Clinical Documentation

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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Natural language processing tools take aim at value-based care through risk-sharing programs

By Bill Siwicki for Healthcare Finance News Natural language processing technology is being integrated with electronic health records and finding its way into the big data and analytics realms, often focusing on enhancing provider workflow and clinical documentation. And for the last few years, tech vendors including 3M, Apixio, Dolbey Systems, Health Fidelity, Linguamatics and…

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Medical note system could boost patient engagement, reduce documentation time

New research finds patients could benefit if they are invited to co-produce medical notes with doctors rather than simply reading them. By Jeff Lagasse for Healthcare IT News Encouraging patients to help write and add notes to their personal medical charts — a task typically handled only by medical professionals — may help patients feel…

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The Life of a Chart

By Angie Dibble, RHIT for For the Record Remember when we thought of medical charts as inanimate objects, safely tucked away on a dusty shelf in a paper mill known as “Medical Records”? In my prior life, the one I innocently enjoyed before working in health information, I believed all medical charts were somehow pure…

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