seems like there is some confusion regarding the purpose of documentation...sm

 "Another thing there  is too much standardization and the insurance companies are cutting down on payment, etc. when a note is so standardized that it does not show the 45 minutes spent with the patient they will pay at the rate for a  20 minute visit which makes a big diffence in payment."  I understand you work right where the billing is done. I have also worked in the office and was the managed care coordinator. The billing is done via a HCFA form. All that goes to the insurance company is the code for the procedure - which indicates the complexity of the visit (not the length of time), and the diagnosis codes. The note itself never goes to the insurance company unless it is an injury code (800 series) in which case the insurance company automatically denies those on the pretense of it might be a personal injury case. So I am unclear on why you say if a note doesn't show the length of the visit the reimbursement will be cut down when the note doesn't even go anyway.  

" Patients are speaking up and telling the doctor, hey I am paying for your service, look at me when I talk with you and don't be typing into that darn computer." Again, with a good tablet system, this shouldn't happen. Or if the patient prefers the physician to not be documenting during the visit, there's always time after the visit or after hours. With a good EMR, the doctor should be able to document as fast as he dictates, usually faster. The notes are done immediately (not in 48 hours) and the data can be indexed and accessed in other ways - such as when there is a drug recall. You can't manually look through 600 charts to find every person on Vioxx.

Again, it sound like your docs didn't find an EMR that was a good match for them.   

• Hope this is not a bad sign - darn EMR
  • EMR - Cheryl B.
  • Expect a Sharp Upturn for EMR Systems - PugetSounder
    • EMR - Patti
      • Sounds like they made a poor choice of EMR...sm - Old MT
        • Sorry - I disagree - Patti
          • I love reading your posts Patti! - OPgal
          • seems like there is some confusion regarding the purpose of documentation...sm - Old MT
            • I can only relate to my experience - Patti
              • I can't count how many times (sm) - Lori
  • What is EMR - ?????
    • Electronic Medical Record - nm

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