Clinical Documentation

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…

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…

FY 2025 ICD-10-CM code updates, guidelines released

From ACDIS News In the last week, CMS released the fiscal Year (FY) 2025 ICD-10-CM code update and Official Guidelines for Coding and Reporting, which are effective October 1, 2024 through September 30, 2025. The update includes new codes such…

The Most Common Career Change for Nurses

By Barry Bottino for Nurse.com Many nurses, whether after years of dedicated service or newly into the profession, find themselves considering a career change.  Despite the rewards of patient care and professional achievements, nursing can be physically and emotionally demanding. …

Get Ready for FY 2025 ICD-10 Code Updates

By Kristi Pollard for Haugen Consulting Group ** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.…

Nurse Burnout: Supporting Your Colleagues

By Zelda Meeker for Nurse.com In nursing, burnout is a common yet often overlooked issue. The Nurse.com 2024 Nurse Salary and Work-Life Report highlighted the prevalence of this condition with 59% of nurses sharing they’ve experienced burnout in the last two…

What Epic’s new feature means for hospitals

By Naomi Diaz for Becker’s Hospital Review Epic Systems has introduced a new data-sharing feature aimed at enhancing patient access to health information and improving interoperability for healthcare providers. Launched on August 1 for Epic clients, the feature allows patients…

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