#Payment Tracking Software
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#Best Way to Invoice for Small Business#Invoicing Business Small#Best Invoicing and Accounting Software#Payment Tracking Software#Invoice Tracking System#Invoice Capture Software#Invoice Payment Processing System
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Misleading Claims? A Closer Look at InvoiceTemple.com’s Invoicing Software in Nagercoil

In the digital age, choosing the right invoicing software can be crucial for small businesses and freelancers looking to manage their finances efficiently. With countless options available — Zoho, FreshBooks, QuickBooks, and more — it’s important to evaluate tools based on honest claims and transparent comparisons. However, not all companies play fair in this space. One such example raising eyebrows is InvoiceTemple.com, a software based in Nagercoil, India.
What Is InvoiceTemple?
InvoiceTemple positions itself as an easy-to-use invoicing solution for small businesses. With a clean interface and basic features, it’s marketed toward entrepreneurs who need a lightweight invoicing tool. However, recent scrutiny reveals that some of the claims made on their website — especially regarding payment and time tracking features — may not be entirely accurate.
Features Under the Microscope
InvoiceTemple prominently promotes itself as having built-in payment integration and time tracking capabilities. These are major selling points for freelancers and service-based professionals who need to track hours and get paid on time.
However, users who’ve signed up for the software quickly discover a different reality:
No actual time tracking tool is present. There’s no timer, no way to log billable hours, or convert them directly into invoices.
Payment integrations with popular gateways like Stripe, PayPal, or Razorpay? Also missing. Users are left manually marking invoices as paid, which contradicts the promise of automated or integrated payment features.
The Problem With Misleading Comparisons
Another troubling aspect is InvoiceTemple’s comparison chart displayed on their website. They compare themselves with top-tier platforms like Zoho, FreshBooks, and QuickBooks — some of the most feature-rich tools on the market. The chart suggests InvoiceTemple matches or exceeds these platforms in several areas, including time tracking and payment handling.
In reality, these comparisons don’t hold up:
Zoho Invoice offers extensive automation, integrations, and time tracking.
FreshBooks is known for robust time tracking and payment processing.
QuickBooks goes even further with full accounting, payroll, and tax tools.
InvoiceTemple, meanwhile, only offers basic invoicing and customer management. The comparison is not just misleading — it’s outright incorrect.
Why This Matters
Small business owners rely on honest information to make software choices. Inflated claims not only mislead potential users but also damage trust in the growing SaaS ecosystem in smaller cities like Nagercoil, which is seeing increasing digital entrepreneurship.
Transparency, especially in SaaS, isn’t just good ethics — it’s good business. Overpromising and underdelivering may work in the short term, but savvy users won’t stay quiet for long.
Final Thoughts
If you’re looking for an invoicing solution, be cautious about marketing claims. Always test the features yourself, read real user reviews, and don’t fall for flashy comparison charts that aren’t backed by substance. InvoiceTemple may have potential as a simple invoicing tool, but it’s currently not on par with the major players it claims to compete with.
Until then, honesty is still the best feature any software can have.
#payment integration#time tracking#InvoiceTemple#Invoicing software#Best invoicing software for small businesses#Invoicing tool comparison
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Free invoicing Software
Urban Ledger: Simplifying Finances, Empowering Businesses
Urban Ledger is a smart financial management platform designed to help businesses and individuals track transactions, manage credit, and streamline payments effortlessly. With an intuitive digital ledger, automated reminders, and secure payment integrations, Urban Ledger ensures seamless financial tracking, reducing errors and enhancing cash flow. Whether you are a small business, freelancer, or enterprise, our platform empowers you with real-time insights, easy invoicing, and multi-channel payment options. Say goodbye to manual bookkeeping and experience the future of hassle-free financial management with Urban Ledger.
Urban Ledger: The Ultimate Digital Ledger App for Business Finance Tracking
Managing finances has never been easier with Urban Ledger, the best digital ledger app designed to streamline business finance tracking. Whether you’re a small business owner, freelancer, or entrepreneur, our platform helps you maintain online payment management, track expenses, and manage credits effortlessly.
