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© 2018 | Payoda - Confidential
1
How can
Hospitals Improve Their Patient
Referral Management
By Complying With Meaningful Use
www.healthviewx.com
Learn how hospitals can comply with meaningful use
© 2018 | Payoda - Confidential
Meaningful use (MU) is a health information technology (HIT) term that
defines minimum U.S. government standards for
What is meaningful use?
● Using electronic health records (EHR)
● Exchanging patient clinical data between health care providers, between
healthcare providers and insurers, and between healthcare providers and
patients
It has a set of rules known as meaningful use measures or meaningful use
criteria. It determines whether or not a healthcare provider receives federal funds
from the Medicare EHR Incentive Program, the Medicaid EHR Incentive Program
or both.
© 2018 | Payoda - Confidential
Almost 99% of the hospitals in the U.S. use EHR systems. It is a huge leap by
EHRs compared to 31% of hospitals back in 2003. EHRs are real-time,
patient-centered records that make information available instantly and
securely to authorized users. While an EHR does contain the medical and
treatment history of patients, an EHR system is built to go beyond standard
clinical data collected in a provider’s office and can be inclusive of a broader
view of a patient’s care. EHRs can:
What is meaningful use?
● Contain a patient’s medical history, diagnoses, medications, treatment
plans, immunization dates, allergies, radiology images, and laboratory and
test results
● Allow access to evidence-based tools that providers can use to make
decisions about a patient’s care
● Automate and streamline provider workflow
© 2018 | Payoda - Confidential
Patient Care and participation
Impacts of EHR on Care
Care Coordination
Practice Efficiencies and Cost Savings
Diagnostics and Patient Outcomes
Electronic Health Records create a greater and more seamless flow of information
within a digital healthcare infrastructure. It encompasses and leverages digital
progress and transforms the care delivered. With EHRs, hospitals experience improved,
© 2018 | Payoda - Confidential
Stage 1, which began in 2010, focused on promoting the adoption of EHRs.
Three stages of Meaningful Use (MU)
Stage 2, finalized in late 2012, increases thresholds of criteria compliance and
introduces more clinical decision support, care-coordination requirements and
rudimentary patient engagement rules.
Stage 3, which the CMS is writing from late 2014 through early-to-mid 2016, will
focus on robust health information exchange as well as other more fully formed
meaningful use guidelines introduced in earlier stages.
Meaningful use is divided into three stages.
© 2018 | Payoda - Confidential
In a meaningful manner
What are the incentives and penalties for
meaningful use?
For electronic exchange of health information to improve quality of healthcare
To submit clinical quality and other measures
Under the HITECH Act enacted under the 2009 Recovery Act, incentive payments are
available to eligible professionals who successfully demonstrate meaningful use of
certified EHR technology.
The Recovery Act specifies three main components of meaningful use: The use of a
certified EHR technology
According to Medicare and Medicaid EHR incentive programs, the practices receive incentives if
they meet the meaningful use requirements. If they do not meet the meaningful use
requirements, they will be penalized.
© 2018 | Payoda - Confidential
Medicare incentive payments are equal to 75% of a practice’s annual Medicare Part B allowed
charges up to a maximum yearly amount.
After 2015, providers who were eligible for the Medicare Meaningful Use program but did not
successfully demonstrate Meaningful Use were penalized. The penalty started at 1% of
Medicare Part B reimbursements and increased each year to a maximum of 5%.
Medicare EHR Incentive Program
© 2018 | Payoda - Confidential
In the case of Medicaid patients, a practice can earn up to $63,750 in incentive payments over
the six years that they choose to participate in the program.
If you start in 2015, you can earn incentives through 2020. Practices can consult their state’s
agency for information about a specific payment schedule.
Providers who are eligible for Meaningful Use under the Medicaid program are not subject to
payment penalties unless the provider is also eligible under the Medicare program.
