Here are 5 goals to consider when writing your notes: 1. Describe behavior or write down statements made by patients or family members, rather than characterizing the behavior or statement. For ...
Clinical Documentation Improvement: What Executives Need to Know and the Financial Impact of Neglect
Everything hospital executives need to know about the importance of clinical documentation improvement is summed up in one single fact: CDI fuels correct reimbursement and accurate quality reporting.
Did you know that some of the earliest “medical records” date all the way back to around 1600 BC? Those of us who have either been around long enough or know our history recognize that healthcare ...
Documentation is critical for every aspect of employee management, legal compliance, and risk mitigation, including performance and conduct issues, hiring and firing, promotion and demotion decisions, ...
The state of documentation and why it’s failing IT and users Your email has been sent Because of what I do, official documentation is something I have to depend on daily. Given the bulk of my writing ...
To prove you’re eligible for Medicare, you may need to provide documents verifying your age, citizenship, and work history, although Social Security may already have some of the information. If you ...
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