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Displaying records 1 to 20 out of 5972 results for "The physician documents acute respiratory failure".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
Knowing how authoritative criteria define acute respiratory failure in children and adults is the
JANUARY 14, 2015
JUSTCODING
Q: I am looking for documentation or physician education tips related to ventilator manage
A patient arrives at the ED with acute respiratory failure and congestive heart failure. The pa
APRIL 23, 2014
JUSTCODING
Q: We have a problem getting our physicians to understand what we are querying for chronic res
NOVEMBER 19, 2014
JUSTCODING
Q: We have a problem getting our physicians to understand what we are querying for (chroni
Q: We had a question regarding documentation in a record of SIRS due to acute peritonit
MAY 21, 2014
JUSTCODING
Heart failure is the intrinsic inability of the heart to supply target organs with sufficient nut
APRIL 22, 2015
JUSTCODING
Q: When physicians continue to only document respiratory failure in the inpatien
JUNE 4, 2014
JUSTCODING
Most coders and clinical documentation improvement (CDI) specialists are familiar with the Unifor
JANUARY 14, 2015
JUSTCODING
MAY 6, 2015
JUSTCODING
SEPTEMBER 23, 2015
JUSTCODING
Q: In the past few weeks, we noticed physicians are documenting acute conge
Q: Should I query for chronic respiratory failure if the documentation indicates the patient
MAY 13, 2015
JUSTCODING
Coding tells a patient's story, based on the narrative the physician provides in his or her docum
JANUARY 28, 2015
JUSTCODING
Coders are tasked with telling a patient’s story based on the documentation in the m
MAY 20, 2015
JUSTCODING
Coding and documentation should tell a patient's complete story. With the greater specific
Physicians often use the terms acute renal failure (ARF) and acute kidney injury (AKI) interchang
JULY 29, 2015
JUSTCODING
It’s an age-old question: How do you get physicians to support documentation improvement ef
Q: When a patient does presents in acute respiratory failure, as well as overdose, is it ever a
Coding tells a patient's story, based on the narrative the physician provides in his or her docum
Q: We’re having a lot of discussions with physicians right now and need to get so
SEPTEMBER 10, 2014
JUSTCODING
NOVEMBER 20, 2013
JUSTCODING
A patient presents to the ED with a headache, nausea, and vomiting. The physician documented that
FEBRUARY 25, 2015
JUSTCODING
Q: I have seen documentation of oliguric renal failure and non-oliguric renal failure. Wha
Codes for heart failure are located in ICD-10-CM category I50. Coders should note the list
Coders can breathe easy, because the codes for reporting diseases of the respiratory system (J00-
MARCH 19, 2014
JUSTCODING
Q: I have seen documentation of oliguric renal failure and non-oliguric renal failure. What is th
OCTOBER 21, 2015
JUSTCODING
Q: We’re having a lot of discussions with physicians right now and need to g
Chronic kidney disease (CKD) and acute kidney injury (AKI) are two very different conditio
JULY 16, 2014
JUSTCODING
JUNE 25, 2014
JUSTCODING
NOVEMBER 19, 2014
JUSTCODING
Effective documentation of the condition and the patients’ co-morbidities may help lawyers
Heart failure is one of the top MS-DRGs, so Recovery Auditors have focused on identifying
AUGUST 27, 2014
JUSTCODING
Coders can now appropriately assign a code for diastolic or systolic heart failure, as warranted
Take an in-depth look at coding, documentation, and querying for acute kidney injury (AKI). Durin
APRIL 8, 2015
JUSTCODING
Take an in-depth look at coding, documentation, and querying for acute kidney injury (AKI). Durin
MARCH 25, 2015
JUSTCODING
Q: How have you handled situations when specialty physicians and hospitalists do
Long-term acute care hospitals (LTCH) have been commonly misunderstood, as the term “long-t
The guidelines for principal diagnosis selection involving heart failure have changed over the ye
In recent years, hospitals have increasingly focused on creating clinical documentation improveme
