Clinical Documentation

Specialty Societies Say EHR Vendors Are Blocking Their Registry Work

By Darius Tahir for POLITICO Electronic health record companies are obstructing efforts by specialty societies to gather data that are crucial to the Obama administration’s goal of improving health care quality, leaders of the physician groups tell POLITICO. The data are collected in registries, which are organized to track patients and their conditions and procedures…

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1 in 2 Physicians Demoralized, Dissatisfied

By Staff for HealthLeaders Media News Medical doctors are largely overwhelmed by their work and disengaged from key healthcare reform measures such as value-based payments, accountable care organizations, and electronic health records, survey data shows. Half of physicians are disengaged, burned out, and demoralized and plan to either retire, cut back on work hours, or seek…

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EHR-Enabled Fraud Remains a Concern

By Cheryl Branche for Medical Economics Imagine, in an effort to bill a higher fee, a colleague cuts and pastes a complete history and physical examination you wrote in the electronic health record (EHR) of your patient, but forgets to make adjustments based on his/her findings. This is happening with EHRs in hospitals and practices nationwide. While…

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AHIMA Identifies 5 Recurrent Mistakes in ICD-10 Coding

By Brooke Murphy for Becker’s Hospital CFO As coders grow and mature in their knowledge of and experience with ICD-10, it’s critical hospital administrators recognize best practices and pinpoint coding deficiencies for continued improvement. H.I.M. ON CALL chairman and CEO Manny Peña and CIOX Health coder Tammy Ree shared with the American Health Information Management…

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CMS Eases Meaningful Use Requirements in Proposed Rule

Article by Mary Butler. This article was originally published on the Journal of AHIMA website on July 12, 2016 and is republished here with permission. A new proposed rule would reduce the Centers for Medicare and Medicaid Services’ (CMS) “meaningful use” EHR Incentive Program reporting period for clinicians, hospitals, and critical access hospitals. The new reporting period would…

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4 Stolen Health Databases Reportedly for Sale on Dark Web

Hacker Takes Credit for Theft of Data on Nearly 10 Million Patients By Marianne Kolbasuk McGee for Data Breach Today A hacker is reportedly selling on the dark web copies of databases stolen from three unidentified U.S. healthcare organizations and one unnamed health insurer containing data on nearly 10 million individuals for prices ranging from…

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CDI is Expanding as Need for Quality Documentation Grows

Article by Tammy Combs. This article was originally published on the Journal of AHIMA website on June 23, 2016 and is republished here with permission. Clinical documentation improvement (CDI) programs are quickly emerging in various areas of the healthcare arena. We now see these programs specializing both prior to and beyond the acute hospital admission. Just as…

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Unfinished Business

By Susan Chapman for For The Record Findings from The Joint Commission show many surveyed hospitals house incomplete medical records. When so many aspects of health care revolve around quality documentation, it would be good to know that providers are accomplished medical record custodians. Depending on your perspective, the news on that front isn’t half…

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DEA Wants Inside Your Medical Records to Fight the War on Drugs

By Christopher Moraff for The Daily Beast The feds are fighting to look at millions of private files without a warrant, including those of two transgender men who are taking testosterone. Marlon Jones was arrested for taking legal painkillers, prescribed to him by a doctor, after a double knee replacement. Jones, an assistant fire chief of Utah’s…

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