Medicaid EHR Incentive Program
© 2018 | Payoda - Confidential
FQHCs prefer working with EMR/EHR systems because they are comfortable with it. So they do
not wish to move out their EHR/EMR system. An EHR/EMR system has many advantages but
when it is complemented with a Referral Management software practices can experience many
more benefits.
How great it would be if a Patient Referral Management software could integrate seamlessly
with an EMR/EHR system? It can help in ensuring end-to-end Patient Referral Management
without disturbing the existing system.
How can a Patient Referral Management Referral
Management enhance an EHR system to achieve
meaningful use?
© 2018 | Payoda - Confidential
FQHCs prefer working with EMR/EHR systems because they are comfortable with it. So they do
not wish to move out their EHR/EMR system. An EHR/EMR system has many advantages but
when it is complemented with a Referral Management software practices can experience many
more benefits.
How great it would be if a Patient Referral Management software could integrate seamlessly
with an EMR/EHR system? It can help in ensuring end-to-end Patient Referral Management
without disturbing the existing system.
How can a Patient Referral Management Referral
Management enhance an EHR system to achieve
meaningful use?
© 2018 | Payoda - Confidential
HealthViewX Patient Referral Management solution provides easy steps to integrate with a
practice’s EMR/EHR system. It also enables easy and safe transferring of patient
demographics, diagnostic reports, test results or any sensitive information. The solution is
HIPAA-compliant with complete data security.
HealthViewX can enhance a practice’s EHR capability by making it achieve meaningful use. The
practice’s scoring can also improve by using HealthViewX Patient Referral Management
solution.
How can a Patient Referral Management Referral
Management enhance an EHR system to achieve
meaningful use?
© 2018 | Payoda - Confidential
HealthViewX Patient Referral Management
Solution Features
© 2018 | Payoda - Confidential
Inbound and Outbound Referrals
1
HealthViewX Referral Management Solution can integrate with both the
receiving and referring end.
For inbound referrals, it helps in channelizing various sources into one
single queue. In case of outbound referrals, it facilitates integration with
the existing system to read the patient data and send out referrals.
© 2018 | Payoda - Confidential
Referral Timeline
2
Any referral has a timeline, to capture the progress of the referral. It is
common to the referring and receiving provider. A referral will be
mapped to a status which helps in tracking it better.
For e.g. – If a patient does not show up for the appointment, the status of
the referral can be changed to no-show and an appropriate reason can
also be given. With the help of a referral timeline, the providers can
always be aware of what is going on with the referral.
© 2018 | Payoda - Confidential
Workflow and Task Management
3
A workflow can be defined on how the referral flow must be(business
rules). Providers can create tasks to manage referrals by assigning it to
the respective person.
© 2018 | Payoda - Confidential
Improved communication
4
HealthViewX Referral Management Solution supports messaging and
calling features for the referring and the receiving providers to stay
connected.
© 2018 | Payoda - Confidential
Data Management
5
The solution is HIPAA compliant and enables secure data exchange of
all patient-related documents.
© 2018 | Payoda - Confidential
Seamless Integration
6
The solution can seamlessly integrate with any EMR/EHR/RIS or Third
Party application thus providing minimal disruption in the existing
referral flow.
© 2018 | Payoda - Confidential
Referral Data Consolidation
7
The consolidated data regarding the referrals and the referral history of
any patient can be printed as a hard copy at any time in pdf/excel.
© 2018 | Payoda - Confidential
Smart Search
8
HealthViewX Referral Management solution has a smart search facility
that helps in finding the right provider for the treatment required.
© 2018 | Payoda - Confidential
Referral Data Analytics
9
Referral data-centric dashboard gives clear figures regarding the
number of referrals flowing in and out, the number of referrals in various
status, patient follow-ups, etc.
© 2018 | Payoda - Confidential
HealthViewX Patient Referral Management
Solution helps in building a secure referral
network in no time.
