In an age where public and private insurers are carefully watching every penny spent, health care providers have to document patient care very carefully. Medicare and private insurance companies, ...

This includes rating and ranking measures such as the Centers for Medicare & Medicaid (CMS) Star Ratings, U.S. News & World Report, Leapfrog, Healthgrades and more. Health care professionals and ...

Documentation has become a critical, central part of healthcare. Accurate documentation is needed for effective care delivery, measuring quality, coding and billing and much more. However, asking ...

Empowering social workers to discuss advance care planning with older patients with cancer could improve documentation of ...

Nursing documentation is a cornerstone of contemporary healthcare, integrating systematic recording of patient observations, interventions, and outcomes with the aim of enhancing effective care ...

“Documentation not only of the wound and treatment but of factors that may affect wound healing such as nutritional status, oxygen delivery to the tissue and even medications can affect the potential ...

Did you know that some of the earliest “medical records” date all the way back to around 1600 BC? Those of us who have either been around long enough or know our history recognize that healthcare ...

Nearly three-quarters of healthcare professionals say the time or effort needed to complete clinical documentation hampers patient care, according to a survey published this week by the American ...