1. K

    Premade Template Guidelines

    I've got a provider that has built templates for specific insurances. While templates aren't a bad thing, the way these are built are greatly concerning. The template looks like a complete document with prebuilt HPI, ROS, Exam, Assessments, and Procedures. Essentially, the visit looks complete...
  2. N

    Dilema: EMR templates documents things that were not done

    I am facing a ethical dilema here at work. The family physicians use a template for their office visits. The templates are pre-loaded with ROS and exam documentation, and it is up to the physician to edit such. The problem? The physicians do NOT edit. The office visit documentation for an...