Manage Prior Authorizations from your EHR

It’s no secret that providers’ offices find prior authorization (PA) for medications frustrating and time-consuming. In fact, PA is named as one of the biggest burdens for the offices with 50 percent of the providers stating that  their staff spend up to 20 hours per week on PA requests. Completing forms, time on the phone and faxing leaves 40 percent of prescriptions abandoned. Read more ›

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Do we need EMR Lite?

Several non-EHR users are beginning to see the value of an EMR and are taking the path of going paperless and staying connected.  As some providers continue the use of HIEs (Health Information Exchanges) some of the caregivers are turning to the new EHR alternative being offered, called ‘Lite-EHR’.  This helps physicians to have immediate access to all patient treatment information.  It also permits the highest level of care possible resulting in improved workflow, reduced costs and better patient care.  Read more ›

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Know How – Advancements in Cardiology Billing

The physicians are trying to withstand the research advancements in diagnosis and treatment procedures of cardiac ailments. To cope with these advancements of cardiac care standards, physicians rarely find time and resources that can manage billing and coding of their services. This can affect the revenue generation, patient inflow, referrals and much more. Read more ›

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Getting the Most out of MIPS Part 3: What you need to know about Improvement Activities in 2017

In the final part of this series, we will explore the Improvement Activities and how to get the maximum score. To learn how to optimize the score for Quality and Advancing Care Information, read my previous blogs.  Improvement Activities (IA) is one of the four performance categories for MIPS and accounts for 15% of the Composite MIPS Score. IA assesses how much you participate in activities that improve clinical practice such as care coordination, patient safety, expanded practice access, patient engagement and population management. Read more ›

Posted in MACRA Tagged with: , , , , , , , ,

Prevention is better than Cure – Same goes with the claims

Approximately 40% of all medical claims contain errors. With strict insurance guidelines for medical billing and coding and constant changes to billing rules, many of these claims are likely to get rejected. The cycle of submission, rejection, editing, and re-submission can take weeks, often resulting in providers waiting for months before receiving payment for their services. Not only is this significant administrative cost, but also an average of $25 is taken from the practice per claim for corrected claims, re-submissions, paper submissions, appeals & human efforts utilized for these rejected claims. Eventually, we do get paid for some of these claims however, this brings down the practice profitability to approximately 50%. Read more ›

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Sunset To Consultation Reimbursement

Technology is considered to be driving force behind improvements in the health care system. Health informatics agree that research and treatments allow medical providers to use new tools and find innovative ways to practice medicine into the future. One of the tangible ways the technology has changed healthcare is that it has increased the accessibility of treatment. Secondly, it has improved care and efficiency making patient care safer and more reliable in most applications. Lastly, the software has improved disease control which allows medical professionals and researchers to track, retrieve and utilize valuable data in the fight to control disease and provide better healthcare outcomes. Read more ›

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Getting the Most out of MIPS Part 2: How to achieve 100% Score in Advancing Care Information Performance Category

In part 1 of this series, we saw how to maximize your score in Quality Performance Category. In this blog, we’ll talk about Advancing care Information and tips for achieving 100% performance in this Category. Advancing Care Information (ACI) is one of the four performance categories for MIPS and accounts for 25% of the Composite MIPS Score. It replaces the Medicare EHR Meaningful use incentive program.

Advancing Care Information will be reweighted as 0 for Hospital based Clinicians, non-patient facing clinicians, NP, PA, CRNAs, and CNS. Clinicians can apply to have their ACI weighted to 0 and the 25% assigned to Quality performance category for the following reasons: Read more ›

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iPediatric EHR – A Flawless Platform to keep track of a Child’s Growth & Nutrition

iPediatric EHR is a perfect solution for the Pediatricians. A Pediatrician treats childhood illnesses including physical, behavior, and mental health issues. This software enables you to create and maintain a complete family profile. The Pediatricians have one click access to the charts and other useful features. This is the only EHR that is designed to meet the unique needs of pediatrics practices. iPediatric EHR comes with comprehensive templates and workflow for Annual Physical Exam, Well Child Visit, Sick Visit, Growth Charts approved by CDC and WHO consisting of information like weight, age, stature, BMI, Head Circumference, etc. Additionally it contains Special Growth Charts for Down’s syndrome and premature baby. Read more ›

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Getting the Most out of MIPS Part 1: Maximizing your Quality Performance Category Score

MIPS (Merit-based Incentive Payment) is one of the pathways under MACRA Quality Payment Program  which streamlines multiple quality reporting programs and provides payment adjustments to eligible clinicians based on their performance across four performance categories – Quality, Cost, Improvement Activities and Advancing Care Information. Cost Category is not being scored in 2017. In this 3 part series, we will explore the performance categories and how to optimize your score in each of the categories. Read more ›

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Watch out “Bundling”: Maximize profits through Revenue Cycle

It is not easy as it used to be to manage the financial aspect of any healthcare practices. The providers have to face complex challenges as day to day the Government is changing the rules and regulations. Anyone who is involved in the operational aspect of the medical office or healthcare facility understands that there are many situations that require making educated and rule-based decisions on various factors. Some of them being, use of the medical code bundling and the use of modifiers. Read more ›

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