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Accountability for Documentation

Emerging RN Leader

Recently, nurse leaders have talked with me about professional nurses who don’t document […] The post Accountability for Documentation appeared first on Emerging Nurse Leader. Ethicists have commented that there has been a change in the willingness of individuals to accept responsibility. for their behavior.

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Simplifying Medical Documentation: The Role of Healthcare Document Scanners

Scrubs

Amidst this chaos enters a hero—the healthcare document scanner , a tool that is fast becoming as essential to healthcare practices as stethoscopes and scrubs. Let’s delve into the heart of how this technology is reshaping the landscape of healthcare documentation. However, taking the leap isn’t as daunting as it appears.

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Beyond Dictation: Emerging Trends in Physician Documentation

Mobius MD

Have you ever wondered what clinical documentation will look like in 20 years? Then again, if youre like most doctors, youre probably too busy catching up on EHR notes to think about emerging trends in physician documentation. Until recently, technology has improved documentation incrementally.

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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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Independent Clinical Judgement in Chart Preparation

Legal Eye on Medical Assisting

Specifically, they wanted to know whether they could read a providers diagnoses and use that information to decide which documents they need to gather to prepare a patients chart. I recently received an email from a medical assistant in pathology requesting clarification on their scope of practice.

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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Documentation Challenges and Payer Friction As MA plans focus on profit margins, hospitals are encountering increased payer friction, denials, and administrative burdens, particularly around the CMS Two-Midnight Rule. Document why you believe that. She provides education to physicians to document their internal monologue.

Hospital 130
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Nearly 75% of health workers say documentation impedes patient care: survey

Healthcare Dive - Practice Management

Most respondents said they hadn’t seen a decrease in the time or effort needed to document patient care, and they reported working late to finish note-taking.