![]() ![]() It can be complicated, making compliance more difficult. ![]() In an EMR environment, physicians can enter information into the system manually, dictate portions of documents, and copy historical information from one document to another. While transcription departments still consume a large part of hospital budgets, they also can be the largest source of consistent reimbursement. Medical records directors and committees across the country are wrangling with this predicament while hoping to keep costs in check. In an era when the amount of health care information astounds, providers find themselves in a quandary: How do they ensure complete patient information is communicated to medical records, coding, and third-party payers? How do they integrate clinical documentation improvement and incorporate all of the changes needed for ICD-10 implementation while still giving clinicians the information they need for patient care?
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