Jeff Gorke helps Americans demystify various aspects of healthcare. Too little attention is paid to documentation, coding, and billing in many medical practices. For patients, documentation simply ...

Code documentation has never been considered fun ... A core part of the documentation process – creating visuals and diagrams — might be the key to better developer communication.

Perhaps no process has as great an impact on a hospital's revenue cycle as procedure documentation and coding. When done accurately and efficiently, it can accelerate the billing cycle ...

The first step is to provide a diagnosis. The same patient could have the same condition described in multiple ways, so the standard system of coding diagnoses is called the International ...

From a patient's perspective, accurate coding and documentation play a crucial role in ensuring the delivery of high-quality, patient-centered care. At CHESS Health Solutions, we have discovered ...

Diagrams as code is a good approach here, but in my opinion it has not yet reached its full potential. Alexander Schwartz: The perceived lack of appreciation of documentation is a common hurdle.

When clinical documentation fails to meet coding compliance, surgeons have to direct attention away from patients to double check whether their notes accurately capture patient acuity. When coders ...

This enterprise-wide solution optimizes the clinical documentation, coding and quality reporting processes that are essential for a successful transition to ICD-10, Meaningful Use Stage Two and ...

Coding and documentation guidelines for E/M services were also revised for the first time in more than 25 years. These changes are significant, and they deserve a closer look. Prior to 2021 ...

Perhaps no process has as great an impact on a hospital’s revenue cycle as procedure documentation and coding. When done accurately and efficiently, it can accelerate the billing cycle, reduce ...