Thanks for all the responses and posts to my inquiry. Surprisingly it is taken as "my pain" I can assure you I am not and appreciate all of your concern. But this is a PAIN for so many other physicians and what keeps IT and OPEN HEALTH sources and forums from becoming the push they need to be to correct these problems.
So long as the government and the insurers set arbitrary standards and all think that they know best we will always be kept in the dark and forever correcting or trying to figure out the ways to do things best. They love it this way, then we keep having to buy their book of rules. Open Health has lots to offer in terms of ideas but those ideas need to reach the major vendors and sources of common IT for the majority of physician practices and to adjust and deal with the governmental issues. Hey, just at look how the AAFP is forging ahead with their project. Guess what, with what I know about systems physicians will be slow to adopt and ARE slow to adopt EMR and more likely to adopt BILLING and PM software first but the major thrust to get people using systems will be the INTEGRATED systems, NO MATTER how good any one individual stand alone EMR is. I lurk on the Openhealth forum because I greatly appreciate a vast majority of the discussions and theory. But I am a practical kind of guy and need to put things into actual use and can't wait for projects that take years to develop. The ideas on this board, help me stay ahead and introduce some concepts to my colleagues. Sincerely, Falball