The guidelines for principal diagnosis selection involving heart failure have changed over the pa
JANUARY 28, 2015
JUSTCODING
The guidelines for principal diagnosis selection involving heart failure have changed over the pa
MARCH 11, 2015
JUSTCODING
Q: How have you handled situations when specialty physicians and hospitalists do not ag
JULY 16, 2014
JUSTCODING
Is it true that the following documentation is an improper certification statement on our
To accurately interpret and code physician documentation, the HIM department should employ
JUNE 4, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
The Association of Clinical Documentation Improvement Specialists (ACDIS), the nation’s onl
JANUARY 29, 2016
OCTOBER 8, 2014
JUSTCODING
Although documentation matters more and more in today’s world of ever-changing regulations,
AUGUST 4, 2017
Physician groups have weighed in on the American Health Care Act
A patient presents with knee pain and reduced mobility in the joint. He also tells the physician
MARCH 11, 2015
JUSTCODING
We all know that ICD-10 codes will require more complete documentation. We’ve been t
Q: The primary physician documented subacute cerebral infarction and I am wondering whe
NOVEMBER 5, 2014
JUSTCODING
The patient care plan (485) is not a stand-alone documentation system; it is the legal record of
In the rush to complete ICD-10 coding education, documentation improvement, and system updates, H
OCTOBER 21, 2015
JUSTCODING
MARCH 26, 2014
JUSTCODING
Unfortunately, one of the most commonly cited deficiencies in home health care is the failure to
Q: The primary physician documented subacute cerebral infarction and I am wondering whethe
The Acute Hospital Care At Home program will help health systems and hospitals manage inpatie
DECEMBER 3, 2020
A diabetic patient is admitted with gangrene. The physician does not specifically link the diabet
Tobacco use and dependence can increase a patient's risk of developing respiratory illness
CMS requires that a physician narrative be included in a patient’s hospice recertification
APRIL 9, 2014
JUSTCODING
A CMS requires that a physician narrative be included in a patient’s hospice recert
FEBRUARY 25, 2015
JUSTCODING
A new study finds programs that appeal to the competitive spirit of physicians are effective in g
SEPTEMBER 20, 2016
One of the biggest changes in ICD-10-CM is the time frame for reporting an acute myocardial infar
NOVEMBER 5, 2014
JUSTCODING
by Kirsten Dize Strong documentation is key in home health, and implementation o
MAY 6, 2015
JUSTCODING
Q: If the physician says “concerning for,” “considering,” &ld
Physician outsourcing firm EmCare, a subsidiary of Envision Healthcare, recently announced plans
JUNE 19, 2014
 It will depend a lot on documentation. This may be something to query. For example, even if
The Association of Clinical Documentation Improvement Specialists (ACDIS), the premier healthcar
SEPTEMBER 10, 2012
A recent study published in Health Affairs found that when physician practices have care-manageme
MARCH 31, 2016
Q: The physician documented “encephalopathy” in the record of a patient who wa
MARCH 11, 2015
JUSTCODING
Here are some of the highlights from the document/covid-recomm
AUGUST 27, 2020
A new risk model provides a simple and inexpensive way to determine whether acute myocardial infa
The practice of medicine is changing, and it is being felt acutely on the New Hampshire Seacoast
A diabetic patient is admitted with gangrene. The physician does not specifically link the
MAY 21, 2014
JUSTCODING
Q: How specific does the physician have to be for the location of the acute myocardial infarct
OCTOBER 22, 2014
JUSTCODING
Residency training typically serves as physicians’ first exposure to the clinical document
AUGUST 11, 2017
“At some point in almost every physician’s career, we had a powerful desire to help
SEPTEMBER 3, 2015
  Post-Acute Care Has a Quality Management Problem
  Health Systems, Hospitals and Post-Acute Providers: Making Integration Work
MARCH 31, 2017
We want physicians to be very clear in their documentation about what’s wrong with the pati
Can the plan of care serve as a way to document medications?  
