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  2. Clinical documentation improvement - Wikipedia

    en.wikipedia.org/wiki/Clinical_documentation...

    Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...

  3. Registered health information administrator - Wikipedia

    en.wikipedia.org/wiki/Registered_Health...

    To be eligible for RHIA certification, an individual must complete a bachelor's degree in a health information management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) or graduate from a foreign association that has a reciprocity agreement with AHIMA. [3]

  4. Medical scribe - Wikipedia

    en.wikipedia.org/wiki/Medical_scribe

    [10] [11] An in-depth study conducted by The Vancouver Clinic in Vancouver, WA from 2011-2012 found that medical scribes improved the quality of clinical documentation and allowed doctors to see extra patients, while noting the risks associated with scribe turnover and doctors' unfamiliarity with the scribe concept. [12]

  5. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    Healthcare quality and safety require that the right information be available at the right time to support patient care and health system management decisions. Gaining consensus on essential data content and documentation standards is a necessary prerequisite for high-quality data in the interconnected healthcare system of the future.

  6. Clinical decision support system - Wikipedia

    en.wikipedia.org/wiki/Clinical_decision_support...

    A Clinical Decision Support System (CDSS) is a computerized tool designed to assist healthcare providers in making clinical decisions by integrating medical knowledge with patient data. These systems utilize algorithms, databases, and patient information to provide tailored recommendations, alerts, and reminders to healthcare professionals at ...

  7. Clinical coder - Wikipedia

    en.wikipedia.org/wiki/Clinical_coder

    Clinical coders start as trainees, and there are no conversion courses for coders immigrating to the United Kingdom. The National Clinical Coding Qualification (NCCQ) is an exam for experienced coders, and is recognised by the four health agencies of the UK. Institute of Health Records and Information Management (IHRIM) [14] are the awarding body.

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  9. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Due to the rapidly changing requirements by U.S. health insurance companies, several aspects of medical billing and medical office management have created the necessity for specialized training. Medical office personnel may obtain certification through various institutions who may provide a variety of specialized education and in some cases ...

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