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Implementing Computer System

Implementing Computer System Decreases Physician Liability

Paper charting, the standard at the hospital at that time, determined as the reason for a 90% rate of down coding and reimbursement compared to the care provided. The handwritten chart notes and discharge instructions in a predominantly Spanish community led to noncompliance and increased physician liability. A lack of guidance on documentation requirements to maximize billing existed.

Led the initiation and implementation of computerized bilingual patient discharge instructions to enhance patient understanding while reducing physician liability.

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