This document provides an overview of medical billing services. It discusses how medical billing can help doctors by handling insurance paperwork and administrative tasks, allowing them to spend more time with patients. The company claims to have 40 years of healthcare experience and can handle all aspects of the revenue cycle management process from credentialing to billing to collections. They work with multiple EHR systems and specialties. Key benefits include increasing net collections, reducing days in accounts receivable, and improving the billing process overall. Risks and mitigation strategies are also outlined, as well as the transition process and importance of quality assurance.
At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon us for comprehensive clinical documentation, along with solutions for Practice Management, Population Health, Patient Engagement, and Revenue Cycle Management.
Katherine Howell, MBA, BSN, RN, NEA-BC, Senior Vice President and Chief Nurse Executive, Saint Luke's Health System - Presentation delivered at the marcus evans National Healthcare CNO Summit 2016 held in Las Vegas, NV
Closed-Loop EHR Integration Targets Burnout, Improves WorkflowsHealth Catalyst
The widespread adoption of EHRs has significantly altered the workflows of physicians and other healthcare workers. However, while EHRs were developed to better organize patient data and improve care coordination, most require significant and sometimes duplicative documentation, often resulting in workforce burnout.
Health Catalyst’s new Closed-Loop Analytics™ service tackles the EHR workload challenge by helping healthcare providers optimize their use of analytics in existing workflows. Closed-Loop Analytics leverages the knowhow of Health Catalyst clinical workflow experts with work experience at EHR vendors such as Epic, Cerner, and Allscripts. The team works with health systems to deploy analytics solutions directly into the EHR and better leverage analytics to simplify workflows and improve outcomes.
In this webinar, you will learn how Closed-Loop Analytics can help you:
- Determine where end-users are wasting time on duplicative tasks and how to optimize the EHR build to develop efficiencies.
- Develop analytical tools and deploy them into the EHR for increased utilization and improved insights at the point of decision-making.
- See the value of expanded integration capabilities with an analytics tool embedded into the EHR, such as launching to a patient’s chart or initiating an update to a treatment team.
- Understand how interoperability and FHIR are revolutionizing workflow integration and how you can put them to work.
At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon us for comprehensive clinical documentation, along with solutions for Practice Management, Population Health, Patient Engagement, and Revenue Cycle Management.
Katherine Howell, MBA, BSN, RN, NEA-BC, Senior Vice President and Chief Nurse Executive, Saint Luke's Health System - Presentation delivered at the marcus evans National Healthcare CNO Summit 2016 held in Las Vegas, NV
Closed-Loop EHR Integration Targets Burnout, Improves WorkflowsHealth Catalyst
The widespread adoption of EHRs has significantly altered the workflows of physicians and other healthcare workers. However, while EHRs were developed to better organize patient data and improve care coordination, most require significant and sometimes duplicative documentation, often resulting in workforce burnout.
Health Catalyst’s new Closed-Loop Analytics™ service tackles the EHR workload challenge by helping healthcare providers optimize their use of analytics in existing workflows. Closed-Loop Analytics leverages the knowhow of Health Catalyst clinical workflow experts with work experience at EHR vendors such as Epic, Cerner, and Allscripts. The team works with health systems to deploy analytics solutions directly into the EHR and better leverage analytics to simplify workflows and improve outcomes.
In this webinar, you will learn how Closed-Loop Analytics can help you:
- Determine where end-users are wasting time on duplicative tasks and how to optimize the EHR build to develop efficiencies.
- Develop analytical tools and deploy them into the EHR for increased utilization and improved insights at the point of decision-making.
- See the value of expanded integration capabilities with an analytics tool embedded into the EHR, such as launching to a patient’s chart or initiating an update to a treatment team.
- Understand how interoperability and FHIR are revolutionizing workflow integration and how you can put them to work.
Introducing Healthfinch by Health Catalyst: Charlie for Refill Management: Im...Health Catalyst
Healthcare providers are overwhelmed with administrative EHR tasks that take precious time away from patient care and can lead to an unhealthy work-life balance. As a result, providers face burnout and declining productivity, impacting quality and delaying patient care.
