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Where EHRs Fall Short in Specialty Rounding

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One of the most common objections we hear from physicians is: “I can’t use charge capture software. You don’t understand my practice.”

And usually, they are right.

Most off-the-shelf Electronic Health Records (EHRs) and generic rounding tools are built for a “standard” patient encounter. But if you are a Nephrologist managing dialysis, a Cardiologist reading stacks of Echos, or an Intensivist billing by the minute, “standard” doesn’t exist. Generic tools force you to click through endless irrelevant screens, wasting valuable time.

At HybridChart, we didn’t just build a list; we built proprietary engines designed to handle the nuances of the most complex specialties.

The “One Size Fits None” Problem

If software isn’t “malleable” or configurable, it becomes an obstacle. Dr. Greg Sanders, our founder, recognized this early on:

“Depending on what kind of doctor you are, there are probably parts of your workflow where you’re saying ‘I can’t use charge capture… my specialty has nuances.’ We understand that. Not only is HybridChart very malleable… we have spent years developing engines that comprehensively handle the entire process.”

Here is how we solved the puzzle for the “hardest” specialties.

Nephrology: The Dialysis Engine

Dialysis management is notoriously cumbersome. It involves tracking monthly capitation, face-to-face visits, and comprehensive assessments over time. Doing this on paper or in a standard EHR can take hours of reconciliation at the end of the month.

We built a specific Dialysis Engine. We understand the rules of the specialty.

  • The Result: What used to take days of administrative time to figure out “what happened” with dialysis patients can now be run in 90 seconds.

  • The Benefit: Nephrologists can finally use mobile charge capture without sacrificing the detail required for their billing.

Cardiology: Managing “Stacks” in Seconds

As a cardiologist, Dr. Sanders knew the pain of hospital “panels.” You might see 15 patients for rounds, but then have a stack of 20 EKGs and 10 Echos to read.

In a generic system, entering a charge for an EKG requires opening a patient chart, finding the code, selecting the date, and saving—repeated 20 times. That is simply too much work.

HybridChart created Mass Charge Entry for panels.

  • Select the patient list.

  • Select the procedure (e.g., EKG interpretation).

  • Apply to all.

It turns a 30-minute administrative chore into a 3-second task.

Critical Care & Anesthesia: Time-Based Billing

For Pulmonary Critical Care and Anesthesiology, billing isn’t just about what you did; it’s about how long you did it.

  • Critical Care: Defined in minutes.

  • Anesthesia: Requires precise start and stop times.

Most mobile tools struggle with this, forcing doctors to type notes manually. HybridChart embedded these logic rules into the solution. We allow for quick selection of time increments and automated start/stop timers that flow directly into the billing code selection.

Conclusion: Malleable Software for Nuanced Care

We recognize that not every doctor wants to round the same way. That is why we made the system configurable. You don’t need a developer to change your workflow; you can use our interface to create rules that match your reality.

Whether you are a surgeon, a hospitalist, or a sub-specialist, the software should adapt to you—not the other way around.

Schedule a Demo today to see how we connect with EHRs.


FAQs

Q: Can Nephrologists use mobile charge capture software?

A: Yes, but they require software with specific features for dialysis management. HybridChart features a dedicated “Dialysis Engine” that tracks monthly capitation and face-to-face visits automatically. This reduces the end-of-month reconciliation process from days to approximately 90 seconds.

Q: How does HybridChart handle time-based billing for Critical Care?

A: HybridChart accommodates Pulmonary and Critical Care workflows by allowing physicians to document “Critical Care Time” (defined in minutes) directly within the charge capture interface. The software supports time-based coding rules, ensuring accurate billing without the need for manual note-taking or calculation.

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Dr. Gregory Sanders is a Harvard-trained, practicing cardiologist and founder and CEO of HybridChart. He has been coding since the 1980s and has spent his medical career focusing on improving processes. His patient care skills earned him recognition as one of Phoenix Magazine’s TOP DOCs. He lives in Scottsdale with his family.
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