Tag: Health information management

Effective documentation is the bedrock of safe and efficient patient care. A survey found that poor clinical documentation practices can lead to significant care gaps and medical errors. Learning **what is the difference between source oriented and problem oriented medical record?** is therefore essential for understanding the foundations of modern healthcare.

Effective October 1, 2024, the ICD-10-CM code set for fiscal year 2025 went into effect, solidifying its place in medical billing. This means that R42, the code for 'dizziness and giddiness,' remains a valid and important classification for healthcare professionals in 2025.