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Tips for Physicians to Improve Their EHR Documentation for Coding

During the last AHIMA, I sat down with Dr. Jon Elion, Founder and CEO of ChartWise Medical Systems and asked him about how a physician can improve their EHR documentation so that it matches the needs of medical coders better. In the following video, he offers a couple simple tips on how a physician can do this easily.

Considering ICD-10 is just around the corner, I thought many would find these tips interesting and useful.

February 1, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Changes in Clinical Documentation

While at AHIMA 2012, I had a chance to sit down with Dr. Jon Elion, Founder and CEO of ChartWise Medical Systems. I asked him about the changes in clinical documentation he’s seeing and I grabbed a video of his answer below. His answer was an interesting and insightful look into clinical documentation and ways that coding is effecting the clinical documentation.

I find Dr. Elion’s answer quite interesting in the terms of using clinical documentation intelligence in EHR. Add in things like coding engines, NLP, and EMR templates and you can see why getting the documentation right is a challenge even in an IT optimized world.

October 8, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.