With Urban Ledger, you get a secure and smart accounting solution that simplifies expense & credit management, ensuring you never miss a payment or outstanding balance. Say goodbye to manual bookkeeping and experience the best accounting software for small business, offering real-time insights, automated reminders, and multi-channel payment options.
Try Urban Ledger – The Ultimate Digital Ledger App for Your Business!
Take control of your business finance tracking with Urban Ledger, the smartest digital ledger app designed to simplify online payment management and expense & credit management. Whether you’re a small business owner, freelancer, or entrepreneur, our platform ensures seamless transactions, automated reminders, and real-time financial insights.
Key Features:
Effortless expense & credit management
Secure online payment management
Smart invoicing & automated reminders
Real-time insights for business finance tracking
The best accounting software for small business
Try Urban Ledger Today! Visit our website to explore more: https://geturbanledger.com/
#Digital Ledger App#Online Payment Management#Business Finance Tracking#Expense & Credit Management#Best Accounting Software for Small Business
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Simplify Fuel Station Operations with Petrosoft Mobile App for Petrol Pumps
Managing petrol pumps has become easier with the Petrosoft mobile app. This app is designed to simplify daily operations and help petrol pump owners and managers stay in control, anytime and anywhere. It provides features like fuel stock monitoring, sales tracking, and payment management, all in one place. With real-time updates, you can keep track of your fuel stock levels and avoid running out of stock during busy hours. The app also ensures accurate billing, saving you from manual errors and improving customer satisfaction.
Petrosoft’s mobile app allows you to track sales reports daily, weekly, or monthly. It helps you understand business performance and make better decisions for growth. The app also supports multiple payment options, making transactions easy and secure for both customers and owners. Digital payment records are automatically stored, so there’s no need to maintain paperwork. This reduces workload and ensures smooth financial management.
If you own more than one petrol pump, the Petrosoft app lets you manage all locations from a single platform. You can monitor stock, sales, and employee performance at each station without having to visit them physically. This saves time and increases efficiency. Additionally, the app provides detailed reports and analytics, helping you identify trends and improve your services.
#Petrol Pump Mobile App#Fuel Station Management App#Petrosoft App#Petrol Pump Operations#Fuel Stock Monitoring#Petrol Pump Billing App#Digital Payment Management#Sales Tracking App for Petrol Pumps#Multi-Station Management App#Petrol Pump Software
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Effortless Chit Fund Management with Advanced Solutions
Effortless Chit Fund Management with Advanced Solutions
Managing chit funds effectively can be a challenging task, especially with the intricate calculations, regular contributions, and timely auctions involved. However, with the advent of advanced chit fund management solutions like EasyChit, these challenges have been transformed into opportunities for efficiency and growth. Let’s explore how these modern tools make chit fund management effortless and beneficial for all stakeholders.
Understanding the Importance of Chit Fund Management
Chit funds are a popular financial mechanism that combines savings and credit, particularly in countries like India. They cater to individuals looking for a disciplined saving method and those seeking financial assistance in times of need. However, the manual management of chit funds often leads to errors, delays, and inefficiencies. From tracking members’ payments to conducting transparent auctions, the process requires precision and reliability.
This is where advanced chit fund management systems like EasyChit come into play, offering a seamless, automated approach to handling all aspects of chit fund operations. These include solutions such as the best chit fund management app in davanagere, finance chits software in davanagere, and chit fund company software in davanagere.
Features of Advanced Chit Fund Management Solutions
Modern chit fund management software is equipped with a range of features designed to simplify operations and ensure transparency. Key functionalities include:
Member Management:
These solutions enable easy registration, tracking, and management of members. You can store member details, track payment history, and send automated reminders for upcoming contributions.
Auction Management:
Automating the auction process eliminates human errors and ensures fairness. The software can handle bidding, calculate discounts, and instantly update records. With EasyChit, these processes become even more efficient.
Payment Tracking and Receipts:
With integrated payment gateways, members can make contributions online. The system records transactions in real-time and generates receipts, ensuring accurate financial records. Tools such as the chit payment tracking system in davanagere and digital chit collection app in davanagere are excellent examples.
Benefits of Using Advanced Solutions for Chit Fund Management
1. Enhanced Efficiency
Automating repetitive tasks such as payment tracking, member communication, and report generation saves time and reduces errors, allowing operators to focus on strategic growth.
