5 Things you don’t know that Medisoft and ChiroTouch EMR software can do for your practice

5-things-you-dont-know-that-medisoft-and-chirotouch-emr-software-can-do-for-your-practiceTechnology is being infused in all industries and the healthcare field is not behind. Be it a solo practice, healthcare centre or a medical billing company, technology is being used avidly. Usage of the right software is aiding in organizing the workflow and making the billing processes more efficient and effective. Though it is recommended to use the software that best fits your needs, two EMR softwares – Medisoft and Chirotouch can make the insurance billing and coding processes a lot more speedy, simpler, and effectual.

Here are 5 ways in which these two software can be of immense use in billing and coding procedures:

Medisoft:

Medisoft is extremely easy to use practice management software which displays an explanation for all the screens available with the help of pop-up windows. It becomes easy for the biller to input the records of the patients submit the insurance claims and successively manage the receivables. The billing and coding team can easily customize the toolbars, search for information while the backups are automatically scheduled. Also, as per HIPAA requirements, if the computer is idle for too long, it automatically logs off users preventing the hacking of records. It also updates the patient chart automatically with a single click.

Medisoft helps in generating a treatment plan for the insurance payment approval, for the patient prior to services being performed; along with informing patients about co-pays and deductibles. Medisoft follows and tracks the visits of patient in the treatment. Also, it keeps track of the payments made by the patient and gives pop-ups for the outstanding payments due. The payments made by patients is automatically matched to the charges billed and in case of non-payments, it is tracked.

Medisoft stocks up to 26 prices for each procedure along with codes as per HIPAA requirements; along with billing information for all types of health insurance. It also provides the facility for checking errors thereby decreasing rejections and enhancing payments.

With the facility of electronic patient statements, it can process and mail statements on time and remind the patient of payments accordingly. Also, with the facility with aging reports, it can track and inform about the past-due payments, if any.

Medisoft can be useful in writing collection letters, and printing patient statements. Medisoft streamlines processes such as: Patient Daysheet in Medisoft can close the day’s accounts accurately and timely; Practice Analysis report can be used for adjusting accounts; and with Patient Referral Report, one can subsequently track and acknowledge referral sources. Appointments can be scheduled automatically with Medisoft. Security levels are assigned in Medisoft to each employee for protection of data. With the help of Contact Log, communication can be maintained and tracked with pharmacies and insurance carriers. In Medisoft Clinical, tools such as templates, dictation, and digital pen can effectively be tailor made as per preferences.

ChiroTouch:

ChiroTouch can be used by solo practitioners as well as hospitals. It is another state of the art practice management software designed especially for chiropractic practice. Appointment scheduling, and patient billing and coding processes become much easier with this software. ChiroTouch allows for customization based on requirements and manages all the patient data at one place. ChiroTouch can run reports and figure out the patients who do not have an appointment, hence schedule it accordingly. Financial reports can be moved into excel format for setting goals for collections. Patients can view their x-rays and bills on the computer and download the details for future references accordingly. It complies with HIPAA standards and provides complete privacy and security. Preloaded forms on ChiroTouch can be customized as per requirements. ChiroTouch also supports the paper and electronic version on HCFA form billing. Reports can be filtered; and with CTScheduler, accurate schedules can be maintained for efficient organization. New MS Word templates can be added as well for effective workflow management.

Medical Billers and Coders use both these software for clinical documentation, practice and patient record management services. This aids in efficient medical billing and coding services ensuring cost-effectiveness, and revenue maximization. Medical Billers and Coders also use these software for simpler accounting of payments (matching of charges to actual payments). The team can create customized claim forms as per insurance regulations. And as codes (ICD, CPT, HCPC) are automatically installed in the software, billers and coders get updated details and can submit claims for automatic and timely reimbursements.

 EMR software can deliver the highest quality of clinical outcomes, along with providing the means to efficiently garner apt revenues.

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What Are The Things That Will Impact On Medical Billing Companies Over The Next Year?

The-Things-That-Will-Impact-On-Medical-Billing-Companies

Medical billing has always remained an important element of health care industry in US. This year there were major changes witnessed in Medicare and Medicaid services in USA. The “bill” that President Obama signed this year was to fix the much feared “SGR” –Sustainable Growth Rate which was showing the signs of decline in these many years. The bill is about rewarding the value and not volume.

Congress emphasizes more on providing quality care than just curing them and sending them away with a treatment bill. The introduction of the new medical codes has led to major transformations in the medical industry, and it is clear that these changes will be impacting medical billing companies over the next year. How? Let’s see……..