That’s why Health Catalyst is excited to introduce its new partnership with Healthfinch. Healthfinch’s solution, Charlie for Refill Management, is the healthcare industry’s most trusted and used prescription renewal solution. Charlie for Refill Management safely and efficiently delegates renewal requests to non-provider staff, reducing the EHR administrative burden so that providers can focus on top-of-license work.
In this webinar, you’ll learn how Charlie for Refill Management provides EHR-embedded insights fueled by evidence-based protocols, allowing staff to quickly approve prescription renewal requests on behalf of providers and proactively close gaps in patient care. Specifically, learn how Charlie for Refill Management helps achieve the following:
- Saves time by eliminating time-consuming, manual chart review.
- Improves quality by implementing standardized, evidence-based protocols across an organization.
- Transforms workflows with a fully integrated solution that provides insights directly in EHR workflows.
- Identifies care gaps to provide a better, safer patient experience while also driving additional or missed revenue.
How to Prepare to For the HIMSS Value ScoreAdam Bazer
This presentation provides information on the features and benefits of the HIMSS Value Score, how to prepare your organization for completing a HIMSS Value Score, and who to contact for more information on how to leverage your HIMSS Value Score in your strategic planning processes
The Health Catalyst Data Operating System (DOS™): Lessons Learned and Plans ...Health Catalyst
Just over three years ago, Health Catalyst publicly announced the development of the Data Operating System (DOSTM). Conceptually, DOS goes back more than 20 years as a single platform that could support what Dale Sanders calls the “Three Missions of Data”—analytics, data-first application development, and interoperability.
“Data platforms are the next evolution of the technology stack,” Sanders says. While the Cloud made infrastructure an easy and scalable platform, modern operating systems and programming languages made software platforms scalable and easy to build. He cautions, however, “Data wrangling, especially in healthcare, is still a giant challenge.” Sanders explains that DOS is therefore an essential strategy for Health Catalyst, as well as an important new concept in the world of platforms.
“DOS and its concept is a data platform that makes analytics, app development, and interoperability easy and scalable,” Sanders says.
In this webinar, Sanders and Bryan Hinton will review the concept of a data operating system and the vision behind it. Hinton, who leads the DOS team for Health Catalyst, will reflect on lessons learned over the past three years and what he has planned for the future.
5 Reasons Why Healthcare Data is Unique and Difficult to MeasureHealth Catalyst
Healthcare data is not linear. It is a complex, diverse beast unlike the data of any other industry. There are five ways in particular that make healthcare data unique:
1. Much of the data is in multiple places.
2. The data is structured and unstructured.
3. It has inconsistent and variable definitions; evidence-based practice and new research is coming out every day. 4. The data is complex.
5. Changing regulatory requirements.
The answer for this unpredictability and complexity is the agility of a late-binding Data Warehouse.
Build vs. Buy a Healthcare Enterprise Data Warehouse: Which is Best for You?Health Catalyst
Debating between building vs. buying your organization’s healthcare data warehouse? This presentation will explore the technical and organizational pros and cons of building vs. buying, as well as a third approach you may not have even considered.
The Healthcare Revenue Cycle: How to Optimize PerformanceHealth Catalyst
Health systems rely on effective revenue cycle management to follow the patient journey, navigate claims, and ensure the organization collects payment for its services. In today’s complex and fluid healthcare industry, in which revenue cycle management is about much more than billing and collecting payment, traditional revenue cycle approaches can’t meet escalating demands. Additionally, with lost volume due to COVID-19, organizations can’t afford to miss an opportunity for payment.
The contemporary healthcare landscape requires a comprehensive, standardized, and data-driven revenue cycle process. Health systems that leverage data to support revenue cycle management improve their financial outcomes in three significant ways:
1. Reduce denials.
2. Increase collections with propensity-to-pay insight.
3. Improve discharged-not-final-billed efforts.
In today’s healthcare market, financial challenges rank as the number one issue hospitals face. To maintain a margin to support their mission, hospital CEOs must always be on the lookout for opportunities to boost revenue through improved reimbursement. In this webinar, Thibodaux Regional Medical Center’s Greg Stock, president and chief executive officer, and Mikki Fazzio, director, HIM and clinical documentation improvement, as they share how Thibodaux Regional leveraged analytics to provide actionable feedback to continuously improve the process, and how you can too.
