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CLINICAL DOCUMENTATION

MD Facts is about Healthcare Updates, Medical Billing Tips & Tricks, Clinical Documentation, EHR, Physician's progress notes, Medical Records and Charting, Medical Coding, Insurance Plans Information, Handling of Insurance Denials, and Insurance Updates.

price transparency rule

Major Hospitals Still Not Complying with Price Transparency Rule

Many of the largest hospitals in the country are still not complying with a new price transparency rule that went into effect on Jan. 1, 2021, according to a new analysis. Nearly...
Care Management Services Coding Tips

RPM Care Management Services Coding Tips

Know when to use remote physiologic monitoring codes and what to look out for when you do. Along with accelerating the adoption of telehealth and telemedicine, the COVID-19 pandemic has also seen...
Future of Medical Coders with Computer Assisted Coding System

Future of Medical Coders with Computer Assisted Coding System

Technology has finally arrived that is radically changing the process of medical coding in health information management. Computer assisted coding (CAC) automatically generates medical codes directly from medical records. With CAC...
The Best Path Forward | Journal Of AHIMA

The Best Path Forward | Journal Of AHIMA

By Joe Nicholson, DO “Business as usual.” Hopefully, the COVID-19 pandemic has erased that phrase from our lexicon forever. After all, what does it mean? For healthcare professionals, “business as usual” too often...
clinical data

Five Tips to Reach True Interoperability

By Matthew A. Michela Inadequate access to medical data because of poor interoperability results in suboptimal care and increased costs to both patients and healthcare organizations. Until recently, interoperability was considered a secondary...
hipaa and food banks

HIPAA and Hunger: Solutions in a Pandemic

By Joan M. Kiel, PhD, CHPS The health information management profession continues to expand its boundaries and be a true asset to society. During the pandemic, for instance, health information (HI) professionals...
healthcare industry

Coping up with Cybersecurity Risks in Healthcare Industry

As connected care becomes more common, cybersecurity is becoming a more serious problem for the healthcare industry. The increasing use of Electronic Health Records (EHRs) has made valuable patient data more...

How CDI Can Become the Answer to Physician Burnout

My career has been shaped by two critical experiences: burning out as a physician and witnessing the poor quality of clinical data as an analytics consultant for large payers. I realized...

The Ultimate Guide to Pain Management Billing Services and EHR

Easing pain caused by injury, disease, chronic condition, addiction, or any combination of these is a noble and rewarding pursuit that involves skill, determination, and an eye for patients’ reactions and...

Practice Brief: Evolving Roles in Clinical Documentation Integrity: A Provider’s Guide to the Art...

Documenting in the health record, especially in electronic health records (EHRs), is becoming an increasingly challenging task for many providers across the continuum of care. In recent years, many providers have...