Switching From Quantity to Quality

Recent survey says that 4 out of 10 adults in US do not go to the doctor when they feel that they should have because of no health insurance coverage. The primary reasons that came out of having “No Medical Insurance”  –  1) Because of choice 2)Because of gender, health history, age etc.

With this new reform, the individuals require to have health insurance coverage for themselves along with insurance companies to provide them cover irrespective of their health history, age and gender. Now more people enrolling for the insurance, obviously there will be a boom witnessed in health insurance coverage. Since, more claims will be processed more qualified staff are to get onboard. This is how the new reform will focus on providing quality over quantity.

The dispensing of medical claims will go through the new set of rules. This new law aims to enhance the timing of the revenue and reimbursements. With hundred different critics forecasting billing errors and increase in the expenses; resulting into more confusion (which is just a misperception) – there is no such slip up happening; in fact it will streamline the process making it easy, less of hassle, and quick turn-around time.

A trickle-down consequence could arise thus; dropping what doctors are willing or able to pay for outsourced services i.e. Medical billing services.

Medical billing companies may witness some significant impact like:

Expensive Qualified Resources:

Increase in job dissatisfaction amongst medical billing professional, turning them over other careers leaving a huge dent in terms of qualified resources. Hiring qualified people for the medical billing could turn out to be expensive.  Even hiring one new resource, along with that there will be training costs, salary, benefits and other compensation to think of.

Staying Updated With The New Codes & Software:

As per the new reform, the proposed codes shall be used as a quality measurement tool which will offer a patient to give feedback about the medical care he/she took, the entire evaluation of the doctor and the treatment offered. Majority of the medical billing companies are using EHRs however, there are varied versions that support the doctor’s requirements. Now each of these companies will have to ensure that their software is up to the mark, with all the necessary changes and error free.

Keeping Tab on the Regulatory Changes:

The transition of the new Medicare has created a plethora of confusion for physicians and medical practitioners let alone the billing companies. 60000+ diagnosis, patient allowance, reimbursements, and treatment codes are some of the significant changes that now the medical billing and coding companies has to adhere to.

Nearly all insurance plans; both federal and state have to undergo the changes as per the new reform. Thus; keeping up with the regulatory changes could prove to be bit of hassles for these billing companies as their will be good long process to transform and get into this new transition.

Closing Thoughts

Millions of dollars are billed every day. With this new law; the healthcare industry will be shifting to quality than quantity.  There might be temporary annoyance; trouble and confusion and temporary squeeze of cash flow  but in the long run this will be surely giving positive results in terms of both monetary and efficiency.

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How Your Staff can be your Biggest HIPAA Vulnerability

Medical Billing serviceConfidentiality and security in the healthcare industry is of paramount importance today. Without a patient’s authorization, no personal health information can be shared or used. HIPAA (Health Insurance Portability and Accountability Act) was established in 1996 to set national standards for the confidentiality, security, and transmissibility of personal health information. Under this Act,
healthcare providers are required, to protect and keep confidential any personal health information of patients. The Rule also gives patients rights to their health information, including rights to obtain a copy of their medical records, and request corrections.

Healthcare breaches can happen due to a number of reasons, paramount being potential economic gain. Moreover, due to the digitization of records and the wearable devices, healthcare industry faces the biggest threat to patient information by cyber criminals.  But, they face the biggest challenge of security of the sensitive information not just from third party vendors but also from within the organization itself.  Today with third-party vendors employed to handle the processing and workflows, that include verification and eligibility of patient information for insurance coverage that helps in reducing claim dismissal, the need to maintain confidentiality and security goes a notch higher. However, very often it is employees within the industry itself who can inadvertently leak information and be your biggest HIPAA vulnerability.

Given the statistics, as per the Protenus Breach Barometer, November 2016 saw the most breaches committed this year so far. With 57 reported incidents, 54 percent was caused by employees(insiders) itself (see inbox for more stats).Added to this significant incident, the report stated that 60 percent of the breached parties took longer than the 60-day window required to report breaches to the department of Health and Human services. Let us see how the healthcare staff inside our own organizations can be the biggest HIPAA vulnerability factor:

 Manual maintenance of Medical records – Given that the practice of Electronic Medical record keeping is yet to be streamlined, mishandling of patient records is seen as a common HIPAA violation. When a practice uses written patient charts or records, a physician or nurse may accidentally leave a chart in the patient’s exam room available for another patient to see. Hence it is very essential to initiate the EMR– Electronic medical record system as early as possible.

