Clinical notes have always been a standard for creating narratives that get claims paid because they support the necessity for the services rendered. "If it isn't written, it didn't happen" still ...

Electronic Health Records (EHRs) are increasingly recognised as a cornerstone of modern healthcare, with documentation quality playing a critical role in ensuring effective patient care, safety, and ...

A Web-based point-and-click EDC known as Brocade was internally developed and implemented systemwide in 2016. Brocade captures key data elements, such as stage, histology, and patient and treatment ...