Clinical Documentation

Fax machines are still common in medicine — and med students are puzzled when forced to use this ancient technology

Christina Farr for CNBC Amol Utrankar was in his second year of medical school and working a shift at Vanderbilt University Medical Center in Tennessee, when a supervisor asked him to obtain a new patient’s medical records. Utrankar, who was 22 at the time, needed to get the records from a smaller community hospital, where…

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How 2018 Impacts ICD-10-CM Cardiology Diagnosis Coding

By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor  For cardiology, the focus of ICD-10 is generally on increased specificity and documenting the downstream effects of the patient’s condition. Acute myocardial infarction, or what is more commonly known as AMI, had a definition change when the nation’s healthcare system…

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Google AI now can predict cardiovascular problems from retinal scans

By Bill Siwicki for Healthcare IT News Google AI has made a breakthrough: successfully predicting cardiovascular problems such as heart attacks and strokes simply from images of the retina, with no blood draws or other tests necessary. This is a big step forward scientifically, Google AI officials said, because it is not imitating an existing…

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HIMSS18 puts women front-and-center as conference keynotes, speakers

By Jessica Davis for Healthcare IT News Women innovators from CMS, NASA, IBM Global Healthcare, Cleveland Clinic and Health 2.0 — among a long list of others — will share insights from interoperability to patient engagement at the annual health IT conference in Las Vegas. This year’s CES Conference, one of the biggest technology conferences…

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Why Apple will succeed where other tech giants have failed: Helping people track their health info

By Steve Kraus for CNBC Apple made a big splash in health care circles this past week when it announced that the company is entering the personal health record space with Apple Health, a new feature that will interface with electronic health records at a dozen hospitals. For the past two years, Apple has been…

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Risks Associated with Critical Care Coding

By Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement Practitioner for ICD10 Monitor Questions abound when reporting critical care services. Reporting Adult Critical care can be complicated. It is not only the coding but the rules and that go along with critical care.  Many questions come up when reporting…

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Dolbey is Once Again Recognized by KLAS Research for Speech Recognition and Computer-Assisted Coding

KLAS Research is a healthcare information technology data and insights company providing the industry with accurate, honest and impartial research on the software and services used by providers and payers worldwide.  Every year, KLAS collects evaluations from healthcare providers to rank vendors across several categories.  This year, Dolbey is honored to announce that KLAS has…

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Are You Moving the CDI Needle?

Three questions to consider when evaluating a clinical documentation improvement program. By Lisa A. Eramo, MA for For the Record Review the record. Query the physician. Obtain the diagnosis. Repeat. Does this clinical documentation improvement (CDI) workflow sound familiar? Productivity is the hallmark of a good program. Or is it? On the surface, CDI specialists…

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7 statistics on medical coder salary, growth potential

By Laura Dyrda for Becker’s ASC Review Professional coders are more likely to see compensation increases when they achieve higher credentials, and the percent increase in year-over-year compensation is higher for the most-credentialed individuals, according to the AAPC 2016 Salary Survey. The survey was completed by 9.2 percent of AAPC membership, and 2.2 percent hold…

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