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Clinical Documentation

AI’s Promise – and Threat – to Treatment and Coding

I recently decided to test ChatGPT to see if it would write a note that could be pasted into a medical record. I submitted the following to ChatGPT, version 4.0: Me to ChatGPT: I visited a patient and took their vitals. BP was 135 over 60. The patient presented with

Timothy Powell, CPA, CHCP November 27, 2023

Billing

Understaffing in the Health Information Management (HIM) Workforce.

Not having enough qualified health information management (HIM) staff is a significant global challenge that severely impacts healthcare systems. This shortage of HIM professionals leads

Angela Comfort, MBA, RHIA, CDIP, CCS, CCS-P November 27, 2023

Cardiology

MINOCA and INOCA: Twin Aspects of a Cardio Conundrum

The National Institutes of Health (NIH) recently reported MINOCA (myocardial infarction with non-obstructive coronary arteries) and INOCA (ischemia with non-obstructive coronary arteries) as non-conventional presentations

Pamela Scott, RHIT, CCS, CCDS, CRC, AHIMA-Approved ICD-10 CM/PCS Trainer November 27, 2023

Coding

Understanding the U.S. Playbook to Address the Social Determinants of Health

The Biden Administration has released a new playbook addressing three “pillars” of emphasis related to the social determinants of health (SDoH), from the Domestic Policy

Tiffany Ferguson, LMSW, CMAC, ACM November 27, 2023