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Thumbnail of sample Physician Documentation, Medical Decision Making sectionStreamlined and intuitive, MEDHOST's Physician Documentation system ensures rapid documentation, clinical accuracy, and quick adoption by physicians. With all complaints charted on one convenient screen even for patients with multiple complaints, our system avoids the screen-switching pitfalls of other systems. From custom chart language and discharge instructions for each physician to patient safety features such as risk alerts, our Physician Documentation system was designed from the ground up to meet the needs of busy emergency room physicians:
  • Highly intuitive and template driven, ensuring quick adoption by physicians.
  • Complaint-specific HPI ensures complete documentation with built-in risk management
  • Historical information is shared and editable, eliminating redundant data entry
  • Configurable chart text and normal exams per physician
  • Visual indicators and reminders for required documentation
  • User-defined required fields and decision support
  • Real-time risk alerts
  • E&M coding per CMS guidelines, with indication for over/under documentation
  • CPT coding for procedures
  • Maximum reimbursement with documented level code compared to diagnosis