Clinical Documentation

3rd Biggest Killer in US Is Medical Error – Johns Hopkins Study

By Staff for RT Research has discovered that medical error is the third leading cause of death in the United States. With more than 250,000 deaths of this kind annually, researchers from Johns Hopkins University urge addressing systemic problems with the US system. There have been other estimates, including one by the Centers for Disease Control…

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Physician Advisors

By Dr. Jon Elion for ChartWise Medical Systems, Inc. The Clinical Documentation Specialist (CDS) looked a little tentative stepping up to the microphone to ask her question. I had just finished a talk where I shared stories about Clinical Documentation Improvement (CDI) from the point of view of a practicing physician. As her question unfolded, the…

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Words Matter: Best Practices for Dictating in an EMR Setting

By Selena Chavis for For The Record Vol. 28 No. 4 P. 14 As HIT matures, dictation and transcription models continue to evolve. It’s a situation being closely monitored by health care organizations concerned about the fallout from potential productivity losses and physician outcry over clunky EMR documentation workflows. To combat these fears, many facilities are…

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Time to Capture Data in a Way Not Burdensome to MDs

By Mark Hagland for HCI | Healthcare Informatics Rush University Medical Center CMIO Brian Patty, M.D., shares his perspectives on physician documentation reform As the implementation of electronic health records (EHRs) has moved towards universalization, one of the unfortunate unintended consequences of the rapid shift to electronic form for patient records has been that of…

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ICD-10 to Get 5,500 New Codes, Including Ones for Face, Hand Transplants, CMS Says

By Susan Morse for Healthcare IT News CMS said it plans to add about 1,900 diagnosis codes and 3,651 hospital inpatient procedure codes to the coding system. On Oct. 1, the Centers for Medicare and Medicaid Services will add another 5,500 codes to the ICD-10 diagnostic library, officials announced in a March 9 meeting. The addition will…

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The Biggest Threat Yet From Healthcare Hackers: Cyber-Ransom

Presbyterian Medical Center has paid $17,000 to hackers who took over its computer systems. By Todd Campbell for The Motley Fool After hackers used malware to commandeer computers at Presbyterian Medical Center on Feb. 5, the Hollywood hospital paid them over $17,000 in ransom to regain control over their systems. The cyber-ransom is the latest threat posed by…

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25 Quotes That Show Just How Fed Up Physicians Are With EHRs

By Max Green for Becker’s Health IT & CIO Review More than half of the physicians who bill Medicare in the U.S. are currently being penalized 1 percent of their 2015 payments as a result of the meaningful use program, according to Steven J. Stack, MD, president of the American Medical Association. “Imagine, in a world…

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