They used to tell us, as physicians, that "if it isn’t on the chart, it didn’t happen."  We could protest all day, to billing companies, insurers or attorneys, "I did that.  It’s assumed.  I always do the same thing every time."  But they would retort, "nope, it’s not in the chart."  So we learned to detail everything, every time, every movement.  Every consideration and justification.  The idea being, our ‘thought process’ ...

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I always pay attention to the reaction I receive from an audience at a talk or individual I encounter when I discuss the difference between a tool and a solution. Marketing a technology as a solution before it has been trialed, integrated into clinical workflow or even an EHR can even be met with legitimized skepticism by an educated purchaser. I offer a few thoughts on the subject which are critical ...

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Do you believe that I have to mention this?  I can’t believe it either but since the advent of the EMR, this seems to be an issue; a really big issue.  Amazingly enough, you are there, as a doctor, to treat the patient and not the computer.  You would think it was the other way around with all the bogus quality indicators, meaningful use baloney and pay-for-performance nonsense being stuffed ...

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Should doctors grab a .health domain?So, you're setting up a website for your practice. You thought you'd just grab a .com, .net, or maybe .info. But now there's .health. Will one of those set you apart from the .com crowd? So what do you need to know about these new domains? 1. Will patients come looking for me on .health? The bottom line is that it's highly unlikely patients ...

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The title itself should make us all cringe!  If there’s one thing I know to be true, it is that putting clinicians at the helm of electronic medical record (EMR) design is doomed to create a product with limited scope and lack of forward-thinking trajectory.  Yet, the concept of integrating and considering the physician point of view and workflow is critical to successful EMR functionality. The question is how can clinician ...

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I have been a way from blogging for a a bit and tried to clear my head a bit with a vacation skiing.  I left the computer at home, disconnected (as best I could), and had the luxury of feeling the knees working less fluidly than they had before, but still had some fun for a brief 3 day stint.  It was nice to notice that there's a whole world ...

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I’ve been working with the latest electronic medical record (EMR) for almost a year now. You know the one. There are many positive changes, to be sure. It has helped me more than a few times with calculating doses for kids’ medications. I can now easily check in on my patients’ progress when they are admitted to the hospital. And, of course, the notes are far more legible. But what do ...

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If you’re a practicing provider, chances are you still feel some anxiety about several issues related to the ICD-10 transition that are critical for maintaining the health of your practice. These probably include reimbursement, documentation workflows, potential audits, and claims denial. As a family medicine provider, what I hope to see develop is the opportunity for providers to encourage payers to be more transparent about topics like the level of coding ...

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From MedPage Today:

  1. 5 Ways Doctors Can Use Data Analytics. Reimbursements are increasingly linked to quality and value metrics, but providers often don't have the best tools to handle that transition.
  2. Killing Pain: Script by Script. Primary care doctors wrote about 53 million benzodiazepine prescriptions in 2013, roughly four times the number written by psychiatrists, a group that penned 13 million benzo scripts.

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A few months ago, I spent 15 minutes filling out a detailed health data form at the doctor’s office. The paper form contained multiple questions about my health, family history, medications and basic demographic information. I assumed that an administrative specialist would code it into the practice’s electronic medical record (EMR) to be put to use. So it came as a surprise when I spent another 5 minutes reviewing the ...

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