Editor's Note: Healthcare is serious business, and the repercussions of deficiencies in medical documentation can be considerable. Nurse attorney Carolyn Buppert examines the landscape of medical ...

The main market opportunities include providing specialized training for professionals in pharmaceuticals, biologics, and medical devices to enhance their skills in batch record management. This ...

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 ...

Aerolib launches QueryGen, an AI-powered platform designed to automate clinical documentation queries and eliminate ...

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 ...

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 ...

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 ...

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, ...

In the near future, Recovery Audit Contractors and Medicare Administrative Contractors (MACs) will take "appropriate action" on erroneously allowed claims identified in a recently completed audit (OEI ...

Ambient clinical documentation was the talk of the HIMSS conference this year, where more than 30,000 health and tech professionals gathered in Orlando, Florida. The technology allows doctors to ...