KevinMD March 12, 2025
The electronic health record (EHR) has solved the illegibility issue of handwritten notes, but the downside and unintended consequences have been of equal or greater importance. The cult of the EHR “copy and paste” (CP) club in hospital care makes defending a Medicare billing audit a daunting task should a physician be required to justify their level of professional billing codes. The much more important issue, however, is that patient care has suffered.
I spent 35 years in an internal medicine/geriatrics group practice before becoming a chief medical officer (CMO) as well as the physician advisor in charge of appeals for a large health care system. I have reviewed thousands of chart notes before and after the advent of the...
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