Managing ‘discharged not final billed’ (DNFB) cases is one important way hospitals can improve financial performance by increasing collection on bills with incomplete payment due to coding or documentation gaps. Historically, Thibodaux Regional’s DNFB caseload had reached 500 cases per month, with about a third of patients discharged without a completed bill due either to missing documentation or incomplete coding. Thibodaux Regional tackled this process problem by expanding the use of analytics to measure and track every aspect of their billing services. The results were impressive and sustainable. Three years after launching its initial DNFB redesign effort, Thibodaux Regional has realized $2.4M in additional annual reimbursement and a 61% relative reduction in DNFB dollars, as well as a 6.2 reduction in AR days, resulting in significantly improved cash flow.
View this webinar to learn how to:
- Increase reimbursement levels by optimizing workflow analytics
- Ease the documentation burden on overloaded physicians with time-efficient communication
- Provide critical analytics visibility to key stakeholders
Strategic Options for Analytics in HealthcareDale Sanders
There are essentially four analytic strategies available in the healthcare IT market at present. This slide summarizes those options, the pros and cons, and vendors in the space.
Semantic Technology for Provider-Payer-Pharma Data CollaborationThomas Kelly, PMP
Semantic Technology for Provider-Payer-Pharma Cross-Industry Data Collaboration
Building Intelligent Health Data Integration
The cost to cover the typical family of four under an employer health insurance plan is expected to top
$20,000 this year. The integration of health data (including electronic health records, health insurer records, pharma research and clinical data, and real-world evidence) will increase transparency and efficiency, improve individual and population health outcomes, and expand the ability to study and improve quality of care.
Traditional approaches to data integration and analytics depend on widely understood data and well-defined use cases for analyzing that data. The integration of pharma, provider, payer, and real-world data will identify new ways in which health data can be combined and analyzed to improve quality of care. Semantic technology can speed integration of health data, while supporting an evolutionary approach to developing and leveraging expertise.
How to Find the Best Interventions for Clinical Quality ImprovementHealth Catalyst
How can health systems avoid just talking about improvement and instead achieve real progress in clinical quality performance? First, improvement teams need access to a robust data infrastructure that can provide a complete picture of performance. This analytic insight reveals process gaps and opportunity areas where the care team can target improvement efforts.
After selecting an opportunity area, care teams are ready to follow the three-step process to achieve meaningful clinical improvement:
1. The “why”: Identify the outcome goal.
2. The “what”: Select a written, measurable, and time-sensitive process metric to evaluate the process.
3. The “how”: Identify the best interventions that will support the desired change in a process.
Understand what patient engagement truly means, its benefits for both patients and providers, and how to increase patient engagement through marketing.
Evidence Based Clinical Decision Support – An Enabler for Clinicians in 21st Century by Dr. Lalit Singh, Director for Content & Product Strategy, Elsevier, India
Growing amounts of data can be overwhelming for healthcare entities to organize, manage, and distribute effectively, sometimes making data more of a burden than a benefit. However, if organizations adopt the right data mentality, they can gain insight into performance, track an intervention’s success, and improve outcomes. According to data experts, Bryan Hinton, our Chief Technology officer, and TJ Elbert, our SVP and General Manager of Data, organizations can apply five mindset changes to avoid data overload and achieve data-driven improvement:
1. Focus on data orchestration, not data computing.
2. Leverage real-time data, especially in a pandemic.
3. Prioritize data democratization over data control.
4. Use AI, if you’re not already.
5. Change current care models to fit the data.
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
At RavenTek, we help healthcare providers secure what matters most, build organizational resilience against cyberattacks and maximize provider Return On Life. We combine world-class technologies, innovative security ideas and a forward-thinking team of problem solvers and consultants to secure healthcare providers. We believe enterprise visibility and persistent, always-on security testing is the essential foundation of every cybersecurity program.
Ryan Coleman is Vice President of Healthcare Cybersecurity at RavenTek.
