How Can You Improve Clinical Documentation?
Clinical documentation comprises all the information relating to each patient’s encounters with a healthcare facility. This information is entered in the medical record by a member of the patient’s healthcare team – a physician, nurse, therapist, dentist or other healthcare professional. Chronologically documenting this
What Are the Common Errors in Medical Documentation?
Medical documentation plays a key role in ensuring continuity of care, accurate billing, and regulatory compliance. Even small mistakes in records can affect clinical decisions, delay treatment, and create legal and financial issues for healthcare providers. These mistakes can occur due to time constraints,
How do Medical Transcription Services help Therapists Maintain Good Clinical Documentation?
Clinical documentation is the capture of clinical information at the patient encounter. Clear, accurate, consistent, complete, timely, and legible clinical documentation is necessary to reflect the patient’s condition and provide evidence that the care rendered was meaningful and medically necessary. Behavioral health providers, for instance,
How Automation can Support Small Medical Practices
Automation has disrupted many industries, and improved productivity by doing away with tasks that involve a high level of physical work and repetitive tasks. Healthcare is also benefiting from automation. One of the most common examples of automation in healthcare the development of voice
How to Prepare Different Types of Medical Transcription Reports
A medical report provides a detailed account of a patient’s medical history, current condition, and treatment plan. Medical reports can be written by a variety of healthcare professionals, including doctors, nurses, and therapists, involved in a patient’s care. These reports help them track the
