In spring 2021 a new federal rule went into effect, requiring all health care providers that maintain electronic medical records to make clinical notes and other health care information available to ...

Most primary care providers see 15 to 20 patients a day, and many of them spend up to two hours a shift typing information into patient charts. It's a leading reason for physician burnout, said Dr.

Crafting the ideal patient progress note, at least judging from the literature, seems more easily achieved in theory than in execution. Since the late 2000s, when the electronic health record replaced ...

Isn't it time we began embracing the simplified documentation guidelines that finally came about to ease our billing and coding woes? These pared-down Centers for Medicare & Medicaid Services ...

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 ...