require careful planning and accurate cost projections. Basic systems at the lower end provide essential documentation and billing functions, while premium solutions include advanced analytics, population health management, and specialty-specific workflows.

Documentation

Arkenea

AUGUST 4, 2025

Comprehensive audit trails document every data change, supporting post-market surveillance and safety reporting requirements. Version control capabilities ensure that CRF changes are properly documented and validated throughout the study lifecycle.

Patient Safety

Arkenea

AUGUST 12, 2025

Custom development enables advanced messaging features including message categorization, automated routing to appropriate care team members, and integration with clinical decision support systems. These capabilities require careful attention to privacy controls and access permissions that custom development can provide.

Appointments

Minority Nurse

JUNE 23, 2025

Challenge #2 – The Dreaded Last-Minute Cancellation Even after securing a clinical placement, nurse practitioner students face another potential crisis: the last-minute preceptor cancellation, which can derail carefully planned educational journeys with little warning. Missing one rotation can delay an entire course sequence.

Precepting

Medical Economics

JUNE 9, 2025

Canceling services and coordinating mail forwarding are important tasks to prevent unnecessary expenses and ensure receipt of important documents. SHOW MORE Transitioning your medical practice takes careful planning, communication and the right professional support. This is where a broker or appraiser comes in.

Transfers

Intercoast

JUNE 2, 2025

Balancing Administrative Duties with Clinical Work Challenge: Administrative responsibilities, such as documentation and billing, can detract from direct client work. Clearly define roles and responsibilities in collaborative settings, and maintain open communication to ensure cohesive care plans.

Interdisciplinary Team

Healthcare Dive - Practice Management

JUNE 9, 2025

Things like: Clinical documentation and note-taking Prior authorization paperwork Appointment scheduling and reminders Medical coding and billing While physician burnout has declined in recent years, almost half of clinicians still report feeling stressed.

Follow-Up

Medical Economics

JULY 18, 2025

Clear, consistent documentation and communication with both patients and referring providers can help ensure follow-up and appropriate care planning. Better reporting leads to better outcomes Another priority is standardizing radiological reporting for emphysema identified during lung cancer screening.

Follow-Up

Mobius MD

MAY 15, 2024

As healthcare systems become more complex, physicians are spending more time on administrative tasks, including clinical documentation. Team documentation is a powerful way to streamline patient visits and EHR data entry so the entire team can focus on delivering excellent care. What is team documentation?

Documentation

Sensible Medicine

MAY 22, 2023

Another name for this is advance care planning. It includes a) clarifying a patient’s understanding of their illness and its treatments, b) understanding their goals of care and c) learning what is important to them. To receive new posts and support our work, consider becoming a free or paid subscriber.

Documentation

Health Prime

JUNE 6, 2024

Best billing practices for Alzheimer’s and Dementia Care 1. Thorough documentation Comprehensive documentation is the cornerstone of successful medical billing for Alzheimer’s and dementia care. It also supports high-quality patient care.

Best Practices

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. After time-consuming phone calls, staff found out why: The health plans were downcoding the diagnosis-related group (DRG).

Documentation

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. After time-consuming phone calls, staff found out why: The health plans were downcoding the diagnosis-related group (DRG).

Documentation

Scrubs

OCTOBER 19, 2023

In a hospital setting, nurses must be prepared for emergencies that can disrupt their carefully planned schedules. Nurses often have to care for multiple patients simultaneously, each with their unique needs and treatments. This can make it difficult to allocate time effectively and ensure that each patient receives the care they need.

Time Management

EvidenceCare

JUNE 11, 2024

Note: CMS documents how each ICD-10 code can be either a CC or MCC here. While many doctors naturally believe their patients require the highest level of care, DRGs provide an objective assessment. Documentation is crucial for assigning the correct DRG and, consequently, a realistic SOI score.

Hospital

Valant

MAY 2, 2024

These include increased productivity, reduced paperwork, accurate documentation , and enhanced data security. By leveraging technology, clinicians can deliver better patient care and optimize their financial performance. The key is to understand the benefits it offers to the practice.

Documentation

Valant

DECEMBER 30, 2024

Key Improvements Implemented in 2024: Custom form builder allowing you to create and customize consent forms and documents tailored to your practices needs New, tailored treatment plan templates for specific payer requirements and modalities and improved treatment plan workflows to streamline your documentation and track patient progress in real time (..)

Documentation

The Healthcare Blog

SEPTEMBER 25, 2024

The potential overall cost savings and improvement in post-natal outcomes associated with such a reduction are well-documented and would be staggering. This is not a picayune academic point.

Transfers

Minority Nurse

OCTOBER 5, 2023

In nursing school, you studied and read like a madperson, wrote care plans (sorry to bring that up), learned to apply the nursing process (you may be sorry I brought that up), and turned your non-nurses mind into a nurse’s mind.

Precepting

Healthcare Law Insights blog

MARCH 15, 2022

This case caught our attention because of its potential impact on plan design and plan administration of its mental health and substance use disorder (collectively “behavioral health”) benefits. Judge Block’s statement is particularly significant in light of health plans’ use of internally developed medical necessity criteria.

Medication

Valant

OCTOBER 6, 2024

By providing practitioners with pre-written, customizable content, the planners make it possible to reduce time spent on documentation , allowing for more focus on direct patient care. The standardized approach promotes continuity of care even when multiple providers are involved.

Documentation

Relias

MAY 16, 2025

Strategies to improve wound care and reduce readmissions To better align wound care practices with TEAM expectations, hospitals should consider the following targeted strategies: Integrate wound care tracking into EHRs Use validated tools like the Pressure Ulcer Scale for Healing (PUSH Tool) to assess wound healing progress.

Discharges

Relias

OCTOBER 28, 2022

Hospices should also be concerned about care coordination. The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation.

Hospice

Relias

MAY 13, 2024

Every facility should have a detailed shoulder dystocia nursing management and care plan in place to help nurses perform these duties successfully.

Best Practices

Valant

APRIL 1, 2024

An EHR migration can sometimes turn into a nightmare despite careful planning. The transition from one electronic health record (EHR) system to another can be fraught with challenges, leading to disruptions in workflow, productivity, and patient care.

Documentation

Relias

APRIL 18, 2022

Promoting a culture of knowledge and awareness of current standards of wound care. Providing consistent, evidence-based care and thorough documentation. Avoiding penalties and legal risks that go along with inaccurate assessments, incomplete documentation, and preventable pressure injuries. Minimize Risk and Liability.

Documentation

Medical Advantage

JULY 17, 2024

Enhanced Patient Outcomes With access to a better organized and up-to-date health history, clinicians can tailor care plans to each patient’s unique needs, leading to better health outcomes. Continuous monitoring and updating of treatment plans ensure that patients receive the most appropriate and effective care.

EHR / EMR