2. Improved Transparency
A digital system ensures that all transactions and auctions are recorded and accessible to authorized users, fostering trust among members.
3. Real-Time Updates
Operators and members can access real-time updates on payments, auctions, and group status, enhancing communication and accountability. Solutions like the mobile app for chit collection in Davanagere, employee chit management app in davanagere, and best chit collection app in davanagere exemplify this capability.
Adopting a Chit Fund Management System: Key Considerations
When selecting a chit fund management system, it’s essential to consider the following factors:
Customization: Choose a solution that can be tailored to your specific operational needs.
Integration: Ensure the software can integrate with payment gateways, accounting systems, and other tools.
Compliance: Verify that the system adheres to local regulations governing chit funds.
Providers such as chit collection app providers in davanagere and chit collection application providers in davanagere offer robust systems with local customization. EasyChit also provides these features to simplify operations.
Conclusion
Effortless chit fund management is no longer a distant goal but a reality with advanced solutions like EasyChit. These systems not only streamline operations but also enhance transparency, member satisfaction, and financial stability. By adopting the right chit fund management software, operators can focus on fostering trust and expanding their member base while ensuring compliance and efficiency.
In a world where technology is redefining traditional practices, embracing modern chit fund management tools like EasyChit, chit fund management erp software in davanagere, and chit collection software in davanagere is a step toward sustainable growth and success. Invest in the right solution today and revolutionize the way you manage your chit fund operations.
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Ticket-Based Parking: Reliable Access Control and Revenue Management Manage parking operations efficiently with Parkomax’s ticket-based solution, offering robust access control, revenue tracking, and a smooth flow for vehicles entering and exiting your facility.
#Ticket-based parking system#Parking management solutions#Automated parking entry#Ticket-based access control#Parking payment integration#Parking revenue management#Vehicle tracking system#Parking control software#Secure parking management#Efficient parking operations
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Transforming Rental Businesses: How Car and Property Rental Software Streamlines Operations
The digital transformation sweeping across industries has significantly changed how car and property rental businesses operate. Gone are the days when managing bookings, payments, inspection, maintenance, etc. information of Vehicle and Property was done manually. Now, with advanced rental software, businesses of all sizes — from small, family-run operations to large enterprises — can streamline their rental processes, improve customer satisfaction, and cut operational costs.
This post delves into the key benefits, features, and future trends in both car and property rental management software, illustrating how this technology is transforming the rental business landscape.
Key Benefits of Using Car Rental Management Software for Small and Large Fleets
Car rental software offers transformative solutions for both small and large fleets. For smaller businesses, the car rental management software automates everyday tasks like vehicle tracking, booking, customer inquiries, and vehicle assignments. This significantly reduces the time spent on administrative tasks, freeing up owners to focus on growing their businesses. For larger operations, rental software enhances scalability by eliminating the need for additional staff as the fleet expands. Automated tracking of vehicle availability, customer records, and real-time inventory management are just a few tools that optimize operations and enhance service delivery.
Enhances Fleet Efficiency with Real-Time GPS Tracking
One of the most valuable features of car rental software is real-time GPS tracking. This feature lets businesses monitor their vehicles’ locations, speeds, and routes in real time. By optimizing routes and reducing unnecessary mileage, fleet efficiency improves while fuel consumption drops.
Essential Features to Look for in Car Rental Management Software
When selecting a car rental management software, businesses should prioritize features like real-time fleet tracking, automated booking systems, and maintenance scheduling. Customer management tools and seamless payment integrations are also essential, ensuring that the entire rental process is as smooth as possible for both the business and the client. Comprehensive reporting tools, offering insights into customer trends, vehicle performance, and operational efficiency, help businesses make informed, data-driven decisions.
Why Automating Vehicle Inspections Saves Time and Money in Car Rental Businesses
Vehicle inspections are critical to maintaining the integrity of a fleet, but manual inspections can be slow and prone to human error. Vehicle rental software automates this process, generating inspection reminders and storing digital records of completed checks. This not only saves time but also ensures compliance with legal standards, prevents costly breakdowns, and helps rental companies avoid potential liabilities.
