Category Archives: Articles

Making Your EHR Documentation More Audit-Proof: The Era of the Trojan Horse

DOCBytes I’m back continuing simple Documentation Bytes; DOCBytes, for you to apply to your everyday world. The last post was so popular I thought it may be beneficial to provide a little more on EHR (electronic health record). We have … Continue reading

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“The EHR Is and Isn’t your friend?”

Utilizing the EHR (Electronic Health Record) offers the providers, greater access to patient information, improved patient care, care coordination, and potential for cost savings.  There are also challenges this documentation tool can bring to the provider in terms of documentation. … Continue reading

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“Okay Doc, Take A Seat…May I Help You?”

I have worked with many physicians over the years and have developed great relationships with quite a few. As I share information through work engagements, presentations or just chatting, we both often leave the conversation with a new perspective on … Continue reading

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Documentation and The “CMS Quality Strategy 2016”

“CMS Quality Strategy 2016” was released by CMS (Centers for Medicare and Medicaid Services) in November 2015. As evidenced by recent changes in the OPPS Final Rule 2016 and other quality and value-based trends, movement has been aggressive and persistent … Continue reading

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The “Building Blocks of Documentation”: Cornerstone I: State of Disease

As providers venture into the world of new payment models and methodologies, having the tools to do that seamlessly and knowledgably is critical for success. Understanding and implementing the “Building Blocks of Documentation” can be a crucial first step in … Continue reading

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“The Building Blocks of Documentation” for ICD-10

A couple of years ago, circa 2013, when CMS (Centers for Medicare and Medicaid Services) unveiled “The 2-Midnight Rule” and the need to certify the inpatient admission, the “5 W’s for Documentation/Auditing” were born. This laid the framework for the … Continue reading

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Five Things for Progressive Leaders to Focus on this Fiscal Year

Quality/Risk Adjustment With the adoption  of Value-Based Purchasing, providers have many initiatives occurring that will soon collide with the Merit-Based Incentive Program which takes effect for 2017 performance. The four performance categories are: Quality (PQRS, MU, Qualified Clinical Data Registries),  … Continue reading

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