Schedule a demo with us and our patient
referral management experts will guide you
through our HIPAA compliant solution.
Email: marketing@healthviewx.com
Phone: +1 (214)-461-0242Contact us anytime.
How can we help?

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Improve EHR Referrals

  • 1. © 2018 | Payoda - Confidential 1 How can Hospitals Improve Their Patient Referral Management By Complying With Meaningful Use www.healthviewx.com Learn how hospitals can comply with meaningful use
  • 2. © 2018 | Payoda - Confidential Meaningful use (MU) is a health information technology (HIT) term that defines minimum U.S. government standards for What is meaningful use? ● Using electronic health records (EHR) ● Exchanging patient clinical data between health care providers, between healthcare providers and insurers, and between healthcare providers and patients It has a set of rules known as meaningful use measures or meaningful use criteria. It determines whether or not a healthcare provider receives federal funds from the Medicare EHR Incentive Program, the Medicaid EHR Incentive Program or both.
  • 3. © 2018 | Payoda - Confidential Almost 99% of the hospitals in the U.S. use EHR systems. It is a huge leap by EHRs compared to 31% of hospitals back in 2003. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. While an EHR does contain the medical and treatment history of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care. EHRs can: What is meaningful use? ● Contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results ● Allow access to evidence-based tools that providers can use to make decisions about a patient’s care ● Automate and streamline provider workflow
  • 4. © 2018 | Payoda - Confidential Patient Care and participation Impacts of EHR on Care Care Coordination Practice Efficiencies and Cost Savings Diagnostics and Patient Outcomes Electronic Health Records create a greater and more seamless flow of information within a digital healthcare infrastructure. It encompasses and leverages digital progress and transforms the care delivered. With EHRs, hospitals experience improved,
  • 5. © 2018 | Payoda - Confidential Stage 1, which began in 2010, focused on promoting the adoption of EHRs. Three stages of Meaningful Use (MU) Stage 2, finalized in late 2012, increases thresholds of criteria compliance and introduces more clinical decision support, care-coordination requirements and rudimentary patient engagement rules. Stage 3, which the CMS is writing from late 2014 through early-to-mid 2016, will focus on robust health information exchange as well as other more fully formed meaningful use guidelines introduced in earlier stages. Meaningful use is divided into three stages.
  • 6. © 2018 | Payoda - Confidential In a meaningful manner What are the incentives and penalties for meaningful use? For electronic exchange of health information to improve quality of healthcare To submit clinical quality and other measures Under the HITECH Act enacted under the 2009 Recovery Act, incentive payments are available to eligible professionals who successfully demonstrate meaningful use of certified EHR technology. The Recovery Act specifies three main components of meaningful use: The use of a certified EHR technology According to Medicare and Medicaid EHR incentive programs, the practices receive incentives if they meet the meaningful use requirements. If they do not meet the meaningful use requirements, they will be penalized.
  • 7. © 2018 | Payoda - Confidential Medicare incentive payments are equal to 75% of a practice’s annual Medicare Part B allowed charges up to a maximum yearly amount. After 2015, providers who were eligible for the Medicare Meaningful Use program but did not successfully demonstrate Meaningful Use were penalized. The penalty started at 1% of Medicare Part B reimbursements and increased each year to a maximum of 5%. Medicare EHR Incentive Program
  • 8. © 2018 | Payoda - Confidential In the case of Medicaid patients, a practice can earn up to $63,750 in incentive payments over the six years that they choose to participate in the program. If you start in 2015, you can earn incentives through 2020. Practices can consult their state’s agency for information about a specific payment schedule. Providers who are eligible for Meaningful Use under the Medicaid program are not subject to payment penalties unless the provider is also eligible under the Medicare program. Medicaid EHR Incentive Program
  • 9. © 2018 | Payoda - Confidential FQHCs prefer working with EMR/EHR systems because they are comfortable with it. So they do not wish to move out their EHR/EMR system. An EHR/EMR system has many advantages but when it is complemented with a Referral Management software practices can experience many more benefits. How great it would be if a Patient Referral Management software could integrate seamlessly with an EMR/EHR system? It can help in ensuring end-to-end Patient Referral Management without disturbing the existing system. How can a Patient Referral Management Referral Management enhance an EHR system to achieve meaningful use?
