Clinical documentation serves many purposes, supporting everything from risk management and medicolegal review to coding and billing. Hospital medicine documentation, in particular, requires careful attention to detail. As you might expect, clinicians find it challenging to manage the needs of many constituents within a single document, making hospital medicine documentation a complex task.
Billing-related documentation can be particularly challenging, as details provided for medical and legal purposes may inadvertently interfere with the language coders need to see to support appropriate reimbursement in hospital medicine documentation.
To help clear up confusion related to hospital medicine documentation, Ventra Health’s Provider Education team has recorded a webinar. Please watch the webinar below.
Presented by:
Nettie McFarland, RHIT, CCS-P, CHC, Director of Provider Education