Medical Billing Monitor LLC is one of the leading medical billing companies, based out of Los Angeles, California, started by a team of dedicated experienced experts in the medical billing industry, to provide quality medical billing services to medical practices and medical billing companies in the United States. The experts in our team started in the early 2000’s, and have grown to be one of the global leaders in the Industry.
We provide end-to-end medical billing services that help our clients in reducing the expenses and increasing the reimbursements. Our medical billing services include revenue cycle management, accounts receivable management, medical coding, outsourcing, indexing, medical records, insurance eligibility verification, and physician credentialing and data conversion. Moreover being HIPAA compliant medical billing company, we achieve accuracy, eliminating flaws and we have greater process control as well as efficiency.
Introducing Healthfinch by Health Catalyst: Charlie for Refill Management: Im...Health Catalyst
Healthcare providers are overwhelmed with administrative EHR tasks that take precious time away from patient care and can lead to an unhealthy work-life balance. As a result, providers face burnout and declining productivity, impacting quality and delaying patient care.
That’s why Health Catalyst is excited to introduce its new partnership with Healthfinch. Healthfinch’s solution, Charlie for Refill Management, is the healthcare industry’s most trusted and used prescription renewal solution. Charlie for Refill Management safely and efficiently delegates renewal requests to non-provider staff, reducing the EHR administrative burden so that providers can focus on top-of-license work.
In this webinar, you’ll learn how Charlie for Refill Management provides EHR-embedded insights fueled by evidence-based protocols, allowing staff to quickly approve prescription renewal requests on behalf of providers and proactively close gaps in patient care. Specifically, learn how Charlie for Refill Management helps achieve the following:
- Saves time by eliminating time-consuming, manual chart review.
- Improves quality by implementing standardized, evidence-based protocols across an organization.
- Transforms workflows with a fully integrated solution that provides insights directly in EHR workflows.
- Identifies care gaps to provide a better, safer patient experience while also driving additional or missed revenue.
How to Prepare to For the HIMSS Value ScoreAdam Bazer
This presentation provides information on the features and benefits of the HIMSS Value Score, how to prepare your organization for completing a HIMSS Value Score, and who to contact for more information on how to leverage your HIMSS Value Score in your strategic planning processes
The Health Catalyst Data Operating System (DOS™): Lessons Learned and Plans ...Health Catalyst
Just over three years ago, Health Catalyst publicly announced the development of the Data Operating System (DOSTM). Conceptually, DOS goes back more than 20 years as a single platform that could support what Dale Sanders calls the “Three Missions of Data”—analytics, data-first application development, and interoperability.
“Data platforms are the next evolution of the technology stack,” Sanders says. While the Cloud made infrastructure an easy and scalable platform, modern operating systems and programming languages made software platforms scalable and easy to build. He cautions, however, “Data wrangling, especially in healthcare, is still a giant challenge.” Sanders explains that DOS is therefore an essential strategy for Health Catalyst, as well as an important new concept in the world of platforms.
“DOS and its concept is a data platform that makes analytics, app development, and interoperability easy and scalable,” Sanders says.
In this webinar, Sanders and Bryan Hinton will review the concept of a data operating system and the vision behind it. Hinton, who leads the DOS team for Health Catalyst, will reflect on lessons learned over the past three years and what he has planned for the future.
5 Reasons Why Healthcare Data is Unique and Difficult to MeasureHealth Catalyst
Healthcare data is not linear. It is a complex, diverse beast unlike the data of any other industry. There are five ways in particular that make healthcare data unique:
1. Much of the data is in multiple places.
2. The data is structured and unstructured.
3. It has inconsistent and variable definitions; evidence-based practice and new research is coming out every day. 4. The data is complex.
5. Changing regulatory requirements.
The answer for this unpredictability and complexity is the agility of a late-binding Data Warehouse.
Build vs. Buy a Healthcare Enterprise Data Warehouse: Which is Best for You?Health Catalyst
Debating between building vs. buying your organization’s healthcare data warehouse? This presentation will explore the technical and organizational pros and cons of building vs. buying, as well as a third approach you may not have even considered.
