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When the Metric Becomes the Goal: What Happens to the Medical Record and Why It Matters

EDITOR’S NOTE: The author of this article used artificial intelligence (AI)-assisted tools in its composition, but all content, analysis, and conclusions were based on the author’s professional judgment and expertise. The article was then edited by a human being. Healthcare has no shortage of metrics. From Patient Safety Indicators (PSIs)

Penny Jefferson, MSN, RN, CCDS, CCDS-O, CCS, CDIP, CRC, CHDA, CRCR, CPHQ, ACPA-C May 4, 2026

CMS

The Medicaid SDP “False Plateau:” Why Hospitals May See a Surge Before the Cliff

Recent guidance from the Centers for Medicare & Medicaid Services (CMS) on Medicaid State Directed Payments (SDPs) has been widely interpreted as a tightening of

Timothy Powell, CPA, CHCP April 14, 2026

CMS

The Impacts of Starting the Admission Order with the ED Physician

Increasing pressure to improve emergency department (ED) throughput has led many hospitals to adopt workflows in which ED physicians initiate inpatient or outpatient observation orders

Tiffany Ferguson, LMSW, CMAC, ACM May 4, 2026

Clinical Documentation

Query Practice Brief Update: Clinical Indicators and Clinical Validation

Creating industry guidance is a challenging task. It is often difficult to remove ambiguity that could lead to unintended interpretations. I think the contributors to

Cheryl Ericson, RN, MS, CCDS, CDIP May 4, 2026

False Claims Act

When the Metric Becomes the Goal: What Happens to the Medical Record and Why It Matters

The Medicaid SDP “False Plateau:” Why Hospitals May See a Surge Before the Cliff

The Impacts of Starting the Admission Order with the ED Physician

Query Practice Brief Update: Clinical Indicators and Clinical Validation

Accepting Downcoded Medicare Advantage Payments: A Growing False Claims Act Risk for Hospitals

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