Forbes Healthcare

JULY 1, 2025

But the majority of clinical trials today are done in top-notch academic medical centers, and first they needed to prove that their AI-enabled software could help overseas hospitals and smaller community cancer centers handle the documentation required to get through regulatory approval. To date, the Cambridge, Mass.-based

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Tests Hospital Insurance Follow-Up 360

Forbes Healthcare

NOVEMBER 19, 2024

The goal is to ease clinical workflows and alleviate physician documentation burdens.

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Documentation 322

Legal Eye on Medical Assisting

JANUARY 15, 2025

I recently received the following question: I am writing to inquire about [whether] a CMA (AAMA) [can] sign off on a medical assistant apprentices competency documents. Due to a shortage of medical assistants in the Duluth, Minnesota, area, we have agreed to offer medical assistant apprenticeship opportunities within our ambulatory clinics.

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Connect Care Bytes Blog

JUNE 24, 2025

We have organized the resources, training, reporting tools, and documentation required for you to meet CPSA PPIP requirements, so you can focus on looking after your patients. A template that can be used to document all CPSA requirements. Our goal is to make your work easier. An example Action Plan. Sign up today at connectquality.ca

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Discharges Documentation Medication 40

Minority Nurse

NOVEMBER 12, 2024

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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Documentation Insurance Patient Care Tests 98

The HIPAA Journal

JUNE 12, 2025

While most organizations have policies covering basic HIPAA requirements, many lack written documentation for more complex or emerging risks. Click Here to Download (PDF document 563 KB, 27 pages) The post 2025 HIPAA Journal Annual Survey Published: Key Insights into Compliance Challenges appeared first on The HIPAA Journal.

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Sensible Medicine

NOVEMBER 4, 2024

And not assessing blinding—when hundreds of trials have documented the strong placebo effect in assessing knee pain—induces cynical thoughts in my brain. The drug changes appetite and food handling. The authors and sponsors must know this.

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Forbes Healthcare

DECEMBER 3, 2024

Moving beyond uses for research and development, customer service needs, reducing administrative documentation burdens or easing regulatory processes, the latest trend by hospitals is to … The potential number of use-cases for AI in healthcare settings seems to be increasing at an exponential pace.

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Hospital Customer Service Documentation Medication 284

Valant

NOVEMBER 7, 2024

Clinical Documentation Electronic health record (EHR) tools designed for behavioral health can streamline clinical workflows , freeing up more time. These systems offer note-taking features and customizable templates that simplify documentation. By adopting EHR tools, therapists can minimize the stress.

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Documentation Communication Scheduling Billing 110

Scrubs

APRIL 5, 2023

Dereck Paul is the co-founder of Glass Health, a start-up in San Francisco that offers artificial intelligence chatbot services to doctors looking to ease the burden of routine processes, such as patient documentation. “We need these folks not in burnt-out states, trying to complete documentation,” Paul told NPR.

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Documentation Follow-Up Hospital Medication 355

Valant

DECEMBER 16, 2024

Understanding Complex Payer Rules in Behavioral Health The rules that payers set dictate how much and what type of information clinicians gather on patients, which billing codes to use, how to document treatment, and which treatments are covered. Heavier documentation. Develop documentation processes. Mental health parity laws.

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Billing Documentation Follow-Up Best Practices 94

Doximity

MARCH 21, 2025

Physicians spend a significant amount of time on administrative work, from writing letters to handling insurance documentation. DO, MBA, FACP, FACOI, CPE, FAWM relies on Doximity GPT for drafting work limitation letters and prior authorization documents. "I If additional documentation is needed, feel free to contact me.

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Documentation Follow-Up Insurance Tests 98

We Care Online

JANUARY 15, 2025

Document and communicate with the healthcare team. Healthcare documentation. Key challenges include: Fast-Paced: Hospitals work on the basis of speedy and precise work which can get overwhelming Problem Solving: HUCs address scheduling conflicts or documentation problems quickly. Common tasks include: Managing patient records.

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Health Unit Coordinator Unit Organization and Environment Medical Terminology Certification 98

Scrubs

FEBRUARY 21, 2023

These injuries were harder to see with the naked eye when found on patients of color, particularly those of African or Hispanic descent. “Without being able to see them, there’s nothing for me to document,” Scafide said. She developed the technology in Baltimore, Maryland.

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We Care Online

DECEMBER 11, 2024

Documentation and Record-Keeping: Best practices for documenting medication administration accurately and maintaining patient records. Proper documentation is crucial for continuity of care and legal compliance. Understanding these fundamentals is key to safe medication management.

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Medication Best Practices Patient Safety Documentation 96

KevinMD.com

JULY 1, 2025

Medicine today is single-encounter oriented with documentation largely tailored for legal purposes rather than medical care. When an encounter ends, the physician must sign off the documentation and no further changes can be made; any corrections require another document that must also be signed off, but this is seldom done.

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Documentation Medication 67

Sensible Medicine

DECEMBER 18, 2023

Now let’s compare the two documents. From their document. The USPSTF has issued draft guidance that emphasizes diet and exercise. The AAP champions surgery and medications. I have been critical of the AAP’s endorsement — a topic I discussed here. Let’s take a look at the USPSTF. This is Orwellian.

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Documentation Medication 364

Scrubs

AUGUST 26, 2023

“Try to connect and as always document, document, document.” . “Don’t make them feel like you are skeptical. Nobody knows everything out there in the medical field.” ” — Christopher G. ” — Scott D.

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Documentation Communication Patient Care Billing 246

Valant

JUNE 18, 2025

Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers. Common reasons for denied claims include using the wrong code or submitting incomplete documentation.