How Car Rental Software Improves Customer Experience: From Online Bookings to Digital Payments
In today’s digital-first world, customers expect convenience. Car rental management software meets these expectations by offering online booking systems and digital payment options. Customers can easily check vehicle availability, book their rental, and pay using secure online portals — all from their smartphones. This seamless experience enhances customer satisfaction and fosters loyalty, driving repeat business.
Property Rental Management Software
Why Every Landlord Needs Property Rental Management Software in 2024
Property management is a complex endeavor, particularly for landlords managing multiple units or properties. Property rental software streamlines processes like tenant onboarding, rent collection, and maintenance scheduling, enabling landlords to manage their properties efficiently. By automating these tasks, landlords reduce their administrative workload, giving them more time to focus on expanding their portfolios.
Streamlining Tenant Onboarding with Digital Property Management Tools
Gone are the days of cumbersome paperwork for tenant applications and leasing. Property rental software simplifies the entire onboarding process by allowing tenants to apply, submit documents, and sign leases online. This not only speeds up the onboarding process but also ensures all information is securely stored and easily accessible when needed.
How Property Rental Software Can Simplify Rent Collection and Payment Tracking
Late rent payments are a common challenge for property managers, but property rental software can help address this issue. By offering automated rent collection and various payment channels (credit cards, online transfers), landlords minimize the risk of late payments. Furthermore, tracking payments becomes more straightforward, with all financial data centralized in one platform.
Managing Commercial vs. Residential Properties: How Software Handles Both
Property management software is versatile, designed to handle the unique challenges of both commercial and residential properties. For residential properties, the focus lies on tenant relations and lease management, while for commercial properties, features like contract management and expense tracking come into play. The software allows landlords to manage both types of properties seamlessly within a single platform.
The Future of Property Management: Automation, AI, and Smart Home Integration
Like car rental management, property management is evolving with automation and AI integration. Smart home devices, such as automated locks and security systems, are becoming standard in rental properties. Property rental software will integrate these systems, allowing landlords to monitor and control them remotely. AI will also enhance property management by predicting tenant needs and automating responses to common inquiries.
By adopting rental management software, businesses can streamline their operations, improve efficiency, and provide exceptional customer experiences. In an increasingly competitive market, these software solutions offer a critical advantage, helping companies remain profitable while adapting to evolving industry trends. Whether managing a car fleet or multiple rental properties, the right software is key to long-term success.
#car rental software#vehicle rental software#fleet rental software#property rental software#booking management#online payments#rental management software#rental management app#car rental app#car tracking software#car rental management software#property management software#fleet software#fleet management software#vehicle tracking software
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Marg ERP: Easy Invoicing and Billing Software Marg ERP Limited offers user-friendly invoicing and billing software, simplifying financial processes for businesses. With features like automated invoicing, inventory management and GST compliance, it streamlines operations. Marg ERP ensures efficient tracking of sales, purchases, and payments, enhancing business productivity and financial management.
#inventory software#billing software#billing solutions#inventory management#bussiness#pos software#business#management#technology#Invoicing software#automated invoicing#erp solution#GST compliance#sales tracking#payment tracking#business productivity
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Navigating the World of Online Payment Processing
The world of commerce has undergone a remarkable transformation with the rise of e-commerce, and at the heart of this evolution is online payment processing. From purchasing products and services online to managing subscriptions and making digital donations, online payment processing has become an integral part of our daily lives. In this comprehensive guide, we will delve into the intricacies of online payment processing, exploring its significance, the key players in the industry, security measures, and the latest trends shaping the future of digital payments.
The Significance of Online Payment Processing
Online payment processing is the engine driving e-commerce and digital transactions. Its importance extends far beyond the convenience it offers. Here are some of the key reasons why online payment processing is crucial:
Global Reach: It enables businesses to reach customers worldwide, breaking down geographical barriers and expanding their customer base.
Convenience: Customers can make payments and purchases from the comfort of their homes or on the go, making the shopping experience more convenient.
Security: Secure payment processing ensures that sensitive financial information is protected, reducing the risk of fraud and unauthorized access.
Efficiency: The automation of payment processing streamlines financial transactions, reducing manual labor and processing times.
Business Growth: Online payment processing supports the growth of online businesses, enabling them to scale their operations and reach new markets.
