Clinical Informatics

HITEKS Blog

Insights, research, and best practices on clinical documentation integrity, risk models, and provider workflows.

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AI is being touted as a miracle in the CDI framework. But is that really the case?

Please listen from the 18-minute mark to hear Gerry Petratos. It’s fair to say that the introduction of widespread artificial intelligence tools over the last four years has been one of the major changes of the time we live in. From its start, AI promised to change the world—we would be more efficient, more omniscient,…

July 29, 2026

Epic Insights- HITEKS

Precision Meets Progress: Why Top Health Systems are Scaling with Epic & HITEKS

Why more and more hospitals are modernizing their electronic health records and why you should, too As our lives become increasingly digital, U.S. healthcare providers are facing a universal truth: medical record processes must modernize. The good news? High-impact transformation is simpler than you think. You don’t need to rely on ChatGPT for answers, and…

May 12, 2026

Epic Insights- HITEKS

How to Ensure your Discharge Summaries Don’t Lead to Denials

If you’re in the medical field or you’ve ever been around a hospital, chances are you’ve heard of the phrases “If it’s not documented in the patient’s medical record, it didn’t happen,” and “Make sure that diagnosis shows up in the discharge summary.” These two phrases epitomize the field of Clinical Documentation Integrity (CDI). Keeping…

April 29, 2026

Journal

Why clinicians should document both positive and negative test results

Physicians often order imaging and analytical tests like an MRI or a blood draw for one of 3 reasons: to get closer to a patient’s accurate diagnosis, to serve as prevention of a disease and to monitor the progress of a disease. In many cases, these test results are meant to rule out certain diagnosis…

April 20, 2026

Journal

Epic First Strategy with HITEKS

It may sound like a contradiction, but it’s true. Using HITEKS to power the native Epic Note Editor workflows supports an Epic First Strategy. If your hospital system hasn’t done so already, it will likely decide on using tools that are natively embedded and power Epic’s core functionality, including Diagnosis Aware Notes, CDI and Coding…

March 13, 2026

Epic Insights- HITEKS

Our Epic Toolbox Designation: Advancing Compliant, Real-Time Clinical Documentation at HITEKS

At HITEKS, clinical documentation has always been more than a technical requirement, it is a critical foundation for patient care, compliance, quality reporting, and operational stability. As healthcare organizations face increasing regulatory scrutiny and growing complexity in documentation requirements, the need for real-time, accurate, and compliant documentation has never been greater. This is why earning…

February 5, 2026

Healthcare - HITEKS

How to Reduce Query Burden on Physicians in 2025: Practical Strategies for Better Clinical Documentation

Physician Query Fatigue Is Real—And It’s Costing More Than Time Physicians spend 20% of their day on documentation—and retrospective queries only add to the workload. Imagine a scenario where documentation is complete the first time, eliminating the need for time-consuming follow-ups. The reality? Most queries arise because documentation gaps aren’t addressed during the patient encounter.…

February 19, 2025

Healthcare - HITEKS

Why Real-Time CDI Enhances Patient Care and Reduces Physician Burnout

Let’s be real – healthcare can be brutal. Providers are drowning in paperwork, struggling to give patients the care they desperately need while battling mountains of administrative tasks. Enter Real-Time CDI: the superhero healthcare didn’t know it needed! Imagine a world where documentation practically does itself. Where physicians can focus on what truly matters –…

December 12, 2024

Healthcare - HITEKS

Queryless CDI™: A Smarter Way to Elevate Clinical Documentation

Clinical Documentation Integrity (CDI) programs traditionally rely on query systems to close documentation gaps between clinical observations and the coding required for billing and quality reporting. Physicians document patient care in clinical language, but coders need structured data to assign codes that reflect diagnoses and procedures. Queries help clarify ambiguous, missing, or inconsistent information to…

October 16, 2024

Healthcare - HITEKS

Leading the Charge in Healthcare Innovation: Dr. Gerry Petratos’ Expert Insights

The Advancing Healthcare Innovation Show, hosted by Michael Stamatinos, featured Gerry Petratos discussing the future of healthcare IT, the role of artificial intelligence in medicine, and the challenges and opportunities involved in integrating new technologies into healthcare. The Future of Healthcare IT One of the central themes of the episode is the future of healthcare…

September 4, 2024

Healthcare - HITEKS

One Size Does NOT Fit All: Tailored HITEKS Solutions for Optimal Healthcare Documentation and Compliance

“One Size Does NOT Fit All” and “Doctors Do NOT Like to Change The Way They Document” These are the 2 mantras that define the HITEKS approach to clinical documentation integrity. In healthcare, a one-size-fits-all approach rarely works. Recognizing the unique needs of each hospital, our solutions are designed to be highly adaptable, providing fully…

August 14, 2024

Healthcare - HITEKS

Ensuring Compliance and Improving Clinical Documentation: Practical Insights

Keeping clinical documentation compliant and accurate is a challenge we all face in healthcare. It’s not just about avoiding penalties—it’s about creating reliable patient records that truly reflect the care we provide. Here are some key practices to help ensure your documentation meets compliance standards while also being thorough and precise. Why Compliance Matters in…

July 25, 2024

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