Dear Todd,
We all need a good rant from time to time. :-)
You could stop clicking all the Decision Support boxes. They're not required for MU at this point. That would save you some time.
I've come to the conclusion after 30 years as a family doc that I can't see as many patients in a day, do a good job, and stay sane. I've gradually had to cut my patients/day. One thing that helped a great deal was to pay more attention to coding. After taking the courses at E/M University online I realized that I was seriously undercoding. Now that we're coding properly it has compensated for the reduction in patient visits. The other issue is to be sure that your office staff is on top of the billing and not letting stuff fall through the cracks. Finally it's critical to keep a close watch on expenses.
There's a tendency to think we need to work harder and harder to maintain income. I think it's more important to work smarter.