Diverse Payment Options: It offers a wide range of payment methods, allowing customers to choose the option that best suits their preferences and needs.
The Key Players in Online Payment Processing
Online payment processing involves several key players, each with distinct roles and responsibilities. Understanding these players is crucial to grasp the intricacies of the payment ecosystem:
1. Merchants
Merchants are businesses or individuals who sell products or services online. They integrate payment gateways into their websites or applications to accept payments from customers.
2. Payment Gateways
Payment gateways are intermediaries that facilitate the transfer of payment data between the merchant and the financial institution. They verify the transaction, handle the encryption of data, and ensure that the payment is securely processed.
3. Acquiring Banks
Acquiring banks, also known as merchant banks, are financial institutions that work with merchants to provide them with the necessary accounts and tools for accepting payments. They play a critical role in authorizing and settling transactions.
4. Issuing Banks
Issuing banks are the financial institutions that issue credit and debit cards to consumers. They are responsible for authorizing transactions initiated by cardholders and ensuring there are sufficient funds for the purchase.
5. Card Networks
Card networks, such as Visa, MasterCard, and American Express, establish the rules and infrastructure that govern payment card transactions. They facilitate communication between acquiring and issuing banks.
6. Customers
Customers are the individuals or businesses making purchases or payments online. They provide their payment information to complete transactions.
Ensuring Security in Online Payment Processing
Security is a paramount concern in online payment processing. As the digital landscape evolves, so do the threats to security. Here are some of the key security measures and technologies in place to safeguard online transactions:
1. Data Encryption
Data encryption ensures that sensitive payment information, such as credit card numbers, remains secure during transmission. Secure Sockets Layer (SSL) encryption is a common technology used to protect data.
2. Tokenization
Tokenization replaces sensitive card data with tokens, which are useless to cybercriminals if intercepted. This adds an extra layer of security to payment processing.
3. Two-Factor Authentication
Two-factor authentication (2FA) requires customers to provide additional verification, such as a one-time code sent to their mobile device, to complete a transaction.
4. Fraud Detection
Advanced fraud detection systems use artificial intelligence and machine learning to analyze transaction data in real-time and identify potentially fraudulent activities.
5. Regular Updates
Payment processing systems should be regularly updated to patch vulnerabilities and ensure that they are up to date with the latest security standards.
6. Compliance with Regulations
Adhering to industry and regional regulations, such as the Payment Card Industry Data Security Standard (PCI DSS), is essential to maintain security.
Trends Shaping the Future of Online Payment Processing
Online payment processing is an ever-evolving field. Several trends are shaping the future of digital payments:
1. Contactless Payments
Contactless payments, made through mobile wallets and near-field communication (NFC) technology, have gained popularity due to their speed and convenience. The use of smartphones for payments is on the rise.
2. Biometric Authentication
Biometric authentication, such as fingerprint and facial recognition, is increasingly used for secure and convenient payment authorization.
3. Cryptocurrency
Cryptocurrencies like Bitcoin are gaining acceptance as a means of payment, offering fast and borderless transactions.
4. In-App Payments
In-app payments within mobile applications provide a seamless purchasing experience for users, making it easier to complete transactions without leaving the app.
5. Enhanced Security Measures
Continual advancements in security measures, including machine learning-based fraud detection and risk analysis, will help reduce the risk of fraudulent transactions.
6. Cross-Border Payments
As businesses expand globally, cross-border payment solutions are becoming more vital. Payment processors are adapting to accommodate international transactions and currencies.
7. Payment Integration
E-commerce platforms and online businesses are increasingly integrating payment solutions directly into their platforms, streamlining the payment process for customers.
Choosing the Right Online Payment Processing Solution
Selecting the right online payment processing solution is crucial for businesses. Here are some key considerations to keep in mind:
1. Integration
Choose a payment solution that seamlessly integrates with your e-commerce platform or website. This ensures a smooth checkout experience for your customers.
2. Security
Security
is a non-negotiable aspect of online payment processing. Ensure that the solution you choose complies with industry standards, such as PCI DSS, and offers robust encryption and fraud prevention measures.
3. Payment Options
Consider the range of payment options the solution supports. The more options you provide, the more accessible your business will be to a broader customer base.
