The reality is that template only systems take up to 6 times longer to document an encounter and have an average of 7.8 critical errors per encounter. Voice recognition averages 1.48 errors per encounter. Template only and voice recognition systems are actually costing more than they are saving. The costs lie in reduced productivity, increased patient care issues and increased kickbacks on claims.
CMS has recognized the increase in errors in these systems and has stated that use of a templated only system does not meet meaningful use requirements. This was mentioned several times and then finally clarified in the December 10, 2012 CMS Manual System Change Request 8033, Transmittal 438, section 8033.3 "Review contractors shall remember that progress notes created with limited space templates in the absence of other acceptable medical record entries do not constitute sufficient documentation of a face-to-face visit and medical examination."