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Unsorted Comments (130)

EMR

I am a disbeliever in EMR. We are not in the age of Star Trek just yet. The main purpose of EMR is so that the Govt. can mandate and request Physician-Patient records on convenient disks. EMR requires Way more valuable physician time. They are filled with NEW errors, because unless the Physician personally corrects (very time consuming) the machine dictations themselves, there would be way more errors in the system. These errors will look official, because they are printed, instead of handwritten by the Physician. Noone seems to understand that any savings is sacrificed by addition time spent by the Physician or the Physician practice. EMR should be totally voluntary, and only if in the best interest of the individual practice. They should work best for large practices, that can afford to have their own IT person/people. Noone asked the opinion of Physicians before this was implemented. Physicians want to keep the convenient Paper Charts that are Sooo easy to follow. Practices using EMR waste massive time Scanning documents all day. In summary, any benefits to the system are being passed onto physicians as they are spending extra time. There should be NO MANDATES, especially for small practices. The current legislation calls for a 4% reduction in Medicare payments if not implemented by 2014! We will drop out of Medicare or retire if that happens. Read more...

looking at nextgen for Cardiology

We had a presentation with next gen last week. It was very impressive 2 hour presentation. We are also looking at GE centricity, MkKesson Practice Partner and GEMS. For a 9 MD Cardiology single speciality practice. Any comments ar advice will be appreciated Read more...

Sounds Interesting

RxVantage sounds like it addresses a problem that has plagued our office for a long time. Finding a better way to talk to reps and get samples. But, I'm a little concerned that its free. Is it owned by a pharmaceutical company or larger IT provider? Read more...

Steps of implementing PQRI in EMR

Hi Jennifer, I have already developed an EMR system and many of the clients are using my application but now I have to make it compatible for PQRI. But I did not get any information what verification and checks are required for PQRI verification. It would be great help if you can explain me by giving one example. Thanks in advance. Read more...

How are you handling paper?

How easily does NextGen work with scanning of the current charts or new paper that arrives on a daily basis? Read more...

Interesting!

Will share this post to our site www.ashim.org! Read more...

eprescribing for pbm's (mail order)

I have been eprescribing for upwards of 8 years. I successfully send most of my patient's prescriptions to every pharmacy in the state. I also regularly receive refill requests from pharmacies electronically. Inasmuch as my office fills as many as 60 prescriptions a day, the system saves us hours of time per week. It also produces a complete and accurate medication record and an indication when chronic medications have lapsed. Evidently, it is not common knowledge that the largest and highest tech of pharmacies, the pbms or mail order pharmacies like Medco and Expresscripts, have no capability in place to receive or request escripts from my office. I do not understand when solo physicians can be penalized for not having eprescribing, how the largest, best capitalized pharmacies are not required to reciprocate. As it is, scripts must be faxed from my office with a proprietary cover sheet, or called in to a technician who then makes you wait for a pharmacist to restate the script or sent through the USPS by the patient. Is anyone else familiar with this problem? Read more...

Viewing movements made on my Medicare card by doctors who want the number

Y2N Just what the "subject says". I want to be able (as with Aetna) to see the movements made by doctors, hospitals, etc. who use my Medicare number for partial payments of services rendered. Alan R.Padoll 292-30-1272 Y2N Read more...

Finding records of doctors who ask for my Medicare number..

I would like to be able to see the charges a doctor makes during an office call or procedure and then uses my Medicare number to partially pay my charges. Read more...

NextGen

I speak to a lot of Clients/Doctors as a consultant to the industry on technology concerns, and while I can say that most EMR/EHR users are generally happier now that they are off paper, I have not talked to a happy NextGen user yet. As a matter of fact, I can think of a half dozen practices that are contemplating bringing suit against the company for complete product failure. I typically try to steer people away from them. I am a New England based person, so maybe its just a geographic occurrence, but it is a reoccurrence for sure... hopefully they are adjusting whatever is wrong b/c its bad for the industry when a vendor this large underperforms this badly. Read more...

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