Vulnerabilities in the IT system: Laptops & Mobile devices are the most vulnerable to theft. Very often doctors and administrators carry patient information in their mobile devices or their laptops.  If such devices are not password protected and data not encrypted then access to patient-specific information is very easily available.

The quick communication channel: Although it may seem easy and simple to text patient information this confidential information can be easily accessed. Not everyone, be it the doctors or even the patients realize that this is confidential information, be it blood test results or any other patient related information. And, both parties need to have encryption on their devices, which may not always be the case.

Use of Social Media – Even giving examples of diseases by showing a patient’s photo on a social media site even if the intention is to throw light or make people aware of the problem, is and can be considered a HIPAA violation.

Accessing patient information on home computers – More often than not, clinicians will often use their home computers or laptops from home to access patient information to record notes or check on follow-ups – this too is a HIPAA violation.

Resource crunch: Smaller clinics may not have the resources to put certain IT measures into place like encryption etc. But, even carrying a patient’s Medicare card in a wallet by a doctor is considered a HIPAA violation, as it contains the patient’s Social Security Number (SSN).

 Water cooler or break room gossip:  Simply just talking about patient’s to friends and co-workers is known to be a HIPAA violation that can cost a practice a significant fine. Employees must be mindful of their environment, restrict conversations regarding patients to private places, and avoid sharing any patient information with friends and family.

Thus, unless we bring in certain measures and protocols within our own systems to enlighten our own staff about HIPAA violations, just handing over certain workflows and processes to third party vendors and assuming that security measures are in place will not help. Regular trainings and audit checks of the various in-house systems and processes are a must to ensure that HIPAA violations are not being broken. Moreover, certain IT security measures too must be included in the audit to enhance security measures and Patient Health Information (PHI) from being hacked and lost

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The Facts about MACRA Every Physician Should Know

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MACRA – Medical Access & Chip Re-authorization ACT is a new initiative, a new reform that has assured to have a better and efficient modified version of medical service system of the USA from the previous one. It is a bilateral federal legislation law signed, which was made official and announced on 16th April, 2016.

Among-st several healthcare changes that have altered under “MACRA”; the major attraction of this new reform is it inaugurates new ways when it comes to paying physicians. This law also incorporates funding for development and testing, and technical assistance.

The law is believed to have all the potentials to restructure US healthcare industry. The federal department of health and human services will be drafting new rules and regulations of this new reform.

Everybody who is busy discussing MACRA including medical billing services; with all “ifs and buts” the facts can be found below mentioned.

The core facts of MACRA that every physician and Medical billing provider should know are:

#Fact 1

MACRA cancels the SGR formula which resolute reimbursement rates for the physicians. This new reform has replaced it by offering various ways of paying for the healthcare. The physicians will be paid based on the care and quality provided (i.e. effectiveness, performance).

With the revised revenue cycle management for the physician the payments will vary depending on how well they are performing and not on the volume like present medical service system.

High value care will be demarcated measuring the efficiency and quality provided by the care providers and this is how their earnings will vary depending on their performances.

#Fact 2

MACRA has initiated value base payment approach that consists of 2 renewed compensation structures.

These 2 reimbursement modes are:

  1. MIPS – The Merit Based Incentive Payment System is a combination of Value Based Payment Modifier (VBPM), Medicare Electronic Health Record (EHR) and Physician Quality Reporting System (PQRS). This payment system comes featured with the salient features of the above mentioned programs.

Under this payment system the physician’s performance will be measure and paid on:

  • Clinical practical improvements
  • Optimal use of Certified EHR technology
  • Quality
  • Resource that have been used
  1. APMS – Alternative Payment Models offers a different way to compensate physicians against the care they have provided to the Medicare recipients. Healthcare professionals who are actively participating in APMS model will also be imperiled to MIPS however; will receive only promising scoring.

Care providers/Physicians that are partaking in the advanced level of APMs which includes Bundled Payment Models, Patient Centered Medical Homes and Accountable Care Organizations are not subjected to MIPs.

#Fact 3

With so much hype and myths created of MACRA when it comes to penalization; there are certain realities to know.  Well the fact remains that physicians still can choose to continue work under FFS model and they are still eligible to participate in MIPS program.

#Fact 4

All qualified physicians will have to report under MIPS program in the course of first year. Centers for Medicare & Medicaid Services (CMS) will be choosing eligible physicians to further participate in AAPMs after assessing the value scores.

#Fact 5

MIPs program is structured to streamline the entire process which accommodates four different models under one. Under MIPS, clinicians will only have to pay 4% penalty during the primary year instead of paying separate and expensive penalties when unable to meet varied pay for performance programs.

