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What is ICD-10? What does this mean for nurses?

How do you define tolerance? Is tolerance measurable? Is tolerance too subjective? What about activity tolerance? We love to document how patients are improving activity tolerance, but many times that’s...

Skilled nursing facilities should not claim that therapy was to maintain a patient’s condition if documentation reflected only an improvement goal.

Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...

I’m an administrator who’s read all of this stuff about overuse of antipsychotics on long-term care residents. I like and trust my director of nursing, medical director and clinical staff —...

Can anyone guess what the title to this blog is stating? In the current culture of text messaging and abbreviations for everything, it can be a danger zone for medical documentation. Unfortunately, I have...

I am a charge nurse on a skilled unit. We do not take photos of wounds, but I would really like to take pictures. As they say a picture is worth a 1,000 words. Do you agree?

An industry expert served up straightforward advice during a recent McKnight’s Super Tuesday webinar: Accurately claim what you do, and do what you claim.

Long-term care administrators and nurses are under pressure to train staff to assess and document skin conditions to keep patients out of the hospital.

Providers recoiling from recent uptick in therapy claim audits should expect even more scrutiny in the future as regulators look to increase surveillance.