- Joined
- Feb 12, 2005
- Messages
- 175
- Reaction score
- 298
i started a side gig that isn't too bad overall but the billing and documentation is killing me. the problem is the emr is a dumpster fire (pointclickcare) and the billing software sucks. I have given up on improving my billing efficiency. things i have done so far with documentation:
-use autohotkey for ersatz smart phrases
-dictate what i can
-general principles are on lockdown from my years as hospitalist: making notes lean as possible/copypastable as possible (this works because the pts are not nearly as dynamic as in the hospital). minimize time clicking all over the chart and retracing my steps in the EMR
things im wondering about
-hiring a tele scribe or even virtual personal assistant, would need to be less than 50/hr to make sense in my head. anyone do this? or even an AI scribe? not sure about HIPAA implications
-while at the facility, walking around dictating using hipaa compliant google docs and copy pasting that into the actual notes at home.
making a python script to help document. i know a little python but would need to beef up my skills. Idk what the implementation would even look like
nonstarters include bringing a computer into the room. I want to spend as little time as possible in the room or the facility doing clerical work.
crazy thoughts:
dictating while driving has crossed my mind. the commute is not negligible
uber and deduct it as a business expense somehow...cost probably too high still. I think even if ubering, that is still a commute so probably not able to be written off.
don't want a med student to shadow me. i enjoy teaching but this would be a waste of their time
So far i spend about 1.5 hrs extra every day on billing and notes. <1 hr would be great. Being done at the point of contact would be amazing. if you are thinking this sounds more like a 2nd job than a side gig...well yeah probably.
-use autohotkey for ersatz smart phrases
-dictate what i can
-general principles are on lockdown from my years as hospitalist: making notes lean as possible/copypastable as possible (this works because the pts are not nearly as dynamic as in the hospital). minimize time clicking all over the chart and retracing my steps in the EMR
things im wondering about
-hiring a tele scribe or even virtual personal assistant, would need to be less than 50/hr to make sense in my head. anyone do this? or even an AI scribe? not sure about HIPAA implications
-while at the facility, walking around dictating using hipaa compliant google docs and copy pasting that into the actual notes at home.
making a python script to help document. i know a little python but would need to beef up my skills. Idk what the implementation would even look like
nonstarters include bringing a computer into the room. I want to spend as little time as possible in the room or the facility doing clerical work.
crazy thoughts:
dictating while driving has crossed my mind. the commute is not negligible
uber and deduct it as a business expense somehow...cost probably too high still. I think even if ubering, that is still a commute so probably not able to be written off.
don't want a med student to shadow me. i enjoy teaching but this would be a waste of their time
So far i spend about 1.5 hrs extra every day on billing and notes. <1 hr would be great. Being done at the point of contact would be amazing. if you are thinking this sounds more like a 2nd job than a side gig...well yeah probably.
