Electronic Health Record

Physician burnout may cause more medical errors than unsafe care settings

By Megan Knowles for Becker’s Hospital Review Physicians experiencing burnout were more likely to report medical errors — and burnout may be to blame for more errors than unsafe workplace conditions, a study published in Mayo Clinic Proceedings found. “If we are trying to maximize the safety and quality of medical care, we must address…

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Physician Burnout? See how Speech Recognition Can Help!

By Laura Baukol for nVoq Mirroring national trends, the Stanford doctors who responded to both the 2013 and 2016 surveys expressed increased burnout and decreased professional fulfillment. In fact, there was a 13 percent increase between 2013 and 2016 for those who self-reported burnout. In addition, the survey found those who indicated that they held a…

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3 Important Factors for Achieving Speech Recognition Adoption

By Linda Jones, Speech Recognition Analyst at Dolbey When a facility is looking for speech recognition technology, it must ensure it chooses a highly accurate and reliable application.  While this can be a daunting task, an even bigger challenge is selecting a solution that can obtain widespread adoption throughout the facility. When researching and comparing speech…

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The physician reluctance to seek mental health treatment

By Sara Reader, MD, MPH for KevinMD.com The recent suicides of an NYU resident and a medical student highlight the growing mental health problem among physicians and physicians-in-training in this country.  This crisis is certainly not exclusive to physicians, as evidenced by the suicides of designer Kate Spade and television personality Anthony Bourdain.  However, suicide…

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Auditing Issues Uncovered in Physician Documentation: Part IV

By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Editor’s Note: This is the final installment in a four-part series that examines physician documentation issues as seen by an auditor. Click here to read part one: Auditing Issues Uncovered in Physician Documentation: Part I Click here to read…

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How to Improve the Query Process

By Marisa MacClary for For the Record The only way hospital clinical documentation improvement (CDI) and coding staff may compliantly clarify physician documentation for the purpose of accurate coding is to query the physician. The physician query process is essential to ensure accurate quality scores and proper reimbursement. However, most CDI specialists, coders, and physicians…

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Coding-Clinical Disconnect Reducing Apparent Child Abuse Incidence? Not on My Watch

By Erica E. Remer, MD, FACEP, CCDS for ICD10 Monitor Some providers hesitate to use the word “abuse” preferring, instead, to use non-accidental trauma (NAT). Despite what revenue cycle may believe, clinical documentation is not solely for billing. One of the biggest problems with imprecise, nonspecific diagnoses which lead to unspecified codes or, even worse,…

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New research suggests it’s time to teach baby boomers about patient portals

By Jeff Legasse for Healthcare Finance News These days, Americans can manage many facets of their lives through the internet. But a new poll suggests many older adults still aren’t using online systems to communicate with doctors and other healthcare providers, despite the widespread availability of such systems. As patients age and have more complex…

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Auditing Issues Uncovered in Physician Documentation: Part III

By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Is your Electronic Medical Record (EMR) system helping you pass an audit or hurting you? Editor’s Note: This is the third piece in a four-part series that examines physician documentation issues as seen by an auditor. Click here…

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