Everything hospital executives need to know about the importance of clinical documentation improvement is summed up in one single fact: CDI fuels correct reimbursement and accurate quality reporting.

A holistic approach to problem solving is necessary to address the complex issues facing healthcare providers today. Despite the demands of the current environment, quality must remain the top ...

As of March 2026, the Centers for Medicare & Medicaid Services (CMS) has officially repealed federal minimum staffing requirements, handing the reins of staffing enforcement to state agencies and a ...

Physician-Centered CDI Programs Integrated with Nuance’s Enhanced Clinical Language Understanding Platform Drive Better Documentation, Coding, Reimbursement and Care Nuance Communications, Inc. – ...

The product, which uses AI to summarize medical information from conversations between patients and clinicians, is now available across Kaiser’s 40 hospitals and more than 600 medical offices.

Clinical documentation is more than just paperwork—it’s the backbone of safe, effective, and compliant patient care. From progress notes to discharge summaries, improving documentation practices can ...

Clinical documentation is the written record of a patient-physician encounter. Before the advent of electronic health records (EHRs), these encounters were often inadequately documented. While this ...

The Ohio health system's CMIO explains how its clinicians have been able to reduce more than 400 open charts to fewer than 30 ...

Large language models (LLMs) may serve as a valuable supplement to oncology documentation workflows by detecting and ...

Internal medicine physician Dr. Missy Scalise can recall the darkest day of her career vividly. “I was taking my son to his five year-old annual physical and the doctor was asking him the typical sort ...