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How much Revenue does an average Oncologist Earn in Florida

oncology billing service

An Oncologist is a cancer specialist who is an expert in treating patients affected by all types of cancer. Radiation Oncologists are specialists who apply radiation therapy to destroy cancer cells or attack malignant tumors and help cure the patients or offer them whatever relief possible. Oncology revenue management experts believe that oncologists need to take specialized training just like any other specialist and their salaries or revenues are generally higher than that of most other specialists.

Oncologists’ earnings

Oncology billing guide provides details of the specific codes to be used while billing and whether it is an oncologist or radiation oncologist with more specialized training, the guidelines remain the same. However, radiation oncologists command a better salary because of the specialized training they undergo. Almost 50 percent of the cancer patients would need radiation therapy during the extended course of treatment as per reports from the National Cancer Institute. A radiation oncologist’s salary is at par with that of a hematologist-oncologist as per industry surveys. The annual salary of a radiation oncologist was $477,807 as per the survey reports of Medical Group Management Association (MGMA) which was conducted in 2011. However, the reports of the medical head hunting firm Jackson $ Coker reports a lesser amount at $367,978 as annual salary of an average Oncologist.

Pediatric Oncologists’ earnings

A Pediatric Oncologist just out of medical school is just halfway through the training and has to spend close to another three years as a resident. This will be followed by another three years in fellowships, honing the skills required to treat children down with cancer and counseling the parents who are often distraught and beyond hope. Oncology billing providers need to check the guidelines while scanning billing for pediatric patients.  The average earnings of a first-year pediatric oncologist, after six years of grueling training are in the range of $175,000 per year, as per a survey conducted in 2011 by Profiles, a medical staffing company.

Even at these figures, Pediatric Oncologists don’t seem to be faring better than other peers like hematologists/oncologists treating adults who have a median income of $320,907 per year, which is a good 50 percent higher than that of a Pediatric Oncologist according to MGMA’s survey. Oncology billing guidelines for specialists like gynecologist-oncologists provide clear details about the coding to be followed. Gynecologist-oncologists earn better salaries at $320,907, whereas a family physician needs to be content with an average earning of $208,851 per year. While Pediatric Oncologists are not exactly starving, it is a specialty that hardly attracts skilled specialists who would rather seek greener pastures.

In comparison to other specialties         

When compared to other medical specialties radiation oncologists seem to be doing rather well. According to the MGMA survey radiation oncologists rank 20th in the list of highly paid specialties. Of course, some cardiology sub-specialties like electrophysiology command almost double the salary at $601,111 per year, and even diagnostic radiology showed impressive figures at $513,000 according to the same survey reports.

But as per reports released by Jackson & Coker the average yearly earnings of an anesthesiologist is $365,412 and for a gastroenterologist it is $430,882 and a otolaryngologist can hope to earn $372,479 as yearly salary, which are considered well paid in their respective fields.

The outlook is quite positive with the Bureau of Labor Statistics predicting a healthy trend in the salaries of the medical profession, with an almost 24 percent growth rate by the year 2020. When compared to other occupations, the medical profession seems to be faring far better. With less people opting to become Oncologists there is bound to be a great shortage of these specialists by the year 2020, which will automatically push up the yearly salaries for this specialty.

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Boost EHR Security for your system for better results

EHR system

EHR or Electronic Health Records, also often referred to as EMR or Electronic Medical Records is a very complex system that all medical practices need to implement. However, it is equally important that the security aspect is well taken care of. In short, EHR is here to replace the cumbersome paper medical records and charts that a physician needs to maintain for his or her patients. An EMR or EHR system involves scanning and digitizing all existing paper records along with the related medical charts and integrating them into a rather complex system.

Diagnosis is easy with EHR

As a provider when you have EHR you will be able to have direct access to the patients’ detailed health information. This detailed information will give you an overall picture about the patients’ condition making diagnosis a lot easier and faster. EHRs are meant to keep records of patients’ medications, allergies and look out for any problems that may arise when the medication is changed. This information is conveyed to the clinician immediately.  Even life threatening allergies are recorded in EHRs and alerts are sent to the emergency staff.

Security Angle

As far as the security angle is concerned providers should be aware of HIPAA or the Health Insurance Portability and Accountability Act, which is enforced by the HHS office for Civil Rights (OCR). Health care providers need to abide by their obligations that come under the purview of the Privacy and Security Rules. While converting your records to EHR helps maintain better quality and offers ready accessibility, the obligations that providers have to keep such patient information private and secure remain unchanged.

