Here are two documentation tips concerning 2011 CPT changes affecting ambulatory surgery centers from Cristina Bentin, CCS-P, CPC-H, CMA, principal of Coding Compliance Management.

While Agile principles emphasize working software over comprehensive documentation, effective documentation remains a cornerstone for collaboration, clarity, and continuity in fast-paced teams.

Great API documentation is essential to a good developer experience. But your documentation should be great for non-developers too.

Top 5 Documentation and Coding Challenges Confronting Hospital Specialty Service Lines Perhaps no process has as great an impact on a hospital’s revenue cycle as procedure documentation and coding.

Close care documentation gaps — Expert tips for better quality reporting Between 46% and 60% of inpatient records are missing documentation that would reflect a more severe and complex patient 1.

Medical documentation by practicing physicians has been a challenge since the creation of the medical chart. During his years of practice, Dr. Will Carracino, chief medical information officer at ...

Knowing these key documentation concepts for the most commonly used diagnosis codes is one of the best ways for physicians to continue their smooth transition to ICD-10 in 2016. This article focuses ...

PURPOSEAccurate documentation of lesions during transurethral resection of bladder tumors (TURBT) is essential for precise diagnosis, treatment planning, and follow-up care. However, optimizing ...