OK. Please, please do not get angry with me. Just wanted to add my two cents. I certainly don't want my comments to suggest anyone else is doing anything wrong.
But, the reason we purchased AC besides the many great things was that it is simply the quickest EMR out there. While drill-down EMRs do offer advantages of computerised E & M coding, it is completely offset by the time it takes to finish a note. I pretty much always finish the note in the room before the patient leaves and write any consultant letter. Certainly, I could probably be a bit more thorough if I charted later, but having more time to chart would be offset by the length of time away from the visit. I love being finished with my charting when the last patient is done. I do print the superbills from the chart even though I agree it leaves a lot to be desired.
There is very little room to type notes, which I usually indicate the follow up and any other things such as referrals, etc. The superbill is printed half a foot away from the checkout person, so many times the referral date is in hand before the patient gets to the checkout. (this is uncommon).
The biggest problem with printing a Superbill from AC and VINNY ARE YOU LISTENING? (I say that because last time I suggested it, it would looked upon as one of the weakest suggestions ever to hit the message boards <G>. But, I simply do not understand why when you finish a note and the encounter is through, the window that now occupies the middle of your desktop is the one that says Print Encounters/Send Letter. I do not understand why it does not also say, "Print Superbill." For those of us who have our MAs triage on a separate computer, the downside to this is the patient's name is not right there. So, after every visit, I have to bring the patient name up, right click and choose superbill and print. Just seems like a waste of time if we could move it over.
One last suggestion, if you forget to check a CPT code, AC gets very angry with you and will give you two error messages before you can get away with it or change it. But, the #2 thing to do prior to signing out is the Medical Decision Making dropdown list, which sometimes says low complexity for a patient with symptoms of meningitis on the note while eczema may have high complexity or even not yet set, none of which are good for coding. Maybe I am the only one who does this, but I simply go right past it most of the time. Could it be mandatory to have to change it? Or find a way to improve it.
Thanks for letting me post here. Again, just some thoughts.
