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The Electronic Medical Record (EMR) has many benefits over handwritten entries in a paper chart. EMR entries are always legible, dated, and timed. Patient information can be available at the point of care and remotely.
Some EMR systems include computerized physician order entry and decision-support tools to improve patient care and safety. However, recent audits reflect that CDI can be compromised when copy-paste or pull-forward information is not updated or reviewed.
Terry discusses the importance of the medical record’s integrity and ensuring your providers listen.
You can subscribe to our podcasts via:
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/
The post EMR Clinical Documentation Integrity appeared first on Terry Fletcher Consulting, Inc..
4.7
193193 ratings
The Electronic Medical Record (EMR) has many benefits over handwritten entries in a paper chart. EMR entries are always legible, dated, and timed. Patient information can be available at the point of care and remotely.
Some EMR systems include computerized physician order entry and decision-support tools to improve patient care and safety. However, recent audits reflect that CDI can be compromised when copy-paste or pull-forward information is not updated or reviewed.
Terry discusses the importance of the medical record’s integrity and ensuring your providers listen.
You can subscribe to our podcasts via:
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/
The post EMR Clinical Documentation Integrity appeared first on Terry Fletcher Consulting, Inc..
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