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3 Common Risks in Healthcare Documentation - eBrief

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...

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Hidden Documentation Compliance Risks: Part 3 - eBrief

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...

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Hidden Documentation Compliance Risks: Part 2 - eBrief

Electronic Medical Record (EMR) systems have revolutionized healthcare documentation, allowing for streamlined record-keeping and improved patient care. However, lack of governance over EMR templates means they may contain outdated language that can hinder effective communication, delay revenue due...

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Understanding Medicare’s Targeted Probe and Educate (TPE) Program - eBrief

The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...

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