Healthicity Blog

The third and last installment of this series focuses on the part human error plays in conflicting EMR documentation. Conflicting documentation in physician or Advanced Practice Provider (APP) SOAP notes is a significant issue that can lead to miscommunication, errors in patient care, and...

Education related to documentation in the patient electronic medical record (EMR) is an area of health information management overdue for a tune-up. Lack of regular and formal education in this area poses a problem for healthcare providers who are expected to appropriately record information in the...

The compliance and coding worlds are filled with acronyms – and we’ve got another one for you: CDI. That stands for Clinical Documentation Improvement, and it’s a crucial piece of the healthcare puzzle.

Welcome to Part 3 of our ongoing series, 2021 E/M Changes: The Impact Beyond Coding & Documentation.

Welcome to Part 2 of our ongoing series, 2021 E/M Changes: The Impact Beyond Coding & Documentation.

Providers attend years of rigorous school, followed by multiple years of residency and fellowship programs

It’s no secret that coding and auditing for critical care can often leave you scratching our heads’ in confusion.

The documentation guidelines established by the Centers for Medicare & Medicaid Services (CMS) for evaluation and management (E/M) services