4. Scalability
Opt for a payment processing solution that can scale with your business. As your business grows, the payment solution should be able to handle increased transaction volumes.
5. Reporting and Analytics
Access to reporting and analytics tools can provide valuable insights into customer behavior, transaction trends, and financial performance. Choose a solution that offers comprehensive reporting capabilities.
6. Customer Support
A responsive customer support team can be invaluable in resolving issues quickly and ensuring that your payment processing runs smoothly. Consider the quality of customer support provided by the payment solution.
7. Costs and Fees
Different payment processors may have varying fee structures. Ensure that you understand the pricing model and any additional fees associated with the solution. Consider how the costs align with your business's budget.
8. Reputation
Research the reputation of the payment processing solution. Read reviews, ask for recommendations, and assess its track record in terms of reliability and security.
The Evolution of Online Payment Processing
Online payment processing has come a long way from its early days, and its journey continues. As technology advances and consumer preferences shift, the landscape of digital payments will keep evolving. Businesses that embrace the latest trends and invest in secure and convenient payment solutions are better positioned to thrive in the digital age.
The significance of online payment processing in today's world cannot be overstated. It has revolutionized the way we shop, transact, and do business, making life more convenient for consumers and enabling the growth of countless online enterprises. As we look to the future, the trends in online payment processing, from contactless payments to cryptocurrency, will shape the way we make payments and conduct financial transactions. By staying informed, adapting to these trends, and choosing the right payment processing solution, businesses can ensure a seamless and secure payment experience for their customers and position themselves for success in the evolving digital economy.
#Memberships#Reservations#Events#Appointments#Donations#Payments#Emails#Messaging#Accounting#Reporting#Event Planning#Membership Management#Email Tracking#Marketing#Online Payment Processing#Association Management Software#Customer Relationship Management#Fitness Center Management#Membership Management Software
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Did you know? ❓ 💡 Research shows that organizations using HRIS solutions experience a 35% reduction in time spent on administrative tasks and a 50% increase in the accuracy of employee data. Visit : https://www.transformify.org
#Contingent Workforce Management#Human Resource Information System#HRIS#Applicant Tracking System#HR Software#HR Management Software#Hiring Freelancers Management#Payment Automation Software#Billing Automation Software#Automated Billing Software#Payments to Freelancers
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E-invoicing works by creating invoices electronically in a structured format, transmitting them to the recipient through a secure network, EDI, or dedicated portal, and processing them automatically with the help of e-invoice approval software. Read More: https://teem-app.com/en/what-is-electronic-invoicing-e-invoicing/
#Online Invoicing Systems#Invoice Tracking#Electronic Invoice Approval Software#Payment Methods for Freelancers
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Epic Systems, a lethal health record monopolist
Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.
How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:
https://prospect.org/health/2024-10-01-epic-dystopia/
At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."
In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:
https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given
Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:
https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled
The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.
Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"
Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.
The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.
But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/
The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":
https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf
The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481
Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."
Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.
The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:
https://pluralistic.net/2021/05/09/the-memex-method/
The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."
EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/
Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.
Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.
One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.
But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.
The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:
https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies
The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.
Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.
Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.
Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.
Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama
Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png
CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en
#pluralistic#ehrs#robert kuttner#tres#trusted research environments#ben goldacre#epic#epic systems#interoperability#privacy#reidentification#deidentification#thanks obama#upcoding#Hierarchical Condition Category#medicare#medicaid#ai#American Recovery and Reinvestment Act#HITECH act#medicare advantage#ambient listening#alert fatigue#monopoly#antitrust
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In the span of just weeks, the U.S. government has experienced what may be the most consequential security breach in its history—not through a sophisticated cyberattack or an act of foreign espionage, but through official orders by a billionaire with a poorly defined government role. And the implications for national security are profound.
First, it was reported that people associated with the newly created Department of Government Efficiency (DOGE) had accessed the U.S. Treasury computer system, giving them the ability to collect data on and potentially control the department’s roughly $5.45 trillion in annual federal payments.
Then, we learned that uncleared DOGE personnel had gained access to classified data from the U.S. Agency for International Development, possibly copying it onto their own systems. Next, the Office of Personnel Management—which holds detailed personal data on millions of federal employees, including those with security clearances—was compromised. After that, Medicaid and Medicare records were compromised.