In a recent frequently asked questions (FAQ) document released by the Centers for Medicare &
APRIL 2, 2014
JUSTCODING
 A new study suggests that care provided by nurse practitioners (NP) and physician assistant
A new study by the American College of Emergency Physicians (ACEP) shows that violence in America
DECEMBER 1, 2018
by: Megan Pielmeier Agencies should make a partnership with physicians to educat
No. The regulations do not mandate any particular form or format for documentation or confirmati
  Why are physician queries so critical to accurate documentation and coding? The an
 Although documentation matters more and more in today?s world of ever-changing regulations, med
AUGUST 4, 2017
What documentation is necessary for a medication review? The regulation
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—abou
An effort to provide physicians a streamlined path to obtaining medical licensure in multiple st
CMS must improve its physician outreach and beef up its IT systems to successfully implement the
by Trey La Charité, MD Physicians spend years learning how to take care o
NOVEMBER 5, 2014
JUSTCODING
Q: I’m in a little debate: Does documentation of the patient’s body mass in
MAY 7, 2014
JUSTCODING
Q: Can you code strictly from emergency department (ED) documentation? Can you code from tes
DECEMBER 16, 2015
JUSTCODING
To keep themselves as closely aligned with CMS as possible, HFAP has updated their Acute Care
SEPTEMBER 1, 2018
In addition to documentation by physicians, nurses’ documentation affects patient safety,
JANUARY 8, 2020
  In spite of a physician shortage, hundreds of medical school graduates failed to
SEPTEMBER 30, 2015
JUSTCODING
Proper documentation is critical when it comes to supporting medical necessity and providing qual
Q: When a patient presents to the ED and the physician there orders a drug panel, we pe
Providers don’t often receive education on clinical documentation, which can be a challenge
  When a provider fails to document whether a patient diagnosed with monoplegia ha
MAY 13, 2015
JUSTCODING
Physicians and trainees are not identifying or addressing overweight/obesity in hospitalized chil
AUGUST 7, 2015
I understand CMS now has a requirement that physicians must estimate the number of visits
JULY 15, 2015
JUSTCODING
Become more proactive. You no longer can wait for face-to-face documentation to arrive within sev
Finding effective ways to continuously remind physicians of documentation improvement methods can
An outpatient clinical documentation improvement (CDI) program should be aligned with a fa
OCTOBER 29, 2014
JUSTCODING
In an effort to better inform the American public about the risks related to heart failure, the A
OCTOBER 27, 2015
MARCH 9, 2017
A new scoring system can help organizations spot patients at high risk for respiratory problems a
AUGUST 25, 2015
  A Comprehensive Error Rate Testing (CERT) study found insufficient documentation
JULY 22, 2015
JUSTCODING
Incidents reports are a pain to fill out, but vital for documenting what happened and for pro
SEPTEMBER 3, 2015
HCPro, Inc., and Beacon Health announce the launch of consulting services for post acute
MAY 23, 2011
Patients of the Medicare-certified agency who are under the care of a physician and receiving hom
Compliance MSPs, physicians, and hospital-owned clinics:
"[A]s we enter into clinical practice, physicians face the burdens of documentation and reg
SEPTEMBER 17, 2015
Finding effective ways to continuously remind physicians of documentation improvement methods can
The following is an excerpt from The Post-Acute Care Guide to Maintenance Therapy by Diana L. Kor
Dedicated CDI physician advisors help ensure program success in so many ways. They’re not j
  Credentialing providers in a physician practice is a confusing and time-consumin
  Credentialing providers in a physician practice is a confusing and time-consumin
Credentialing providers in a physician practice is a confusing and time-consuming process that ca
SEPTEMBER 6, 2016
Credentialing providers in a physician practice is a confusing and time-consuming process that ca
Credentialing providers in a physician practice is a confusing and time-consuming process that ca
NOVEMBER 29, 2016
New timeframe for response to additional documentation requests  
Insufficient documentation is the leading cause of improper payments for claims involving referri
OCTOBER 28, 2015
JUSTCODING
Q&A: Managing LS, EC, and EM documentation Editor