The Healthcare Revenue Cycle: How to Optimize PerformanceHealth Catalyst
Health systems rely on effective revenue cycle management to follow the patient journey, navigate claims, and ensure the organization collects payment for its services. In today’s complex and fluid healthcare industry, in which revenue cycle management is about much more than billing and collecting payment, traditional revenue cycle approaches can’t meet escalating demands. Additionally, with lost volume due to COVID-19, organizations can’t afford to miss an opportunity for payment.
The contemporary healthcare landscape requires a comprehensive, standardized, and data-driven revenue cycle process. Health systems that leverage data to support revenue cycle management improve their financial outcomes in three significant ways:
1. Reduce denials.
2. Increase collections with propensity-to-pay insight.
3. Improve discharged-not-final-billed efforts.
In today’s healthcare market, financial challenges rank as the number one issue hospitals face. To maintain a margin to support their mission, hospital CEOs must always be on the lookout for opportunities to boost revenue through improved reimbursement. In this webinar, Thibodaux Regional Medical Center’s Greg Stock, president and chief executive officer, and Mikki Fazzio, director, HIM and clinical documentation improvement, as they share how Thibodaux Regional leveraged analytics to provide actionable feedback to continuously improve the process, and how you can too.
Managing ‘discharged not final billed’ (DNFB) cases is one important way hospitals can improve financial performance by increasing collection on bills with incomplete payment due to coding or documentation gaps. Historically, Thibodaux Regional’s DNFB caseload had reached 500 cases per month, with about a third of patients discharged without a completed bill due either to missing documentation or incomplete coding. Thibodaux Regional tackled this process problem by expanding the use of analytics to measure and track every aspect of their billing services. The results were impressive and sustainable. Three years after launching its initial DNFB redesign effort, Thibodaux Regional has realized $2.4M in additional annual reimbursement and a 61% relative reduction in DNFB dollars, as well as a 6.2 reduction in AR days, resulting in significantly improved cash flow.
View this webinar to learn how to:
- Increase reimbursement levels by optimizing workflow analytics
- Ease the documentation burden on overloaded physicians with time-efficient communication
- Provide critical analytics visibility to key stakeholders
Strategic Options for Analytics in HealthcareDale Sanders
There are essentially four analytic strategies available in the healthcare IT market at present. This slide summarizes those options, the pros and cons, and vendors in the space.
Semantic Technology for Provider-Payer-Pharma Data CollaborationThomas Kelly, PMP
Semantic Technology for Provider-Payer-Pharma Cross-Industry Data Collaboration
Building Intelligent Health Data Integration
The cost to cover the typical family of four under an employer health insurance plan is expected to top
$20,000 this year. The integration of health data (including electronic health records, health insurer records, pharma research and clinical data, and real-world evidence) will increase transparency and efficiency, improve individual and population health outcomes, and expand the ability to study and improve quality of care.
Traditional approaches to data integration and analytics depend on widely understood data and well-defined use cases for analyzing that data. The integration of pharma, provider, payer, and real-world data will identify new ways in which health data can be combined and analyzed to improve quality of care. Semantic technology can speed integration of health data, while supporting an evolutionary approach to developing and leveraging expertise.
How to Find the Best Interventions for Clinical Quality ImprovementHealth Catalyst
How can health systems avoid just talking about improvement and instead achieve real progress in clinical quality performance? First, improvement teams need access to a robust data infrastructure that can provide a complete picture of performance. This analytic insight reveals process gaps and opportunity areas where the care team can target improvement efforts.
After selecting an opportunity area, care teams are ready to follow the three-step process to achieve meaningful clinical improvement:
1. The “why”: Identify the outcome goal.
2. The “what”: Select a written, measurable, and time-sensitive process metric to evaluate the process.
3. The “how”: Identify the best interventions that will support the desired change in a process.
Understand what patient engagement truly means, its benefits for both patients and providers, and how to increase patient engagement through marketing.
