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Clinical Documentation

Latest Headlines

Latest Headlines

Computer-assisted coding a boon for hospitals during ICD-10 switch

Hospital officials that are well along in their planning for the ICD-10 switchover expect a loss of productivity when they move to the more complex diagnostic coding system, said panelists in a "town

Anthelio, MedQuist push for improved hospital IT efficiency

Anthelio, which provides business outsourcing and health IT support services to hospitals and physician groups, has formed a strategic partnership with MedQuist, a supplier of "integrated clinical

Insurers leery of EMRs as a liability in the near term

EMRs may not be the magic liability bullet insurers once thought. In fact, a recent study found that EMRs may actually increase the number of liability claims brought against insurers, according to a

Physician EMR use tops 50 percent for first time

For the first time, more than half of office-based U.S. physicians are using some form of EMR in their practices, according to the Centers for Disease Control and Prevention's annual National

AHA official: ICD-10 the 'DNA' of future DRG payments

You may be neck-deep in an EHR implementation in hopes of scoring American Recovery and Reinvestment Act incentive payments, but don't forget about the coming transition to ICD-10 coding. "To put it

EHR adoption jumps for hospital-owned practices

Proving once again that there is no single, reliable way to determine true EHR adoption rates, research firm SK&A reports that 38.7 percent of medical offices in the U.S. have EHRs, up from 36.1

EHR audits show shortcuts lead to shortcomings

Audits of electronic charts have revealed three "classic EHR physician documentation shortcuts" (as if EHRs could ever be called "classic"), according to AIS Health, which reported on a compliance

Hospitals struggling with CPOE

As they prepare to meet federal requirements for "meaningful use" of EMRs, hospitals seem to be struggling most with getting CPOE right and with helping physicians embrace EMR technology, according

'Hidden requirements' of quality reporting may hinder meaningful use, CSC says

Calling many of the quality reporting measures "hidden requirements" of Stage 1 meaningful use of EMRs, consulting firm Computer Sciences Corp. says hospitals that meet the data-capture standards for

What are you hiding from patients in their medical records?

Many a physician is understandably apprehensive about entering the brave, new world of "meaningful use" of EMRs. After all, it's not easy to change the way you've done things for years. What they may