DECEMBER 20, 2016
What needs to be signed by the physician before we submit under the Review Choice Demonst
APRIL 2, 2014
JUSTCODING
Q: Our physicians document a diagnoses of pneumonia but do not normally make a specific
APRIL 9, 2014
JUSTCODING
By Jack O’Brien Forty percent of acute care organizations are at r
JULY 9, 2020
  Creating a new position to assume a physician’s documentation duties may l
By utilizing the information documented in the record, coders can report the BMI from a dietitian
Even before ICD-10-CM was delayed until October 1, 2015, the quality of physician document
Lawmakers in both houses of Congress have presented a draft bill calling for post-acute ca
MARCH 21, 2014
The Joint Commission released prepublication standards for its new Acute Stroke-Ready Hospital di
FEBRUARY 3, 2015
MDS Central is changing to your Post-Acute Advisor. We are now going to cover the news and regul
SEPTEMBER 2, 2016
MDS Central is changing…. To your Post Acute Advisor. We are now going to cover the news
AUGUST 26, 2016
Your relationship with the physicians you work with might be challenging from time to time. CDI s
What should our clinicians document if the patient hasn't had the flu vaccine yet? The pa
Q: Can you clarify the expectations related to documenting the discussion betwee
APRIL 23, 2014
JUSTCODING
Sepsis leads to the same amount of readmissions as heart attacks and congestive heart failure, bu
JULY 14, 2015
The focus for clinical documentation improvement (CDI) specialists has historically been on the i
FEBRUARY 21, 2017
  When outpatient hospitals and physicians switch to ICD-10-CM diagnosis codes Oct
MAY 14, 2014
JUSTCODING
MARBLEHEAD, Mass.--(BUSINESS WIRE)--Physician-hospital conflicts drain everybody
SEPTEMBER 12, 2007
  Q: Is it okay to code a diagnosis if the physician documents two diagnoses usin
SEPTEMBER 24, 2014
JUSTCODING
Physicians in 128 groups exceeded benchmarks in quality and cost efficiency and will receive an i
MARCH 18, 2015
JUSTCODING
WRITTEN BY STEPHEN PORTER, HEALTHLEADERS MEDIA A cohort of about 150 physician groups sen
DECEMBER 1, 2018
Documentation Documentation
Beginning January 1, 2015, Medicare began to pay separately under the Medicare Physician Fee Sche
DECEMBER 13, 2016
Clinical documentation is often overlooked during residency, yet without proper training, new ph
SEPTEMBER 9, 2016
A bill that allows CMS to expedite physicians’ applications for a meaningful use hardship e
DECEMBER 29, 2015
Beginning January 1, 2015, physicians will no longer need to provide certification for an inpatie
NOVEMBER 5, 2014
JUSTCODING
I am searching for clear, legitimate, documented guidance regarding coding for a verbal o
If the hospital documentation, including history and physical and progress notes, doesn’t s
Combining Medicare Boot Camp®—Physician Services Version and Evaluation & Managemen
Combining Medicare Boot Camp®—Physician Services Version and Evaluation & Managemen
Physician practices are under increasing financial pressure, and Medicare accounts for a l
Q: In terms of coding blood transfusions, does the documentation of which intravenous (IV)
Know any physicians willing to share their expertise on the six ACGME core competencies? HCPro i
JANUARY 20, 2017
SEPTEMBER 24, 2014
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
MAY 6, 2015
JUSTCODING
Telemedicine is still a niche business for physician practices and one that’s been slow to
OCTOBER 8, 2014
JUSTCODING
Every provider has basic information he or she must document in the health record, says Lisa Ging
CMS’ grace period for reporting families of ICD-10-CM codes is coming to a close. Physician
SEPTEMBER 6, 2016
ACDIS is preparing to draft its third incarnation of the popular The Physician Documentation I
On November 16, CMS posted the final rule with comment period addressing changes to the physician
On March 8, CMS posted a document in the Federal Register correcting technical and typog
Providers should continue educating coders and physicians to avoid the problems that were
This pocket card will help physicians determine the appropriateness of patient status based on ex
SEPTEMBER 22, 2015
This pocket card will help physicians determine the appropriateness of patient status based on ex
OCTOBER 20, 2015
This pocket card will help physicians determine the appropriateness of patient status based on ex
NOVEMBER 3, 2015