Meanwhile, only partially redacted names of CIA employees were sent over an unclassified email account. DOGE personnel are also reported to be feeding Education Department data into artificial intelligence software, and they have also started working at the Department of Energy.
This story is moving very fast. On Feb. 8, a federal judge blocked the DOGE team from accessing the Treasury Department systems any further. But given that DOGE workers have already copied data and possibly installed and modified software, it’s unclear how this fixes anything.
In any case, breaches of other critical government systems are likely to follow unless federal employees stand firm on the protocols protecting national security.
The systems that DOGE is accessing are not esoteric pieces of our nation’s infrastructure—they are the sinews of government.
For example, the Treasury Department systems contain the technical blueprints for how the federal government moves money, while the Office of Personnel Management (OPM) network contains information on who and what organizations the government employs and contracts with.
What makes this situation unprecedented isn’t just the scope, but also the method of attack. Foreign adversaries typically spend years attempting to penetrate government systems such as these, using stealth to avoid being seen and carefully hiding any tells or tracks. The Chinese government’s 2015 breach of OPM was a significant U.S. security failure, and it illustrated how personnel data could be used to identify intelligence officers and compromise national security.
In this case, external operators with limited experience and minimal oversight are doing their work in plain sight and under massive public scrutiny: gaining the highest levels of administrative access and making changes to the United States’ most sensitive networks, potentially introducing new security vulnerabilities in the process.
But the most alarming aspect isn’t just the access being granted. It’s the systematic dismantling of security measures that would detect and prevent misuse—including standard incident response protocols, auditing, and change-tracking mechanisms—by removing the career officials in charge of those security measures and replacing them with inexperienced operators.
The Treasury’s computer systems have such an impact on national security that they were designed with the same principle that guides nuclear launch protocols: No single person should have unlimited power. Just as launching a nuclear missile requires two separate officers turning their keys simultaneously, making changes to critical financial systems traditionally requires multiple authorized personnel working in concert.
This approach, known as “separation of duties,” isn’t just bureaucratic red tape; it’s a fundamental security principle as old as banking itself. When your local bank processes a large transfer, it requires two different employees to verify the transaction. When a company issues a major financial report, separate teams must review and approve it. These aren’t just formalities—they’re essential safeguards against corruption and error.
These measures have been bypassed or ignored. It’s as if someone found a way to rob Fort Knox by simply declaring that the new official policy is to fire all the guards and allow unescorted visits to the vault.
The implications for national security are staggering. Sen. Ron Wyden said his office had learned that the attackers gained privileges that allow them to modify core programs in Treasury Department computers that verify federal payments, access encrypted keys that secure financial transactions, and alter audit logs that record system changes. Over at OPM, reports indicate that individuals associated with DOGE connected an unauthorized server into the network. They are also reportedly training AI software on all of this sensitive data.
This is much more critical than the initial unauthorized access. These new servers have unknown capabilities and configurations, and there’s no evidence that this new code has gone through any rigorous security testing protocols. The AIs being trained are certainly not secure enough for this kind of data. All are ideal targets for any adversary, foreign or domestic, also seeking access to federal data.
There’s a reason why every modification—hardware or software—to these systems goes through a complex planning process and includes sophisticated access-control mechanisms. The national security crisis is that these systems are now much more vulnerable to dangerous attacks at the same time that the legitimate system administrators trained to protect them have been locked out.
By modifying core systems, the attackers have not only compromised current operations, but have also left behind vulnerabilities that could be exploited in future attacks—giving adversaries such as Russia and China an unprecedented opportunity. These countries have long targeted these systems. And they don’t just want to gather intelligence—they also want to understand how to disrupt these systems in a crisis.
Now, the technical details of how these systems operate, their security protocols, and their vulnerabilities are now potentially exposed to unknown parties without any of the usual safeguards. Instead of having to breach heavily fortified digital walls, these parties can simply walk through doors that are being propped open—and then erase evidence of their actions.
The security implications span three critical areas.
First, system manipulation: External operators can now modify operations while also altering audit trails that would track their changes. Second, data exposure: Beyond accessing personal information and transaction records, these operators can copy entire system architectures and security configurations—in one case, the technical blueprint of the country’s federal payment infrastructure. Third, and most critically, is the issue of system control: These operators can alter core systems and authentication mechanisms while disabling the very tools designed to detect such changes. This is more than modifying operations; it is modifying the infrastructure that those operations use.
