Remove Communication Remove Documentation Remove Medical History
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Basics of Medical Documentation: What Aspiring Medical Billers and Coders Need to Know

Northwest Career College

Accurate documentation is essential for medical billing and coding, but many beginners struggle to understand the technical terms and guidelines. Without accurate medical documentation, insurance claims can be delayed or denied, frustrating patients and physicians. What is Medical Documentation?

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Friday Reflection 27: The Poor Historian

Sensible Medicine

We think with language The first — the saddest, most troublesome, and probably most common – reason that patients are unable to provide a reliable history is because of their impaired language skills. Not only do we use language to communicate, we also use language to think. When I ask, “Tell me about your chest pain?”

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Duties and Responsibilities for Entry-Level Medical Assistants

Prism Career Institute

Obtaining background information: Before a patient sees a physician, an assistant typically discusses their medical history and makes sure the facility has an accurate record on file. Taking vitals: Medical assistants also measure a patient’s blood pressure, pulse, or temperature.

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Meeting Psychiatrists’ Technical Needs: A Practice Owner’s Guide to EHR

Valant

Customizable Note Templates The ability to create and customize templates for intake, medical history, therapy notes , and progress notes helps save time and energy. Medication Management Tools E-Prescribing is one of the most important features for psychiatry. Communication with patients is a key part of this.

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How Physicians Can Use AI to Streamline Their Work

Mobius MD

Specifically, we’ll discuss how AI can: Automate Clinical Documentation Support Clinical Decision-Making Triage Patient Communication Diagnose Medical Images Automate Routine Tasks Each topic includes a Software Spotlight, highlighting practical tools that illustrate AI’s impact in real-world settings.

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Reduce patient wait times with these tips

Mobius MD

An intuitive portal can free up medical staff time by allowing patients to review educational materials, schedule non-urgent appointments, and update their medical histories online. Most medical practices already have a patient portal, but many could use it more effectively.

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HIPAA: Understanding Patient Confidentiality and How It Relates to Medical Assistants

Prism Career Institute

Medical assistants should also be mindful of their conversations while discussing information with patients or other healthcare professionals. To maintain patient confidentiality, medical assistants are expected to secure electronic records and ensure physical documentation is not left unattended.