Facility E/M Levels

Digging Into HIM & Coding Blog For many, the ins and outs of facility evaluation and management (E/M) coding for emergency department (ED) services are shrouded in mystery.  In an industry where everything seems to be regulated, there appears to be a lack of...

Defining an Organization’s Legal Health Record

As a health information professional with years of experience, I’ve seen the definition of the Legal Health Record (LHR) change with the emergence of the electronic health record (EHR).  As a custodian of medical records, a designated position at most hospitals,...