Is your CDI program's query process a documented part of your policies and procedures? Does your
This pocket card will help physicians determine the appropriateness of patient status based on ex
JANUARY 5, 2016
This pocket card will help physicians determine the appropriateness of patient status based on ex
DECEMBER 29, 2015
A patient comes into the ED following an automobile accident. The physician documents that the pa
Treating patients with chronic pain is an ongoing problem for physicians in an era where millions
SEPTEMBER 14, 2017
ACDIS, the Association of Clinical Documentation Improvement Specialists, the leading national as
FEBRUARY 8, 2011
Q: Is it okay to code a diagnosis if the physician documents two diagnoses using
SEPTEMBER 24, 2014
JUSTCODING
Q: Is the statement “please document in a progress note to capture the severity of i
Selling a practice or merging with another practice can be a good strategic move for a physician,
SEPTEMBER 18, 2017
Onboarding can be an arduous process for physician leadership and medical staff servic
DECEMBER 1, 2014
Insufficient documentation led to approximately 97% of improper payments for kyphoplasty a
JULY 23, 2014
JUSTCODING
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
You ask: The Acute Care Hospitalization measure is now weighted at 35% in value-based purcha
By Christopher Cheney By 2034, there will be a shortage of physicians ra
JULY 8, 2021
By Christopher Cheney By 2034, there will be a shortage of physicians ra
JUNE 24, 2021
Physicians should see an increase in Medicare payments in the 2017 Medicare Physician Fee Schedul
NOVEMBER 29, 2016
One of the biggest stumbling blocks for ICD-10 implementation by small physician practices
In the final days of 2015, CMS released a draft of OASIS-C2. The document includes some minor cha
By Cheryl Ericson, MS, RN, CCDS, CDIP Many clinical documentation improvement (CDI
JULY 29, 2015
JUSTCODING
Q: I am a coder in a hospital outpatient setting. Our physicians document drug use in s
JULY 22, 2015
JUSTCODING
Physician documentation for the use of osteogenic stimulators for nonunion of fractures is often
JANUARY 28, 2015
JUSTCODING
Q: A patient was in a hyperbaric oxygen chamber for eight minutes and the physician had
OCTOBER 1, 2014
JUSTCODING
For stays in which the physician expects the patient will need less than two midnights of hospita
Physician practices are under increasing financial pressure, and Medicare accounts for a l
The American Academy of Family Physicians (AAFP) submitted a proposal for a new physician-focused
Editor’s Note: James S. Kennedy, MD, CCS, CDIP,director of CDIMD Physician
APRIL 9, 2014
JUSTCODING
ICD-10-PCS queries will vary by specialty Ask a physician why he or she
SEPTEMBER 23, 2015
JUSTCODING
It’s been five years since we surveyed the ACDIS members regarding the role physician advis
The program director should use information and evaluations collected from attending physicians,
APRIL 25, 2014
By Sam Antonios, MD, FACP, FHM, CCDS   Physicians are
SEPTEMBER 30, 2015
JUSTCODING
A patient comes in for a biopsy of a suspicious lump in her left breast. The physician performs a
AUGUST 26, 2015
JUSTCODING
Q: Our physicians want us to purchase a new wireless sensor to monitor pulmonary artery
  Documentation standards
JANUARY 1, 2015
Much like the rest of the population, physicians are vulnerable to workplace stress and dissatisf
OCTOBER 31, 2018
NOVEMBER 26, 2014
JUSTCODING
JULY 15, 2015
JUSTCODING
The CDC has confirmed the second American case of a mysterious respiratory virus known as
MAY 14, 2014
The CDC has confirmed the third American case of a mysterious respiratory virus known as M
MAY 21, 2014
Physician engagement tip: Include a 'resignation' letter with the reappointment pac
Documentation will be important to support supply utilization and payment. Claims
Medicare and other payers hold physicians responsible for correct billing and medical documentati
Even before ICD-10-CM was delayed until October 1, 2015, the quality of physician document
SEPTEMBER 3, 2014
JUSTCODING
Cardiac rehabilitation programs for chronic heart failure  
HCPro, Inc., and ACDIS, the Association of Clinical Documentation Improvement Specialists, today
JUNE 15, 2011
Increasingly, mergers and acquisitions are making strange bedfellows of acute, ambulatory, and po
Physician groups and other stakeholders continue to respond to CMS’ release of  the
Does your hospital have a clinical documentation improvement (CDI) program (i.e., a department, s
