Word: hospitalers
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American doctors have not been enemies of the digital revolution. Looking up lab results and x-rays on our computer screens beat out carbon copies and sheet film in an instant. We like e-mail; we shop, take tests and read our journals on line. But the romance, for most...
The majority of us are forced to use computerized orders or risk losing our hospital privileges. But most of us have found that CPOE is a lot harder than writing out orders on paper, takes far more time and in too many ways is just not as good. We're...
Medical billing, for both hospitals and doctors, is accomplished via a system of codes, which is already so complicated that there are special schools for it, granting degrees not just in coding but in special branches of coding. Coding boils down to assigning specific numbers to every problem (diagnosis codes...
When, for instance, does a urinary tract (bladder) infection become a pyelonephritis (infection involving kidneys and ureters)? There's no clear-cut answer. But when the computer reminds the doctor, every time he clicks on the "urinary tract infection" button, that the hospital gets many thousands more for the more...
EMR, financially, is the mouth and esophagus of a hungrier billing animal. And not just in hospital practice. Private medical practices, whose incomes have been driven down over the years by decreasing insurance reimbursements, are hiring computerized record/billing companies in droves. Their promise? To create electronic medical records that comply...