Abstract: A system and method for improved medical billing, payment, record keeping and patient care. The system and method includes a patient room computer containing a time clock algorithm, an electronic card reader connected to the patient room computer for reading a patient electronic card and for providing patient information contained on the patient electronic card to the patient room computer, a medical practitioner electronic security key operatively coupled to the time clock algorithm, a digital audio recording and storage device coupled to the patient room computer for recording and storing discussions between a medical practitioner and a patient, and a means for activating the digital audio recording and storage device when a medical practitioner enters a patient room.