I'm a software engineer who's spent the last two years in the emergency department scribing before med school. I've only worked at a few hospital systems, but honestly baffles me how piecemeal EHR is, with everyone rolling their own customized implementation of Epic. Monitoring and error checking could have been solved a decade ago. And I agree that most doctors do an inadequate job of charting the work they do - I am sure I routinely miss things like critical care time, documenting heart scores, etc. There is sooo much to do and not enough time to not make billing mistakes on a daily basis. Additionally, many providers have limited insight into reimbursement rates (as they vary by insurance).

Our current approach seems to be quarterly newsletters that nudge people into adding something to their charts.