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Guidelines for EHR Documentation to Prevent Fraud. Appendix C: Steps to Prevent Fraud in EHR Documentation

Author: AHIMA e-HIM Work Group: Guidelines for EHR Documentation Practice

Source: AHIMA web extra

Publication Date: January 02, 2007

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Preventing fraud due to the deliberate falsification of information when electronic health records (EHRs) are used requires three primary conditions....

Perfect Time for Documentation Improvement

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: July 2006

When new IT systems come online, the time couldn’t be better to assess and improve clinical documentation.

Electronic health record system implementations offer a perfect opportunity to assess and improve an organization’s clinical documentation. The renewed attention is ne....

Recipe for Information-based Healthcare

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2006

Creating an information-based health system is like following a recipe. First, include essential ingredients, such as accurate and complete clinical documentation organized in architectures that enable access and interoperability. Then add protocols, terminologies, and classification systems to....

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