Healthicity

MAY 4, 2023

That stands for Clinical Documentation Improvement, and it’s a crucial piece of the healthcare puzzle. The compliance and coding worlds are filled with acronyms – and we’ve got another one for you: CDI.

Compliance 52

Compliance 52

Digital Health News

MARCH 27, 2023

Nuance Healthcare has announced the US launch of Dragon Ambient eXperience (DAX) Express, offering AI-powered automated clinical documentation.

Electronic Medical Records 79

Electronic Medical Records 79

Mobi Health News

DECEMBER 29, 2022

Ian Shakil, founder, director and chief strategy officer at Augmedix, discusses the company's role in the evolution of medical documentation.

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Healthcare IT Today

JULY 13, 2021

One of the most important and least covered things in healthcare IT is the various EHR Documentation Workstations. No doubt it’s a regular topic of conversations at healthcare organizations because an EHR workstation configuration really impacts EHR users experience and therefore the patient.

Hospitals 119

Hospitals 119

Medisys Compliance

SEPTEMBER 21, 2022

Scores of surgery centers have been financially crippled during the pandemic, a majority of the centers have worsened situations due to poor documentation in the ASC medical billing and coding. Let’s glance through the in-house cumbersome and laborious challenges with the documentation in ASC medical billing and coding , shall we? .

Medical Billing 98

Medical Billing 98

HIT Consultant

MAY 9, 2022

From documenting clinical care to filing medical claims and registering patients, paper documents have been entrenched in healthcare processes since the inception of modern hospitals. Going digital in healthcare requires the adoption of electronic documents. Healthcare stakeholders have long relied on paper-based processes.

Public Health 98

Public Health FDA Medical Billing Hospitals 98

Healthcare IT News - Telehealth

DECEMBER 3, 2020

"All organizations are looking for ways to engage the patient, and adopting ambient documentation is the first step to not only engaging but also improving upon their experience." So when the Nuance account team approached me about introducing ambient clinical intelligence into the documentation workflow, I was all for it.

COVID-19 164

COVID-19 Public Health 164

HIT Consultant

APRIL 24, 2023

These unstructured documents, many of which are handwritten, require manual processing and data extraction, which is extremely time-consuming and dramatically increases administrative costs. The unstructured documents involved in the appeals process are highly variable and typically handled via manual processing and review.

Health Insurance 52

Health Insurance Medicare Medicare COVID-19 52

AIHC

AUGUST 2, 2022

Written by: AIHC Blogger This educational article is based on clinical information as of the publication date and primarily based on government and coding guidelines to assist coders, billers, clinical documentation improvement professionals and auditors address appropriate documentation for filing claims in the United States.

US Department of Health and Human Services 98

US Department of Health and Human Services FDA Compliance Licensing 98

Compliancy Group

MARCH 31, 2023

Some examples of HIPAA compliant document sharing apps include: Box Dropbox Google Drive OneDrive ShareFile Healthcare providers should also ensure that they have a data breach response plan in place in the case that their document sharing app is accessed inappropriately. This makes it easier to send EMRs with lower risk.

HIPAA 52

HIPAA Electronic Medical Records Compliance Doctors 52

HIT Consultant

MARCH 20, 2023

What You Should Know: – Nuance Communications and Microsoft launches DAX Express , a workflow-integrated, fully automated clinical documentation application and the first to combine proven conversational and ambient AI with the newest and most capable generative AI technology , GPT4.

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Healthcare IT Today

OCTOBER 6, 2020

This shouldn’t come as a surprise since if ambient clinical voice is effective, then it could solve so many of the EHR documentation features that put such a burden on physicians in healthcare. If you read this site, then you know that my favorite topic right now is probably ambient clinical voice. The idea of […].

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Healthcare IT Today

APRIL 8, 2021

Of these, one of the top issues reported by physician users in virtually every EHR usability study is clinical documentation. EHRs have been implemented for nearly two decades in healthcare and many usability issues still remain. The ONC concurs. As stated in their […].

Hospitals 105

Hospitals 105

Compliancy Group

SEPTEMBER 7, 2022

To make that happen, document scanning evolved from simply sending a copy of a paper document through fax to today’s advanced optical character recognition scanners that can almost eliminate the need for paper or film records. What should you look for in HIPAA compliant document scanning? Document Recovery.

HIPAA 52

HIPAA Compliance Health Insurance Doctors 52

HIT Consultant

AUGUST 30, 2022

Increasing Insights On Healthcare Conversations Through Real-Time Clinical Documentation. Clinical documentation is a struggle for clinicians and patients alike. On the flip side, patients struggle to remember the key details of their care plan, but most documentation doesn’t meet their needs.

Doctors 52

Doctors Licensing 52

Hall Render

SEPTEMBER 7, 2022

Department of Homeland Security (“DHS”) issued a notice of proposed rulemaking allowing for optional alternative procedures for the examination of documents required by the Form I-9 Employment Eligibility Verification. Adding a fraudulent document detection and/or an anti-discrimination training requirement for employers.

COVID-19 75

COVID-19 Compliance 75

Fierce Healthcare

SEPTEMBER 15, 2021

Industry Voices—Not all automation is created equally for clinical documentation improvement. Wed, 09/15/2021 - 15:26.

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Mobi Health News

FEBRUARY 11, 2022

In a preview of their HIMSS22 panel, Serena Bumpus of Ascension and Stephanie Hoelscher of the Texas Tech University Health Sciences Center explain their Texas pilot study on crisis documentation during COVID-19 surges and how it could lessen the burden on nurses.

