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Why Your EHR Sucks

Daniel Paull MD: EHRs are billing machines first, and that's why we don't like them

September 29, 2022

Most EHRs are terrible.

It’s easy to see why. The goal of an EHR is not to take notes for patients, it’s to generate billable charts, which can be sent to insurance companies just like they like it.

So that’s what they are, they are billing machines.

Providers and physicians don’t like them because they are not meant for notetaking or putting orders in. These are tertiary functions for an EHR after billing and medicolegal compliance. More time is spent clicking boxes to get compliant billing levels than actually putting readable notes in.

In fact, you can make a perfectly acceptable billable note without an ounce of free text, or any idea of what happened during a visit.

 

You can make a perfectly acceptable billable note without an ounce of free text, or any idea of what happened during a visit. Click To Tweet

 

These notes are clinically worthless.

The EHR that I use is a HIPPA complaint google workspace drive. Can do notes and orders on templated google docs.

It costs $18 per user per month and makes all of the other google tools HIPAA complaint.

The reason it doesn’t cost a lot is because I don’t need to generate billing levels.

 

(let us now what you use for billing purposes, and why you enjoy the system you use. Submit your reply here.)

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. For more information, or to submit your own opinion, please see our submission guidelines or email opmed@doximity.com. Do you have a compelling personal story you’d like to see published on SoMeDocs? Find out what we’re looking for here and submit your writing, or send us a pitch.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. Do you have a compelling personal story you’d like to see published on SoMeDocs? Submit your own article now here.

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