Clinical Documentation

The Impact of Generative Artificial Intelligence on Health Care

By Susan Chapman, MA, MFA, PGYT for For The Record Artificial intelligence (AI) is an evolving technology that’s increasingly being employed across the health care industry. Like many technologies, AI continues to evolve, moving from what’s commonly referred to as traditional AI to its next generation, Generative (Gen) AI. When applied correctly, Gen AI can…

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2025 MPFS final rule contains 2.93% reduction to overall payments

By ACDIS for CDI Strategies The 2025 Medicare Physician Fee Schedule (MPFS) final rule was released on November 1 and contains a number of billing modifications to payment rates, services, telehealth rules, and other such services. According to the National Association of Healthcare Revenue Integrity (NAHRI), CMS finalized a 2.83% reduction to the conversion factor.…

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Improving SDOH Collection and Usage: Success Stories From Three Health Systems

From For the Record As health care organizations increasingly recognize the critical link between patient health and social determinants of health (SDOH), a new initiative aims to showcase the innovative strategies employed by three leading health systems to enhance SDOH data collection and usage. This initiative is part of the AHIMA broader campaign, Data for…

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Nurses on the Front Lines of Natural Disasters: Coping With the Mental Toll

By Laura Brummett for Nurse.com When natural disasters like recent back-to-back Hurricanes Helene and Milton occur, healthcare professionals brace for the inevitable surge in demand for care.  Nurses are often first responders to the chaos and destruction that such storms bring. These front-line workers play a crucial role in disaster response, but that responsibility comes…

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FY 2025 IPPS rates changed last minute due to court decision

From ACDIS CDI Strategies To comply with a summer court order, the fiscal year (FY) 2025 Hospital Inpatient Prospective Payment System (IPPS) was revised a day before its implementation on October 1 to reduce payments for low wage hospitals, JustCoding reported. The update was primarily focused on the low wage index hospital policy, which since…

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Dolbey at AHIMA24: Leading the Way in Health Information Management

As the healthcare industry adapts to rapid changes, health information management (HIM) professionals are at the forefront of improving patient care and operational efficiency. Dolbey is excited to announce that we will be attending AHIMA24, the American Health Information Management Association’s premier annual conference, to showcase our cutting-edge solutions for HIM professionals. AHIMA24 is set…

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The unexpected consequences of hospital quality scores

By Alice Brewer for HealthcareDive One clinical affairs expert argues that it’s time to reexamine the federal Hospital-Acquired Condition Reduction Program. The latest list of hospitals facing federal penalties for poor quality has been released. Through hospital quality scores, the CMS evaluates hospitals on infection rates and other patient complications, reducing their Medicare payment rates…

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New report predicts uneven healthcare labor market across U.S. by 2028

From ACDIS CDI Strategies A new report from the Mercer Financial Services company predicts that by 2028, there will be a surplus of approximately 30,000 registered nurses across the United States, according to HealthLeaders. The report examined healthcare labor market projections into 2028. In particular, Mercer was principally concerned with answering the following four questions:…

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Clinical Documentation Integrity: Overcoming Query Challenges

By By Susan Chapman, MA, MFA, PGYT for For The Record A dozen best practices to help coding and CDI professionals create effective queries for accurate and comprehensive medical documentation. Coding and clinical documentation integrity (CDI) professionals use queries to ensure diagnoses and procedures documented in the health record accurately reflect patient care. However, there…

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