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.

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 vulnerable to cyber threats. As a result, patient safety remains a top priority for medical practitioners, ensuring data...
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 that these problems are merely two sides of the same coin, and I am writing this article to...
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 body language. Those qualities and instincts are complemented when intelligent, specialty-specific, hands-free automation is in your corner for: ensuring...
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 become burned out and frustrated by EHRs, new reimbursement models, increased regulatory requirements related to quality, onerous query...
medical records privacy breach
The mother of a former patient of Ann and Robert Lurie Children's Hospital of Chicago filed a lawsuit on May 8 against the hospital over a medical records privacy breach, according to The Chicago Sun-Times. In the lawsuit, the mother claimed that...
Telehealth investment and Financial impact
Health IT leaders are preparing for teams to return to the office and elective procedures to begin again as the pandemic hits its peak across the country. But the return has to be strategic and will require COVID-19 testing to safely relax social distancing and avoid another surge of the...
AI to reduce tech burdens in the revenue cycle
As providers continue to be bogged down by clinical documentation and technology requirements in the revenue cycle process, 3M's mission is focused on alleviating some of those burdens with the use of artificial intelligence. Jared Sorenson, vice president of 3M's revenue cycle solutions business, told Becker's Hospital Review that despite...
Telehealth care during the COVID-19
Telemedicine and virtual care have quickly emerged as essential equipment in being concerned in your patients while keeping yourself and your personnel secure as the COVID-19 pandemic quickly evolves. Here is what you need to recognize while providing telehealth services. How to get reimbursed? The Centers for Medicare & Medicaid Services...
IV Infusion
Infusion can be defined as “Administration of fluids or medications into the blood through the veins”. When the drug delivery exceeds 15 minutes, it falls into infusion. Each hour of infusion is deemed a separately billable unit. Infusions can be categorized as below: • Initial • Sequential • Additional • Concurrent • Prolonged
Bone mineral density test To diagnose osteoporosis before a broken bone occurs, the only test is a bone density test, which can help to estimate the density of your bone. As recommended by National Osteoporosis foundation (NOF) a bone mineral density test of the hip and spin test is being...