Treatment Plan Template with Examples: Smarter Documentation for Better Care
Whether in mental health, primary care, rehabilitation, or chronic disease management, treatment plans guide clinical care, improve outcomes, and ensure patients stay on track. But for most healthcare professionals, writing detailed treatment plans is time-consuming, repetitive, and often inconsistent. That’s where having a treatment plan template—and using AI-powered tools like DocScrib—can dramatically improve efficiency and […]
How to Write a Treatment Plan: Types, Examples & Free Templates (2025 Guide)
A treatment plan is more than paperwork — it’s the blueprint of patient care. Whether you’re a mental health professional, physician, physical therapist, or occupational therapist, a treatment plan helps you organize care, set measurable goals, and communicate clearly across a care team. By 2025, treatment plans have become even more essential. They not only […]
Free History & Physical (H&P) Form Template for Doctors
Accurate and thorough History & Physical (H&P) documentation is one of the most important parts of patient care. From guiding diagnosis and treatment decisions to ensuring compliance and communication across providers, H&P notes serve as the foundation of clinical documentation. Yet, many clinicians still rely on outdated paper templates or spend excessive time formatting electronic […]
Top 10 EHR Software: Top Picks for 2026 to Streamline Clinical Workflows
In today’s fast-paced healthcare environment, Electronic Health Record (EHR) systems have become indispensable. Choosing the best EHR software is essential for clinicians, hospitals, and medical professionals who want to enhance patient care, streamline documentation, and boost productivity. At DocScrib, we understand that clinical efficiency hinges on seamless documentation and intuitive software. In this comprehensive guide, […]
Clinical Documentation Integrity: Before vs. After with AI Assistance
Introduction: Why Good Clinical Documentation Integrity Matters Clinical Documentation Integrity (CDI) is no longer just a back-office function—it’s central to patient care, compliance, and financial performance. Good CDI ensures that medical records are accurate, complete, and properly coded, directly impacting reimbursement, audit readiness, and patient safety. But here’s the challenge: writing good CDI manually takes time […]
15 Free Medical Form Templates: Simplifying Documentation for Clinicians
From patient intake to consent forms, medical templates are a daily necessity in healthcare. They ensure consistency, compliance, and accuracy, while also saving clinicians hours of administrative work. Yet, many practices still rely on outdated or inconsistent forms, leading to errors, billing delays, and inefficiencies. That’s why access to free medical form templates is so […]
E/M Code Advisor: Smarter Billing with DocScrib
Evaluation and Management (E/M) codes are the backbone of physician billing. They determine reimbursement levels for patient encounters, yet they remain one of the most common sources of errors, denials, and lost revenue in healthcare. Clinicians often find themselves asking: Am I undercoding this visit and leaving money on the table? Am I overcoding and […]
Ocular Migraine: Clinical Insight, ICD-10 Coding, and Documentation Support
Ocular migraine, also referred to as retinal migraine or visual migraine, presents a unique diagnostic challenge. Unlike typical migraines, ocular migraines are characterized by temporary vision disturbances, often in one eye, with or without accompanying headache. For clinicians, documenting and coding ocular migraine correctly is essential—not only for patient safety and follow-up but also for […]
Glioblastoma Multiforme: Clinical Insights, ICD-10 Coding, and Streamlined Documentation
Glioblastoma multiforme (GBM) is one of the most aggressive and common primary brain tumors in adults. With its rapid growth, poor prognosis, and resistance to treatment, GBM poses significant challenges to both diagnosis and management. For clinicians, documenting this condition accurately and comprehensively is essential for ensuring the best possible care, as well as proper […]
Decompensated Heart Failure: Clinical Insights, ICD-10 Coding, and Documentation
Decompensated heart failure (DHF) is a life-threatening condition that represents the acute worsening of chronic heart failure (CHF), requiring immediate medical attention. This sudden deterioration often leads to hospitalization, and effective management hinges on accurate documentation, coding, and timely intervention. In this article, we’ll cover: What decompensated heart failure is and how it presents Causes […]