More U.S. patients will soon have free, electronic access to the notes their doctors write about them under a new federal requirement for transparency. Many health systems are opening up records ...
The last few days of a hospital stay are prime targets for RAC auditors scrutinizing the patient record and looking for documentation to support a continued stay. Using checklists of discharge ...
A 12-month project called OpenNotes will analyze the consequences of making doctors’ notes fully accessible to patients in electronic form, according to an article in the Annals of Internal Medicine.