EHR Dangers - Threat of Success


  1. 2006 changes to the Healthcare Common Procedure Coding System (HCPCS) and Medicare Part D taking full effect have also accelerated Medicare reimbursements.

    Doctors can avoid entirely the stress and cost of using a system that was never designed for them if they simply stop seeing Medicare and Medicaid patients.

  2. NYT: Medicare’s explanation takes 87 pages. To receive the highest level of payment for an office visit, I have to document several aspects of the main problem, screening questions about at least 10 organ systems, something about the patient’s family and/or social history, and/or a lengthy physical exam. In addition, I have to demonstrate that my medical decision making was very complicated, considering the number of possible diagnoses and treatments, the complexity of the data and/or the patient’s risk of serious complications. That type of visit is supposed to take about 40 minutes.
  3. Besides the cost of implementation, evidence already is accumulating that doctors order more, not fewer, imaging studies when EMR is used.