Search results for "Documentation"

Results 1 - 10 of about 209 for "Documentation".


In collaboration with the Electronic Health Record Association, ACP has developed a set of resources to help physicians adapt to CMS’ 2021 evaluation and management code changes and accompanying clinical documentation ... your clinical notes, while
August 2021

An efficient form-ula for documentation

Good coding and documentation auditor worksheets can help the practice conduct a self audit. ... Physicians want tools that can help minimize the guesswork of coding and documentation.
January 2008

CMS update Verifying student documentation in a patient's medical record allows teaching physicians to provide a meaningful educational experience within a much ... A recent change from CMS allowing
February 2018

Hospitals work with admitting doctors on documentation Hospitals are working more closely with their admitting physicians to make them aware of the need for better documentation on pre-existing conditions. ... The hospital will determine the diagnosis
October 2008

CMS revises rules for E/M documentation, hospital discharges

First, beginning with services performed on or after Sept. 10, physicians may use the 1997 documentation guidelines for an extended history of present illness along with other elements from the 1995
January 2014

Practice management

acute care, plus documentation/inbox management, to an average panel of 2,500 patients. ... care, 1.1 h/d for acute care, and 2.6 h/d for documentation/inbox management.
July 2022

Information plus documentation a must for informed consent

Documentation of informed consent is an important deterrent to malpractice and negligence claims. ... Photo by Hemera. “Documentation deflected my negligence case. Documented informed consent is really, really, really important,” said Dr.
January 2012

Medication management All patients taking a proton-pump inhibitor (PPI) should have a regular review and documentation of ongoing indications for use, which ... To provide best practice advice (BPA) statements on PPI
February 2022

Managing risk: a little attention equals a lot of prevention

For many CPI practices, simply pointing out gaps in documentation went a long way toward improving matters, Dr. ... Documentation isn't just important for patient safety reasons. It also helps staff do their jobs more efficiently, noted Dr.
April 2008

Clinical notes

stories and distinguishes between documentation and communication. ... The article discusses the critical distinction between documentation and communication, asserting that today's clinical notes, borne out of electronic health records, present barriers
July 2020

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