Archive for April, 2007
Pediatric EMR – Electronic Medical Record
Why the need for a special Pediatric EMR module or program? The original EMR system was developed primarily for out-patient adult services. Since EMR is the wave of the future as deemed by the Federal Government, there became a necessity to include pediatric information.
The information previously lacking was:
- Newborn Screening records
- Immunization Records
- Wellness Child Exams
- Growth Records
- Pediatric Narrative Templates
- Pediatric Examination Templates (by age)
- Pediatric SOAP Note Templates
- Patient Pictures
- Pediatric Image Management
- Collection of Family Structure
- Birth
- Adoption
- Step-Children
- Child-Abuse
- Foster Children
- Genetic Information Collection
- Newer Family Identification Methods, indexing the family together
==>More Pediatric EMR Information
Although every EMR system contains templates, the earlier versions did not include an easy way to accept the additional information relating to pediatric care. Physicians and caregivers simply did not have the time to design their own database structure and care for patients at the same time.
With the newer enhanced systems, Pediatric EMR has become a reality and “paper-less” offices are becoming a standard way of practice. From scanners to hospital networking, the physician can now retrieve 98% of a patient’s information:
- Lab Tests and Results
- Radiology Tests and Results
- Cardiology Tests and Results
- Dictated Reports
And much more…
==>Your IT Department and Pediatric EMR system selection RFI
How is all this possible? Hospitals and medical facilities are storing all this data. As they strive for a consistent Master Patient Index (MPI) repository, this data can be gathered from disparate systems and stored in a central location. Most facilities and medical systems are capable of sending HL7 (Health Level 7) messages. This is a real-time connection between systems that keeps data current across all applications and available immediately to be viewed by an authorized person.
So now, a pediatrician with a Pediatric EMR equipped solution, can have data fed to their “stand-alone” application at their local office. Although, this arrangement needs to be authorized by the medical facility, which brings up another issue – HIPPA!
Medical Billing services are now offering EMR as an add-on to the services they provide along with scheduling, billing, collection, and all the back-office services. Primarily physicians of a medium to large group can benefit from such a service.
There’s multiple solutions depending on the needs of the physician and the amount of staff to support the infrastructure. Favorably, this segment has grown in regards to the quantity of EMR vendors and their capabilities.
Soon will be the day when you walk into a doctor’s office and no longer see rows and rows of manila folders (charts). Instead, you will see them viewing Pediatric EMR information from a touch-screen computer in the patient room.
Choosing an EMR is like getting married: Unless you make a really lousy choice, you will be happier than before. It can take as long to find an EMR as a spouse, and it’s a huge deal to divorce your EMR and wed another. I’m still waiting to see if I have a midlife crisis with my EMR.
More: continued here
Processes involving large volumes of complex billing transactions require effective mechanisms for problem assignment and tracking. Without such mechanisms, billing personnel cannot be held accountable for problem resolution, resulting in loss of revenue and increased compliance risk. While medical billing industry has developed specialized systems and processes for resolution of content problems, little attention has been paid to billing process problem resolution methodology. This article outlines a process and a technology for integrated billing process problem resolution methodology.
More: continued here
Financial care plan is an important component of practice building strategy as it helps the patient to afford the care while establishing a guaranteed cash flow to the provider. But tracking multiple patient care plans becomes difficult upon reaching large numbers of patient visits, impeding continued development of the clinic. Outsourced billing services leveraging integrated technology helps chiropractic clinic overcome care plan management complexity and building successful large-volume practice.
More: continued here
Arcane terminology and complex rules for payer- and time-dependent claim validity and pricing interpretation plague medical billing industry, resulting in massive payments of invalid or ineligible claims and denials of error-free claims. Billing service transparency allows participants of the billing process to expedite error identification and resolution, resulting in reduced over- and under-payments and improved regulatory compliance.
More: continued here
Benchmark-driven performance management helps establish objective industry standards. Medical service providers can use benchmarking to compare performance of their billing service and measure their improvement over time. This article presents a prototype for a rule-based chiropractic index, including its coverage definition, update cycle, volume weighting, and provided information.
More: continued here
September Billing Performance Index (BPI) underperformed August value by 5.6%, replacing five participants in the list of top ten performers and dropping the index from 16.3 down to 21.9. This article describes a fourth iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information.
More: continued here
Patient loyalty is key to continued practice success in terms of both recurring and new revenue. Frequent patient communication is the only effective way to increase the likelihood of timely loyalty problem identification and resolution. Such patient communications can be driven by a any of the practice management components, starting with patient scheduling, to SOAP notes, to special health care literature, to medical billing, insurance payments, copays, and deductibles.
More: continued here
Insufficient SOAP notes are the most frequent reason for failing a post-payment insurance audit. Timely filing of compliant SOAP notes and submission of congruent insurance claims are the most mission critical parts of any chiropractic office automation solution. But SOAP notes and insurance billing software are also the most complex parts of such solutions, often confusing doctors and assisting personnel and degrading practice profitability. Component-driven Vericle SOAP notes are both audit-proof compliant and require minimal time spent for visit documentation.
More: continued here
Doctors and therapists must produce clinical documentation in ever increasing volumes and detail to ensure best healthcare, get medical claims paid in full and on time, and protect the practice from post-payment audits and unfair litigation. SOAP notes must not merely emulate the paper folder that every doctor has for every patient. They must use computer technology to help automate routine tasks and create a faster, easier, and error free process to increase practice profitability and reduce its audit risks.
More: continued here





