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Monthly Archives: June 2015

EHRs Not Sufficient to Improve the Quality of Stroke Care

EHRs Not Sufficient to Improve the Quality of Stroke Care

Electronic health records (EHRs) are supposed to enhance the clinical outcomes with faster data input, exchange and retrieval. EHR is regarded as an effective clinical documentation tool to improve the quality of care for conditions for which guidelines are quickly evolving and timely care is crucial. However, this system doesn’t seem to be an outstanding … Continue reading EHRs Not Sufficient to Improve the Quality of Stroke Care

NLP to Ensure Quality of Colonoscopy

NLP to Ensure Quality of Colonoscopy

A new study by a group of researchers from the Regenstrief Institute and the Indiana University School of Medicine shows that natural language processing or NLP accurately tracks colonoscopy quality. The presence of adenomas in the colon predicts the patient’s risk of developing colon cancer later and its detection rate is considered as a critical … Continue reading NLP to Ensure Quality of Colonoscopy

Documentation Errors Affect Pediatric Patient Safety

Documentation Errors Affect Pediatric Patient Safety

Accurate pediatric documentation is not only essential for effective care and treatment for the child, but also plays a significant role in ensuring patient safety. A UK based study identified different types of pediatric safety incidents and found documentation-related errors among the most frequently cited contributory factors to patient harm. The family practice patient safety … Continue reading Documentation Errors Affect Pediatric Patient Safety

Documentation to Prove Medical Necessity for Urology Procedures

Documentation to Prove Medical Necessity for Urology Procedures

Accurate clinical documentation that supports medical necessity is essential for getting proper payments for urology procedures. Medical necessity of a service is defined as an overarching criterion for payment apart from individual requirements specified for a CPT code. You should consider three things to determine medical necessity such as the level of decision making as … Continue reading Documentation to Prove Medical Necessity for Urology Procedures

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