Healthcare clinicians spend 35% of their time documenting patient data, and evidence suggests the length of healthcare case notes has been increasing over time.
— Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC10315641/
One of the more poignant sentences in this article is the following:
“Healthcare clinicians spend 35% of their time documenting patient data, and evidence suggests the length of healthcare case notes has been increasing over time.”
So, if more than a third of a physician’s time is writing the office note (to justify billing and coding), it is not surprising that access to care is compromised.
Clinical notes should serve as an encapsulation of the encounter and provide historical context for subsequent visits…not needless verbiage to “justify reimbursement.