Patients’ Rights

The HIPAA Privacy Rules entitle the patients with certain rights over their health information that is privy to providers and physicians. Irrespective of whether the records are maintained in paper form or electronic form the Privacy Rule entitles a patient to:

  • Demand to view your medical record or request for a copy
  • Have mistakes promptly corrected, if any
  • Be informed about how the information is kept and shared (with whom)
  • Have the right to decide how and where a health care provider may contact the patient
  • In the event of any of the rights being violated, the patient has the right to file a complaint through the OCR website at hhs.goc/ocr

All these rights are given in detail in the Notice of Privacy Practices that the patient is entitled to get from the doctor’s office or hospital. The healthcare providers may also send the patient a copy of the notice via mail.

Access to the information is protected by passwords or PIN numbers. The stored information needs to be encrypted to enhance the security so that no unauthorized person is allowed access without prior permission. Decrypting the information requires a special key that is available only with the authorized personnel. Details of who accessed the records and the changes made, if any can be got through what is known as “audit trail”. In case unauthorized personnel get to see a patient’s records the patient needs to be notified by the doctors, hospitals or healthcare providers about the breach of health information.

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Regaining Control Over your Oncology Billing this season

oncology billing serviceUnderstanding that legitimate and productive oncology billing, coding, and collections are indispensable to run an effective oncology practice, Medical Billers and Coders have a robust system in place that helps doctors/physicians to regain control over their practice. As an Oncology practitioner financial strength of your practice is directly related to timely billing and reimbursement.

Effective revenue cycle management guarantees that health care providers can concentrate on what is most important them: giving quality care to their patients. But, they always struggle to bill for their services successfully, and it may have something to do with your in-house billing staff.  May be a large number of errors are being overlooked, or the timely claims submission cycle is not being adhered too, reason could be many.

Oncology and Radiology has different complex techniques which includes general EHR updation and payment handling. And in such a situation, it is difficult to find a trustworthy billing and coding agency that can do the tedious, but the important task of handling your Revenue Cycle Management.

You require the assistance of experts who can help you in regaining control of your Oncology billing, so that you can focus on this which is more important to your practice, which is patient care and consideration. And, if the thought of outsourcing the requirements has already crossed your mind, then Medical Billers and Coders should be your right option.

Below are some of our expertise that assists Oncology Practitioners in gaining control of their billing this season.

A comprehensive approach towards Oncology EHR Management

Medical Billing for Oncology is somewhat unique in when compared to different practices. There are some terms and conditions in Oncology Coding and Billing, which are not common to most of the in-house billing staff. This can lead to coding errors which is main cause of loss of revenue in the billing structure. We have a trained set of employees who are carefully working just to guarantee that our clients (which are the Oncology practitioners) get what they want from our Medical Billing Service, which is streamlining the income cycle.

 A professional team at your disposal 24/7 

One thing which every physician needs to regain control over his/her practice is a dedicated team of medical billers and coders, who can manage and solve any bill related query at given point of time. Our certified billers and coders have the capacity and knowledge, which makes your practice easy to manage. We abide to all the rules and guidelines set by HIPAA and you can be assured that every one of your information is safe in our systems. In addition, we also deliver extensive process improvements to speed up the claims management process and provide customized administrations and medical billing solutions for clinic based practices and Ambulatory centers.

 Following the basic rules 

To present with you with few statistical number, the American Hospital Association 2016 report says that 43 percent of hospitals in the U.S. have spent more than $10,000 on managing denied claims, while 26 percent have spent more than $25,000.

It is essential to assess the patient’s insurance plan and eligibility every time they plan an appointment. Doing so will gain you as much as control of things in your Oncology practice.

The following question should always be on top of the mind of the billing staff to make sure claims denial does not happen frequently:

  • Does the patient have legitimate insurance coverage acknowledged by your practice?
  • Does the patient additional coverage plan, primary or any secondary insurance?
  • Is the patient enrollment data correct?
  • What number of visits is the patient permitted?
  • What is the patient’s duty with respect to the cost of the visit?

 How we offer assistance?

  • Seasoned Billers are adept at handling Radiology and Hematology Billing
  • Adherence to latest changes in HIPPA and CMS
  • Proficient Claims Management
  • ICD-10 certified billers
  • Expert knowledge regarding claims denials and RCM prerequisites

 Our USP 

Increment in rate of collections

Drastic Reduction in overhead and operational costs

Lesser Claims Denials

Regular Updation the billing cycle

Specialization in managing Oncology related questions

Broad scope for Oncology Billing

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