Query: What are the pitfalls of my EMR and templates used?
I was related concerns over the EMR and templates being used. Is there a common list one should think about as we use our EMRs today?
Codinghelpline com Subscriber
Response from Codinghelpline.com: The Following are more common issues you should be concerned about when using your EMR. By far the most common tool used which poses potential issues include “Overuse of Copy + Paste”
• Auto-Populated Fields
• Lack of Specificity in Templates
• Non-Customizable Templates
• No Free Text option
• Pre-set negative responses
• Smart Phrases – overuse or incorrect information
• Overuse of canned text
• Contradicting documentation
• No template built for common services
• Note headers incorrect or missing info
• Hard-coded incorrect CPT/ICD-10 codes embedded in templates
David Freedman, DPM, Silver Spring, MD