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Let's take a look at how a "utopian medical practice" in the not-too-distant future functions from the perspectives of the patient, physician, office staff, nurse, billing department, and referred physician.

Practices that aspire to become medical homes are required to set self-and evidence-based standards for access, communication and clinical care, create and document team-based strategies for achieving these standards, and document movement toward achieving standards.

Physicians who visit most of their patients in their homes or nursing homes won't be able to earn the 2 percent bonus for e-prescribing on their Medicare claims, according to the current legislation.

Something has gone awry to create an environment that leaves well-intended physicians victimized when government audits reveal their software systems have allowed-even facilitated-submission of non-compliant and potentially fraudulent claims.

The $787 billion American Recovery and Reinvestment Act, which promises potential incentives of as much as $64,000 for physicians who adopt an electronic health record system, may have spawned a new cottage industry: EHR selection consultants.

More physician leaders have adopted information technology tools, such as electronic medical records and e-prescribing, than five years ago, but they are generally unsatisfied with the products available.

In what's being touted as a potential game-changer for health information technology, Wal-Mart is entering the business of electronic health records.

Contrary to the conventional wisdom spewed by EHR vendors and the looming mandate presented by the Obama administration, coding claims with electronic health records is not for everyone.

A group of prominent Maryland healthcare institutions has submitted a plan to create a statewide health information exchange that will allow hospitals to share electronic medical records.

Federal officials are providing little guidance thus far on how physicians can access funds in the $787 billion federal stimulus package to help offset the cost of buying and implementing electronic health record systems.

Last month, UnitedHealthcare launched a patient-centered medical home (PCMH) pilot project in Arizona with employer IBM, which could boost participants' income by as much as 20 percent on top of their current billings

Medpedia, a free online medical encyclopedia for healthcare professionals and consumers, launched last month with more than 7,000 pages of content contributed by 110 organizations.

With so many vendors and systems, finding the right electronic health record system software is just part of the struggle practices face in the transition from paper to digital.