Sometimes office hours are effortless. Patients arrive perfectly timed. They all have insurance cards and co-pays at the ready. My front desk staff looks like 12 cylinder engine with pistons cranking at full speed--no back fires. If there are any no-shows at all, they seem to come at opportune times and are followed by a add-on vasectomy or vas reversal patient that fill the holes perfectly. The phones ring, but with all new patients or established ones wanting to be seen. The EHR purs like a kitten as all patients fit all templates beautifully and clicks are minimal. The prescription printer never fails and e-prescribed prescriptions always match the formulary. The entire office is in the zone. It happens and when it does, I love it.
And then there is my last 2 days; like trudging through mud. Phones never stop, but for billing questions and pre-approval calls, and pharmacy issues. Patients are calling for results and when I cal back, I get voice mail and cycle goes on and on and on. . . My front office is functioning but like my '65 Mustang after I neglected to change the oil after $3000 miles. The EHR--no pateint ever seems to come in with any complaint I have ever seen before. The prescrition printer must be tired as it goes into sleep mode way too often. As for e-prescribe, pharmacy issues, formulary issues or both.