Why Your EHR Sucks

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

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.)


Tweet this:

Earn CME credit:

This learning experience is powered by CMEfy - a platform that brings relevant CMEs to busy clinicians, at the right place and right time. Using short learning nudges, clinicians can reflect and unlock AMA PRA Category 1 Credit.

Leave a Reply

Your email address will not be published. Required fields are marked *

Subscribe To Our Newsletter

Get updates and learn from the best


12/11: Twitter 101

Dana Corriel, MD shares everything”Twitter”, in a Twitter for Basics session. How does Twitter work? What do the words tweet, tag, retweet, hashtag mean? How does one engage?

I Have to Wait How Long?!?!

I Have to Wait How Long?!?!

David Epstein, MD, MS, FAAP discusses why it takes time to be seen for an acute illness and what makes up a medical visit.

Susan J. Baumgaertel, MD FACP

Navigating Your Health (with Dr. Susan Baumgaertel)

Dr. Baumgaertel draws upon her 30 years of experience as a physician in primary care internal medicine, and uses her personal story-telling style to communicate with you as if you are sitting right across from her. Pull up a chair and enjoy.

My DPC Story

Their DPC Stories

Physicians are increasingly looking to different practice models, as burnout rates continue to climb. This series explores the DPC model.

Sulagna Misra, MD

Sulagna Misra, MD

Imagine a place where you and your doctor work together to define your wellness goals and then develop a plan to meet those goals. That place is Misra Wellness.

Support A Platform that Celebrates Real Doctors

For just $10 a month, you can help keep this openly accessible site available to all & help us sposnor in more doctors.

I acknowledge that this site is not to be used for medical advice.

Play Video
Our Founder Answers Your BURNING Question


“Why should I become a member of SoMeDocs if I already have my own space online?”