When patients receive services from mental health professionals (MHPs), they have a right to informed consent (Barsky, 2023). Informed consent includes the right to understand what kinds of records ...

Patients overwhelmingly want access to the notes their physicians take during visits, according to one study that was recently published in the Annals of Internal Medicine. About 95 percent of ...

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 ...

Clinicians at Stanford Health Care will soon have access to an AI-powered app that can securely listen to interactions with patients and automatically generate draft clinical notes. The app, which was ...

Credit: Getty Images To ensure patients have useful information they can benefit from, it is important to avoid patient education overload. Here clinicians are provided with tools to ensure clear and ...

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 ...

Legal Hazard in Cancer Care: A Call for Systematic Legal Support We suggest that a multimodal approach to patient education, combining print materials and online resources, can encourage equity and ...