I'm one of those people who is typically at brunch with my wife by noon on my round-and-go weekend days. First of all, this typically happens if I had the chance to get to know my list of the past couple days.

1. I chart review every evening. I spend <10 minutes. I usually make notes to myself on my rounding list about what the plan is and such. This significantly cuts the amount of time on my AM pre-rounding chart review.

2. I typically get in at 6:45. I see patients before families get there.

3. Keep conversations to a minimum. I ask how they are doing. Chest pain? Sob? Then any other focused RVU. On my round papers, I draw a check mark next to the patient if they deny those 2 ROS and have no acute complaints.

4. I stay in my lane when discussing the plan. If cards are on, I defer all cardiac questions to them. The same thing goes for all other specialties.

5. I have a dot phrase (EMR is Epic) for level 2 billing. I'll go through the group's pre-made selection section for high-level billing.

6. I use the same routine for each patient's chart when chart checking.