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Documentation

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March 12, 2025
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Documentation of surgical decision-making may reduce Medicare audit requests

SAN DIEGO — Standardized documentation of surgical decision-making and preoperative surgical care may reduce Medicare audit requests for total joint arthroplasty cases, according to results.

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September 03, 2024
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Q&A: AI cuts documentation burden, allows HCPs more time for ‘truly practicing medicine’

An AI-driven application reduced the time needed for documentation of patient visits, allowing providers more time for shared decision-making and communication with patients, a pilot study showed.

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August 17, 2024
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Commons Clinic, DeepScribe partner for AI medical documentation solutions

Commons Clinic and DeepScribe announced a partnership for AI-powered surgical documentation solutions, according to a press release.

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July 09, 2024
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BLOG: Construct attestations carefully for teaching physicians, shared visits

If you perform shared visits with nonphysician practitioners or are a teaching physician, you should learn the lessons taught by a recent settlement involving Baylor University and a few other parties.

News
November 08, 2023
2 min read
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Study suggests documentation of alcohol use needs to improve in disadvantaged areas

Primary care practices in counties with higher social deprivation had decreased odds of documenting alcohol-related problems in the electronic health record, according to a recent study.

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October 07, 2023
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VIDEO: 'AI offers world-changing ability' to improve primary care practices

ORLANDO — Primary care physicians can use large language model artificial intelligence to substantially improve their practices, according to a presenter at OMED.

News
September 06, 2023
5 min read
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Breakups with problem patients require communication, documentation

PARK CITY, Utah — Physicians can sever ties with difficult patients, but these terminations require communication, documentation and justification, according to a presentation here.

News
May 03, 2023
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Wound care documentation crucial for internists

SAN DIEGO — Internists should prioritize the assessment, documentation and treatment of wounds, according to a speaker.

News
December 12, 2022
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Female ophthalmologists may have higher documentation burden

Female ophthalmologists may have a higher documentation burden than male ophthalmologists, which could lead to more burnout, according to a poster presented at Real World Ophthalmology.

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May 06, 2022
6 min watch
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VIDEO: Orthopedic surgeons report being burdened by documentation, coding requirements

According to a survey performed by Robin Healthcare and the Kantar Profiles Healthcare Panel, most orthopedic physicians report that medical notetaking interferes with their ability to interact with patients.

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