documentation

Study sheds light on in-room time with patients, EHR documentationThe implementation of electronic health records has had great impact on the way ophthalmologists spend their time. There are concerns that this has created inefficiencies, and that physicians now spend more time documenting, and less time with their patients, which is the opposite of what was intended.
Q&A: What you need to know about ICD-10In this Q&A, Ophthalmology Times talks to Michael Repka, MD, MBA and medical director of government affairs for the American Academy of Ophthalmology how the transition to ICD-10 is affecting ophthalmologists.
Physician documentation audits: Can 1995 and 1997 E/M Guidelines be combined?Our office is starting to do a monthly audit of our physician charts. We’re going to be looking at documentation and coding to make sure they are on the right track. When we’re conducting these audits, do we have to use either 1995 or 1997 guidelines or can we combine the two?
Scribes can help document care, boost efficiency at medical practicesThe use of a scribe allows providers to spend more time with patients while ensuring accurate documentation.
Maintain your nursing documents before taking a travel assignmentIt goes without saying that each hospital that you apply will have a specific set of credentialing requirements.
Getting your nursing documents in orderIf you’ve worked as a traveler for any length of time, you’ve probably been exposed to credentialing and understand what procedures and requirements are involved.
Start a prosperous travel careerBefore you score that first assignment, you must first convince an employer that you’re the best candidate.
Document carefully in a group practice to avoid raising red flags for auditorsThis month's question focuses on the need to be especially careful with codes when working in a large practice. Find out the answer to this pressing coding question.
Travel nurses: How to deal with documentationDifferent healthcare facilities have different ways of documenting nursing care.