Medical Knowledge

How Should We Think About Ambient Listening and Transcription Technologies’ Influences on EHR Documentation and Patient-Clinician Conversations?

This commentary on a case analyzes how integrating ambient listening and transcription technologies powered by artificial intelligence into the electronic health record documentation process influences documentation practices and clinical encounters. The commentary offers best-practice recommendations for informed consent processes and…

Is Advance Care Planning Required at Every Medicare Patient Visit?

Advance care planning is a billable, face-to-face service between a physician (or other provider) and a patient and/or surrogate to discuss and make known the patient’s health care wishes in case the patient becomes unable to make health care decisions…

Does CMS Prohibit the Use of Note Templates?

CMS defines a template as a “tool/instrument/interface that assists in documenting a progress note.” Physicians and other licensed independent providers routinely create their own and may even collaborate with other colleagues and care team members to develop effective templates. However,…

Can FQHCs Bill for More Than One Visit on the Same Day Per Patient?

A lack of clarity and awareness exists around circumstances in which FQHCs can bill for more than one visit on the same day for the same patient. This confusion can create unnecessary burdens for both physicians and patients. Such burdens…

Can Non-Physician Care Team Members Respond to Patient Messages?

The use of text-based secure messaging platforms has increased as a means of clinician-to-clinician and clinician-to-patient communication. As some organizations require that only physicians respond to all patient portal messages, there exists confusion around whether non-physicians may respond to these…