  • 10. © 2018 | Payoda - Confidential FQHCs prefer working with EMR/EHR systems because they are comfortable with it. So they do not wish to move out their EHR/EMR system. An EHR/EMR system has many advantages but when it is complemented with a Referral Management software practices can experience many more benefits. How great it would be if a Patient Referral Management software could integrate seamlessly with an EMR/EHR system? It can help in ensuring end-to-end Patient Referral Management without disturbing the existing system. How can a Patient Referral Management Referral Management enhance an EHR system to achieve meaningful use?
  • 11. © 2018 | Payoda - Confidential HealthViewX Patient Referral Management solution provides easy steps to integrate with a practice’s EMR/EHR system. It also enables easy and safe transferring of patient demographics, diagnostic reports, test results or any sensitive information. The solution is HIPAA-compliant with complete data security. HealthViewX can enhance a practice’s EHR capability by making it achieve meaningful use. The practice’s scoring can also improve by using HealthViewX Patient Referral Management solution. How can a Patient Referral Management Referral Management enhance an EHR system to achieve meaningful use?
  • 12. © 2018 | Payoda - Confidential HealthViewX Patient Referral Management Solution Features
  • 13. © 2018 | Payoda - Confidential Inbound and Outbound Referrals 1 HealthViewX Referral Management Solution can integrate with both the receiving and referring end. For inbound referrals, it helps in channelizing various sources into one single queue. In case of outbound referrals, it facilitates integration with the existing system to read the patient data and send out referrals.
  • 14. © 2018 | Payoda - Confidential Referral Timeline 2 Any referral has a timeline, to capture the progress of the referral. It is common to the referring and receiving provider. A referral will be mapped to a status which helps in tracking it better. For e.g. – If a patient does not show up for the appointment, the status of the referral can be changed to no-show and an appropriate reason can also be given. With the help of a referral timeline, the providers can always be aware of what is going on with the referral.
  • 15. © 2018 | Payoda - Confidential Workflow and Task Management 3 A workflow can be defined on how the referral flow must be(business rules). Providers can create tasks to manage referrals by assigning it to the respective person.
  • 16. © 2018 | Payoda - Confidential Improved communication 4 HealthViewX Referral Management Solution supports messaging and calling features for the referring and the receiving providers to stay connected.
  • 17. © 2018 | Payoda - Confidential Data Management 5 The solution is HIPAA compliant and enables secure data exchange of all patient-related documents.
  • 18. © 2018 | Payoda - Confidential Seamless Integration 6 The solution can seamlessly integrate with any EMR/EHR/RIS or Third Party application thus providing minimal disruption in the existing referral flow.
  • 19. © 2018 | Payoda - Confidential Referral Data Consolidation 7 The consolidated data regarding the referrals and the referral history of any patient can be printed as a hard copy at any time in pdf/excel.
  • 20. © 2018 | Payoda - Confidential Smart Search 8 HealthViewX Referral Management solution has a smart search facility that helps in finding the right provider for the treatment required.
  • 21. © 2018 | Payoda - Confidential Referral Data Analytics 9 Referral data-centric dashboard gives clear figures regarding the number of referrals flowing in and out, the number of referrals in various status, patient follow-ups, etc.
  • 22. © 2018 | Payoda - Confidential HealthViewX Patient Referral Management Solution helps in building a secure referral network in no time. Schedule a demo with us and our patient referral management experts will guide you through our HIPAA compliant solution.
  • 23. Email: marketing@healthviewx.com Phone: +1 (214)-461-0242Contact us anytime. How can we help?