COVID-19 117

COVID-19 Nurses Hospitals 117

Medisys Compliance

APRIL 29, 2022

In this article, we discussed about avoiding common documentation pitfalls especially three of them: Cloning Medical Records, Conflicting Information, and Overstuffed Progress Note. The post Avoiding Common Documentation Pitfalls appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing 52

Medical Billing Fraud 52

Medisys Compliance

APRIL 11, 2022

Complete documentation will support all procedure codes your billed and will provide complete picture for payers. In this article, we shared list of required documents for ambulatory surgery centers who are beneficiaries of Medicare. Pre-operative medical record documentation. Anesthesia documentation. Informed consent.

Medical Billing 52

Medical Billing Nurses Medicare Medicare 52

Electronic Health Reporter

FEBRUARY 10, 2020

The article Taking The Sting Out of Patient Care Documentation appeared first on electronichealthreporter.com. “Not enough time with my provider” or “my doctor isn’t listening to me” are among the top five complaints of today’s patients—and those […].

Doctors 89

Doctors 89

NCG Medical Blog

DECEMBER 22, 2022

Medical documentation is an essential part of your medical practice – it’s how you provide a historical record of your patients’ progress, support your insurance claims, and break down silos between healthcare providers. Plus, better medical documentation results in better patient outcomes and lower patient risk.

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Electronic Health Reporter

APRIL 15, 2019

The article Study: Examining the Clinical Documentation Improvement Landscape appeared first on electronichealthreporter.com. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Respondents also said that while registered nurse and […].

Nurses 79

Nurses 79

Electronic Health Reporter

APRIL 2, 2020

With clinical documentation integrity (CDI) professionals playing a key role in efforts to “flatten the curve” of the COVID-19 pandemic, the American Health Information Management Association (AHIMA) has developed tools designed to ease administrative burdens […]. Illegal copying is prohibited.

COVID-19 112

COVID-19 112

Electronic Health Reporter

JANUARY 25, 2019

The article Optimizing Process and Document Automation in Healthcare appeared first on electronichealthreporter.com. While many industries are still taking the first steps on their transformation journeys, most healthcare organizations sit a few stages ahead on this path.

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HIT Consultant

FEBRUARY 16, 2022

What You Should Know: – Today, Medisafe , a leading digital therapeutics and patient engagement company launches its new Digital Document Exchange module to streamline the medication approval process. Digital Document Exchange Speeds Medication Approvals. Why It Matters.

Nurses 52

Nurses Records Management 52

Electronic Health Reporter

SEPTEMBER 29, 2020

With the shift towards value-based care reimbursement models, it has become even more important for providers to be able to digitally share patient clinical documentation with payers […].

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AIHC

APRIL 5, 2022

Only appeal claims when you have evidence and supporting documentation to substantiate your right to payment. Audit Coding, Billing and Documentation for Accuracy Insurance carriers and government contractors have the authority to review any claims at any time. However, it also includes documentation of a supporting diagnosis.

Fraud 52

Fraud Medicare Medicare Compliance 52

Healthcare IT Today

SEPTEMBER 3, 2021

Pairing that data with clinical procedure documentation is a powerful combination. One of the most valuable integrations you can do in healthcare is integrating lab data.

COVID-19 69

COVID-19 69

Health Law Advisor

JANUARY 31, 2023

The draft guidance document , Questions and Answers Regarding Food Allergens, Including the Food Allergen Labeling Requirements of the Federal Food, Drug, and Cosmetic Act (Edition 5), updates the previous (fourth) edition with new and revised guidance concerning food allergen labeling.

FDA 52

FDA 52

Healthcare Dive

MARCH 30, 2023

Provider groups applauded the move, but said they’d need to see how the requirements are rolled back before passing judgment on whether the step would ease documentation burdens on physicians.

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Becker's Health IT

OCTOBER 19, 2022

based the Valley Hospital notified patients that some of their personal information was compromised after documents at an outpatient COVID-19 testing facility were improperly discarded. Ridgewood, N.J.-based

COVID-19 40

COVID-19 Hospitals 40

Healthcare IT Today

OCTOBER 9, 2019

Clinical documentation is widely known to be a time-consuming task. Much of that documenting rests on the shoulders of nurses, who use health information technology to help juggle their many roles: […].

Nurses 53

Nurses Hospitals 53

Healthcare It News

MAY 17, 2023

According to Medical Economics , physicians spend more than three hours a day on documentation and inbox management. When providers only have so much time in a day to see patients, they often are forced to complete their charting at night, and this can lead to poor documentation and medical errors.

Hospitals 329

Hospitals 329

Healthcare Dive

MARCH 21, 2023

DAX Express will be Nuance’s first fully automated clinical documentation software. Historically, Nuance has sent the notes generated by its AI to a human for quality review before returning them to physicians.

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Healthcare IT Today

OCTOBER 14, 2019

A newly-published study suggests that physicians may not be performing all of the services they document. While the study tracked medical residents rather than physicians who had completed their training, researchers seem to have concluded that their problems with adequate documentation might point to problems affecting all physicians.

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MedTrainer

APRIL 5, 2021

Document Management Solutions for Regulatory Compliance. Document Management Solutions for Regulatory Compliance. Document Distribution. As an organization grows, the ability to effectively access necessary documents becomes imperative to its success. Organization.

Regulatory Compliance 40

Regulatory Compliance Compliance Records Management Doctors 40