Evidence Based Clinical Decision Support – An Enabler for Clinicians in 21st Century by Dr. Lalit Singh, Director for Content & Product Strategy, Elsevier, India
Growing amounts of data can be overwhelming for healthcare entities to organize, manage, and distribute effectively, sometimes making data more of a burden than a benefit. However, if organizations adopt the right data mentality, they can gain insight into performance, track an intervention’s success, and improve outcomes. According to data experts, Bryan Hinton, our Chief Technology officer, and TJ Elbert, our SVP and General Manager of Data, organizations can apply five mindset changes to avoid data overload and achieve data-driven improvement:
1. Focus on data orchestration, not data computing.
2. Leverage real-time data, especially in a pandemic.
3. Prioritize data democratization over data control.
4. Use AI, if you’re not already.
5. Change current care models to fit the data.
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
At RavenTek, we help healthcare providers secure what matters most, build organizational resilience against cyberattacks and maximize provider Return On Life. We combine world-class technologies, innovative security ideas and a forward-thinking team of problem solvers and consultants to secure healthcare providers. We believe enterprise visibility and persistent, always-on security testing is the essential foundation of every cybersecurity program.
Ryan Coleman is Vice President of Healthcare Cybersecurity at RavenTek.
Medical Billing Monitor LLC is one of the leading medical billing companies, based out of Los Angeles, California, started by a team of dedicated experienced experts in the medical billing industry, to provide quality medical billing services to medical practices and medical billing companies in the United States. The experts in our team started in the early 2000’s, and have grown to be one of the global leaders in the Industry.
We provide end-to-end medical billing services that help our clients in reducing the expenses and increasing the reimbursements. Our medical billing services include revenue cycle management, accounts receivable management, medical coding, outsourcing, indexing, medical records, insurance eligibility verification, and physician credentialing and data conversion. Moreover being HIPAA compliant medical billing company, we achieve accuracy, eliminating flaws and we have greater process control as well as efficiency.
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Streamlining Your Medical Practice for Profitability and SuccessConventus
Conventus webinar video providing key success strategies and tactics for improving productivity, profitability, and patient care. The one-hour video features host Susan Lieberman of Conventus and Stevie Davidson of Health Informatics Consulting.
Outsourcing medical billing enables you to improve the billing process capture reimbursements more efficiently for better medical billing collections rates. https://www.mgsionline.com/medical-billing-and-collections.html
Coding & Billing Services for DME (Durable Medical Equipment), Prosthetics & ...GoTelecare
Overview of full range of medical coding & billing services for DME, Prosthetics & Orthotics provided by GoTelecare.
GoTelecare is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain. We deliver proprietary technologies, workflow and business processes to cater to various medical billing & coding requirements of our clients. We specialize in turnkey Revenue Cycle Management services, Account Receivables collection & clean-up, DME / Prosthetics & Orthotics billing and provide a complete range of billing & coding services for pharmacies, physicians, hospitals, nursing homes, urgent care centers, drug rehab centers and more.
We provide complete end to end solutions for Health care providers and payers.
We have rich experience in Revenue cycle Management services.
We have a strong team of AAPC certified coders, Billing Specialists and Denial management team.
We are currently looking for partner in revenue share for the business they bring in or Vendor partner relationship.
We provide complete end to end solutions for Health care providers and payers.
We have rich experience in Revenue cycle Management services.
We have a strong team of AAPC certified coders, Billing Specialists and Denial management team.
We are currently looking for partner in revenue share for the business they bring in or Vendor partner relationship.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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2. Doctors spend more time filling insurance paperwork
and
doing administrative work than caring for patients
5 Billion Medical Claims are filed annually and growing out of
control
The real cost of filing your claims yourself is much more than you
think
MEDICAL BILLING – FACTS
3. Relax…….
we can handle
it!
More
Cash Flow
More
TIME
BETTER
PRACTICE
MANAGEMENT
Working at your practice!
We offer relief from all Medicare
and insurance carriers’ red tape
policies and overwhelming
procedures
5. Our HEALTHCARE OVERVIEW
Key Facts
40 years of cumulative experience in Healthcare
Management
On-Shore and off-shore capabilities
State-of-the art delivery center with maximum security
Multi-specialty billing and coding experience
Experience with multiple EHR/PMS
Certified coders
Highly experienced workforce
Statistics driven quality management
Best-in-class HR practices
HIPAA-HITECH Compliant
8. Our HEALTHCARE SERVICE PORTFOLIO
We provide a comprehensive Revenue Cycle Management Services for the Clinics, Physician
groups and Hospitals. We manage your billing, collections with streamlined process, expert
resources and meaningful technology solutions so that you focus on the biggest part of your
practice…..Patient Care !!
