The latest on AI and healthcare
F-DAR notes give nurses a focus-charting structure: a named Focus followed by Data, Action, and Response. This guide explains each part, shows an example, and compares F-DAR to PIE and SOAP.
Read more
The history of present illness is the story of the patient's current problem and the foundation of the note. Here are the eight HPI elements, the OLDCARTS and OPQRST mnemonics, an example, and how the HPI fits E/M coding.
Read more
Split (or shared) and incident-to visits let a physician and an NPP share care under one bill, but each has strict documentation rules. Here is what to document, and the mistakes that cause denials.
Read more
With an AI scribe, the clinician's signature is the attestation: it affirms the note is accurate and makes the clinician the responsible author. Here is what that means, and whether you must disclose AI use.
Read more.png)