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Billing Follow-Up Insurance Documentation 88

We Care Online

JUNE 19, 2025

Products that are supported by clear regulatory rationale, robust documentation, and proactive oversight are more likely to reach patients faster — and stay on the market longer. Today, it’s a differentiator.

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Documentation Collaboration Tests Communication 67

Sensible Medicine

AUGUST 2, 2024

I often say to patients (as I apologize for documenting while I get to know them) that I had sworn as a medical student never to be the doctor that types during visits—and when I first became an attending, I held to that. Ideally, I would have a schedule where I could document in the time after a patient leaves the visit.

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Documentation Follow-Up Medication Scheduling 196

The HIPAA Journal

MAY 20, 2025

HIPAA incident management is the process of tracking, responding to, and documenting HIPAA security incidents as they are detected by automated security tools or reported by members of the workforce. Ensure the actions taken during the security incident are documented. Assess each security incident for breach notification obligations.

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HIPAA Business Associate Documentation Follow-Up 95

Scrubs

JULY 22, 2023

Use documentation for more than just patient care. Not only can written notes of encouragement or praise for your coworkers boost morale, but documentation of conflicts or questionable events can sometimes protect you from dismissal or lawsuits. Written communication with management staff is a powerful tool.

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Documentation Insurance Communication Patient Care 246

Scrubs

JUNE 20, 2023

Coble issued the vaccine waivers in August and September 2021 while working for MedChoice, a company that sold waivers online for $139, according to a health department document summarizing the case. The health department document made public in Coble’s case makes no mention of NewsChannel 5 or Charlie.

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Documentation Medication 187

Valant

MAY 13, 2025

Practice management skills like scheduling, billing, documentation, and compliance can protect you from professional burnout and set you on a path to success. Many providers make the mistake of piecing together multiple disconnected toolsperhaps using one system for scheduling, another for documentation, another for billing, and so on.

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Billing Documentation Scheduling Administrative Work 85

Mobius MD

NOVEMBER 26, 2024

Popular solutions include improving documentation efficiency (a pain point for physicians) and care team coordination. EHRs have evolved from novel tools to routine software, and AI is driving a new era of clinical documentation. The post What is the Quadruple Aim of healthcare?

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Documentation Medical Assistant Patient Experience Patient Satisfaction 59

Scrubs

MARCH 1, 2023

But Maria said the nurses on staff in the clinic didn’t give her the paperwork to properly document the injury. One former nurse, identified as Nurse J, said the company often pressures nurses to provide first aid to workers to avoid having to document their injuries.

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Documentation Medication Tests 264

Medical Economics

JUNE 30, 2025

AI in Staffing and Documentation (00:11:32) Explores AI’s role in automating scheduling and its success in clinical documentation (ambient scribing). Future Steps in Documentation and Efficiency (00:13:49) Considers whether agent AI can further automate tasks like billing and multi-step processes.

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Diagnostics Documentation Customer Service Scheduling 72

KevinMD.com

JULY 6, 2025

I’ve worked with countless individuals who feel helpless in the face of these documents, unsure of what they owe, why they owe it, or whether Read more… Decoding your medical bill: What those charges really mean originally appeared in KevinMD.com.

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Billing Medication Documentation 64

Scrubs

JUNE 15, 2023

Document the patient’s behavior in ferocious detail. This may include saving emails, text messages, voicemails, or any other relevant documentation that can serve as evidence in the future. As irrational and ill-mannered as the patient may become, you must remain professional. The patient may be trying to provoke you. Don’t let him.

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Documentation Hospital Communication 229

Medical Economics

JUNE 26, 2025

explains how physicians can stay out of legal trouble by tightening documentation, monitoring billing practices and creating a culture where staff feel empowered to flag risks early. Amanda Hill, J.D.,

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Documentation Billing 52

Scrubs

MARCH 9, 2023

Eversign As our post ‘Navigating the Nursing Job Market’ pointed out, you should highlight your certifications and skills in your resume—especially since 63% of recruiters give preferences to documents that are tailored to the position. Besides that, this document should also help employers contact you.

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Documentation Scheduling Certification Communication 241

Emerging RN Leader

DECEMBER 5, 2024

Sherman, EdD, RN, NEA-BC, FAAN As we approach the end of 2024, the trending topics that nurse leaders are talking about right now include the following: The work of nurses, especially in acute care environments, is increasingly complex due to higher patient acuity, sustained patient volumes, and documentation requirements to achieve full […] (..)

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Acute Care Documentation Communication 78

EvidenceCare

SEPTEMBER 4, 2024

Robin Gantea, Executive Director of Utilization Management and Clinical Documentation Integrity from Baptist Health Jacksonville mentioned, “We haven’t seen changes in behavior related to the Two-Midnight Rule. Compliant documentation has also become more challenging. Another issue is “inpatient only” procedures.

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Valant

JUNE 18, 2025

Through AI Notes’ capabilities to streamline and automate clinical documentation, the feature gives back valuable time to providers so they can focus on what matters most, whether it be patient care, reduced burnout or scalable growth. Therapists can reduce non-billable documentation hours by using AI to transcribe and document sessions.

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Documentation Follow-Up Billing HIPAA 52

The HIPAA Journal

MAY 1, 2025

Under the terms of the settlement, a $2,425,000 settlement fund has been established to cover claims from class members for unreimbursed, documented out-of-pocket losses that are plausibly traceable to the data breach. $1

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Sensible Medicine

MAY 16, 2024

They documented that these patients had high vagal tone. This gave them the idea of a simple approach—only in the right atrium, with one catheter, and no anesthesia. It turns out that there is often a ganglionic plexus in the upper right atrium. They found patients who had a history of vagally-mediated AF.

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Documentation 255