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Be Prepared: New Hernia Repair Codes Coming Soon

EDITOR’S NOTE: The Current Procedural Terminology (CPT®) changes for 2023 were released on Sept. 12. This release from the American Medical Association (AMA) includes 225 new codes, 75 deletions, and

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How ChristianaCare Improved Its PSIs

The process involves a multi-step review. Physicians take the Hippocratic Oath in medical school to “do no harm.” Despite their best intentions, however, many physicians sometimes unwittingly trigger a patient safety

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CDI: Documenting Diagnoses and Patient Safety

Documenting a diagnosis in the health record extends beyond its impact on reimbursement and quality-of-care measures.  It is also critical to patient safety.  As a clinical documentation integrity (CD) I

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How to Reduce the Risk of Copy and Paste

Providers should never C&P material they have not read nor vetted for accuracy. A young Jeopardy! champion died from bilateral pulmonary emboli following a colectomy in January 2021. Following his

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The Problem with Problem Lists

Problem lists are a problem because often they are not updated. Over the last year, we have heard much about Medicare Advantage (MA) health plans being investigated or fined by

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Understanding the Impact of CAPD to Create Workflow

Efficiencies increase health system revenues. Major shifts in the healthcare landscape over the last 10 years have substantially impacted hospital system reimbursement. Placing an ever-greater importance on documentation accuracy and

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The Latest Healthcare Quandary: Medical Assistants

What can medical assistants (MAs) do and not do? Medical assistants (MAs) have a narrow list of things they can do for patients or a physician in a doctor’s office.

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