To address these vulnerabilities, three immediate steps are essential. First, unauthorized access must be revoked and proper authentication protocols restored. Next, comprehensive system monitoring and change management must be reinstated—which, given the difficulty of cleaning a compromised system, will likely require a complete system reset. Finally, thorough audits must be conducted of all system changes made during this period.
This is beyond politics—this is a matter of national security. Foreign national intelligence organizations will be quick to take advantage of both the chaos and the new insecurities to steal U.S. data and install backdoors to allow for future access.
Each day of continued unrestricted access makes the eventual recovery more difficult and increases the risk of irreversible damage to these critical systems. While the full impact may take time to assess, these steps represent the minimum necessary actions to begin restoring system integrity and security protocols.
Assuming that anyone in the government still cares.
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The Dow is on track for its worst April since 1932—the bleakest year of the Great Depression. Nearly a century later, markets are once again facing economic turbulence on a historic scale.
Trump's approval rating drops to 42%, the lowest it's been since he became president, according to a Reuters/Ipsos poll.
A cutting-edge microscope at Harvard Medical School could pave the way for major breakthroughs in cancer detection and aging research—but its progress is now at risk. The scientist who created the software to analyze its images, 30-year-old Russian-born Kseniia Petrova, has been held in immigration detention for two months. Arrested in February at a Boston airport, Petrova is now detained in Louisiana, facing possible deportation to Russia, where she says she fears imprisonment for protesting the war in Ukraine. Her case highlights the tension between immigration policy and the U.S.'s reliance on global scientific talent.
The Department of Homeland Security denied Mahmoud Khalil permission to be present for the birth of his first child, which took place Monday at a hospital in New York. Instead, Khalil had to experience the moment over the phone from Jena, Louisiana—more than 1,000 miles away from his wife, Dr. Noor Abdalla, who delivered their baby boy. The case has sparked criticism over DHS's handling of family and humanitarian considerations.
The White House is considering policies to encourage more Americans to marry and have children, including a potential $5,000 “baby bonus,” according to The New York Times. The proposals align with a broader conservative push to address falling birth rates and promote traditional family values. Other ideas on the table include reserving 30% of Fulbright scholarships for applicants who are married or have children, and funding educational programs that teach women about fertility and ovulation.
A group of Venezuelan migrants facing removal under a broad wartime authority challenged the Trump administration’s deportation process at the Supreme Court, arguing the notices they received don’t meet legal standards. The ACLU, representing the migrants, said the English-only notices—often given less than 24 hours before deportation—violate a recent Supreme Court ruling requiring enough time for individuals to seek habeas review.
The Education Department announced it will start collecting student loan payments from over 5 million borrowers who are in default. This means it will begin taking money from federal wages, Social Security checks, and tax refunds. This move comes as pandemic-era protections for student loan borrowers continue to wind down.
Tensions are rising within the Arizona Democratic Party as the state party chair is at odds with the governor and U.S. senators. In response, officials are considering shifting 2026 campaign funds to local county Democrats.
The U.S. Department of Commerce has announced substantial tariffs on solar panel imports from four Southeast Asian countries—Cambodia, Vietnam, Thailand, and Malaysia—following a year-long investigation into alleged trade violations by Chinese-owned manufacturers operating in these nations. The tariffs, which vary by country and company, are as follows:
Cambodia: Facing the steepest duties, with tariffs reaching up to 3,521%, due to non-cooperation with the investigation.
Vietnam: Companies may face duties up to 395.9%.
Thailand: Tariffs could be as high as 375.2%.
Malaysia: Duties are set at 34.4%.
Senator Adam Schiff is urging the National Archives to investigate the Trump administration's use of Signal and similar messaging apps. He emphasized the need for NARA to reach out to every federal agency involved to make sure all relevant records are preserved. This comes amid growing concerns over transparency and potential violations of federal recordkeeping laws.
#aaron parnas#current events#news#america#politics#political#us politics#donald trump#american politics#president trump#elon musk#jd vance#law#trump administration#trump#trump admin
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