APRIL 23, 2014
JUSTCODING
Does your hospital have a clinical documentation improvement (CDI) program (i.e., a department, s
APRIL 30, 2014
JUSTCODING
MAY 14, 2014
JUSTCODING
Physician certifications and recertifications by Janet Po
NOVEMBER 1, 2014
Seven of 10 patients seeking treatment for acute bronchitis receive a prescription for antibiotic
The Association of Clinical Documentation Improvement Specialists (ACDIS) released a new position
NOVEMBER 5, 2014
Correct coding is important to physician practices. The ICD-10-CM diagnoses and the CPT procedure
By James S. Kennedy, MD, CCS, CDIP The physician documented “encephalopathy&
MARCH 25, 2015
JUSTCODING
Q: We have a resident that was discharged to the acute hospital  and, due
Q: If a physician documents sepsis due to decubitus ulcer and UTI due to indwelling catheter, c
Resident who work shifts of 16 hours or less had fewer attentional failures, faster reaction time
FEBRUARY 23, 2021
Q&A The challenges of employed physicians
DECEMBER 1, 2014
Generally, for Medicaid Advantage, the documentation is that the face-to-face date needs to be on
Q: Can you tell me whether there is a resource that lists documents and required retentio
SEPTEMBER 3, 2014
JUSTCODING
A proposed CMS change to the 2017 Medicare Physician Fee Schedule will require surgeons document
SEPTEMBER 13, 2016
The aging physician: Some practical tips by William K. Cors
SEPTEMBER 1, 2014
Over the years I have written about the changing landscape in post-acute care, princi
Q: A patient comes in with a malunion of a fracture. A different physician treated the patient
FEBRUARY 11, 2015
JUSTCODING
Copyright statement
SEPTEMBER 4, 2008
Why patient engagement matters On one hand, physicians are exper
DECEMBER 13, 2016
MARCH 19, 2014
JUSTCODING
It’s a question that physicians struggle over daily: Inpatient or observation?  
DECEMBER 16, 2014
Ensure employee compliance with safety requirements in physician offices, clinics, and other faci
DECEMBER 23, 2014
Q: Is it necessary for physician practices to provide HIPAA training for all workforce me
DECEMBER 16, 2014
CDI for the Clinician ™ was specifically designed to provide physicians and other heal
Coding guidelines direct to code all documented conditions that exist at the time of the visit an
MAY 7, 2014
JUSTCODING
Written by Stefanie Corbett, DHA, post-acute regulatory specialist for HCPro &nbs
JANUARY 5, 2018
A week after confirming a third U.S. case of the mysterious Middle Eastern Respiratory Syn
JUNE 4, 2014
By Christopher Cheney One of the top physician burnout researchers in th
SEPTEMBER 24, 2020
Q: Is it is okay to alter, add to, or take back a query form after the physician answers i
Supreme Court decision narrows the requirements for physician
The physician group also adopts several other new policies and c
JANUARY 25, 2021
Correction to April 2015 quarterly update to Medicare Physician Fee Schedule Database (MPFSD
Unlike acute care, postacute facilities have always strug-gled to implement electronic health rec
OCTOBER 18, 2019
Don't let the most knowledgeable person on your team become a single point of failure F
NOVEMBER 1, 2017
Don't let the most knowledgeable person on your team become a single point of failure F
DECEMBER 1, 2017
CMS makes policy and payment changes to the Medicare Physician Fee Schedule for 2015
FEBRUARY 11, 2015
JUSTCODING
  Reporting physician visits for SNF patients
NOVEMBER 16, 2018
OCTOBER 28, 2015
JUSTCODING
Q:   We have a resident that was discharged to the acute hospital, and due
APRIL 11, 2014
  Q&A: Documentation for body mass index
  Skilled Services: How to document for proper reimbursement
OCTOBER 9, 2015
  Featured member resource: ADR appeal documentation checklist
NOVEMBER 16, 2018
Documentation Two strategies for holding physicians accountable
When you ask patients why they like or dislike their physicians, they tend to focus on the physic
JULY 15, 2020
JULY 29, 2015
JUSTCODING
Q: If a is patient admitted with malnutrition and the physician documented the patien
Q: In my facility, we are supposed to send an email to our physician advisor (PA) and t
SEPTEMBER 9, 2015
JUSTCODING
Q: If the physician writes septic shock instead of sepsis, do I need to query for sepsis? Is t
DECEMBER 17, 2014
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
With the threat posed by stress and burnout to physicians’ well-being and clinical performa
MARCH 31, 2016