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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

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What is the Quadruple Aim of healthcare?

Mobius MD

Enhancing the patient experience includes improving healthcare equity, access to care, communication, and patient outcomes and safety. By collaborating with community partners, healthcare institutions can support prevention, early intervention, and long-term health management. The post What is the Quadruple Aim of healthcare?

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EHR vendor MEDITECH integrates generative AI for clinical notes

EHR Intelligence

Building on its collaboration with Nuance Communications, EHR vendor MEDITECH has announced the integration of a generative AI tool for clinical documentation.

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How Do I Deal with Suspected Abuse?

Scrubs

Encourage open and non-judgmental communication with the victim. Document exactly what you see and hear. Collaborate with other healthcare professionals, such as social workers or psychologists, to ensure comprehensive care and support for the victim. Treat the victim apart from the suspected abuser.

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Navigating the Complexities of Social Admissions in Healthcare

EvidenceCare

For admitting clinicians, the key lies in distinguishing between genuine medical necessity and social admissions, ensuring meticulous documentation and rightful reimbursement. A crucial challenge arises when what may initially appear as a social admission could genuinely be medically necessary, yet the documentation lacks precision.

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

Valant

Some EHRs also offer automation that allows you to carry over notes from previous sessions, auto-generate narratives, and enhance collaboration with the care team. Communication with patients is a key part of this. This helps ensure protected data and communications are only accessible via a secured system.

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5 Steps to a Stronger Nursing Resume

Minority Nurse

No matter how many job boards allow you to create a personal profile with your career details, having your own consistently updated document accurately representing your expertise could not be a smarter way to always be ready for the next opportunity. Instead, you can keep a separate document on hand listing your most important references.