As healthcare organizations expand outpatient services and transition to accountable care organizations (ACOs), outpatient documentation has become more complex and critical to the bottom line. To ...

This study found a wide majority of practicing physicians (71%) report they would be more responsive to Clinical Documentation Improvement (CDI) clarifications if these were delivered in real-time ...

Clinical documentation integrity programs sit at the intersection of patient care, quality reporting and revenue capture but too many remain siloed and disconnected from the workflows around them.

Like many aspects of healthcare, clinical documentation is a complex yet necessary process. It is tied to more than just health information management functions; it is also essential to a hospital’s ...