Front-End Cycle
Mid-Cycle
Back-End Cycle
Demo & Charge Entry Credentialing Benefit Verification Pre-Auth Verification
Medical Coding Charge Entry Claims Transmission Scrubbing
Payment Posting AR Follow Up Denial Management Patient Follow Up
We provide medical transcription service as well
9. MULTI SPECIALTY EXPERTISE
Anesthesia Cardiology Chiropractic Dermatology
ER Medicine
Radiology
Family Medicine Gastroenterology Internal Medicine
Orthopedics Pediatrics Pathology
12. Our HEALTHCARE - DELIVERY PROCESS
Service Delivery Process
Medical Coding
Charge Capture
• Client uploads transcribed charts on to a secure server or in the EHR system
• Files to be distributed/shared through EHR by Client to Our Healthcare for
coding
• Our CPC certified coders analyze each transcribed charts and code as per the
guidelines set by CMS and AMA
• Audited Super-bills are sent to the Charge Entry team to create claims in PMS
system
• Scanned patient’s demographics to be sent by Client to Our Healthcare Entry
team
• Each patient’s scanned record is analyzed and determined if it is a New
patient or an Established patient
• If it is a new patient, we create an account in Client’s PMS system. And
update the patient’s A/c if it is an Established patient
13. Our HEALTHCARE - DELIVERY PROCESS
Service Delivery Process
Cash Posting
AR Follow Up
• Scanned EOB’s to be downloaded from Client's office and distributed
among the
Payment posting team
• Analyzing each EOB and posting payments, adjustments or flag denials
in
Client’s PMS system as per the scanned EOB files
• Daily report of Cash deposited and Cash posted to be verified and
reported
• The AR team receives the work order from the Cash posting department
on all
the Unpaid/Part paid claims
• After analyzing the report, the Analyst identifies the claims that needs to
be
further researched and allocates the work order to our AR team
• Work orders are then distributed by the Analyst based on the Ageing /
Insurance Class / Filing / Appeal limits of outstanding claims
• AR team would also be responsible to work on rejections within a TAT of
48
hours
14. Our HEALTHCARE - DELIVERY PROCESS
Service Delivery Process
Self-pay Follow
up
• Self-pay team to follow up with patient after the statement is mailed out
• Capture any Insurance / demographic information on call and update in
PMS
• If patient wants to make payment, payment mode details could be
captured and shared with Client
15. BENEFITS PROPOSITION
Increase the Net collections to 95%
Reduce the Total Days in A/R to less than 90 days
Increase the collections cycle within 60 days
Reducing the Rejection to Less than 5%
Claim submission within 48 hours of receipt of billing input
Improve the overall RCM operations
Adherence to CMS billing requirements
16. Our HEALTHCARE - RISK MANAGEMENT
Risk
Delay in Project
Execution
Mitigating
Risk
• Proper documentation – process manual, guidelines & checklists
• Client to assign a Project Manager as a SPOC for project
guidance,
clarification, co-ordination (for meeting, training, etc.), setting
priorities & conflict resolution
Non-
availability of
work order
files, EOB’s,
patient’s
Demographics,
Medical
Records etc.
• Project Manager to identify the resource that is causing the
delay
and share the availability calendar for project planning &
execution
• Client to ensure the availability of the resource as per schedule
to
avoid missed deliveries. This will also help to have an effective
collaboration
17. Our HEALTHCARE - RISK MANAGEMENT
Risk
Delay in Client
feedback
Mitigating
Risk
• Client to make periodical quality feedback meetings in the initial
stages
of project execution to provide their key inputs for the Our
Healthcare’s team to improve on their delivery
Delay due to
lack of clarity or
changes in the
requirements
• Clear expectations about the scope of the project to be set for
Our
Healthcare
• Revisit the project timelines & cost based on the changes
requested and agreed upon
Missing
information /
Key-in errors,
Increased
denials
• Transaction audit to minimize errors; reduces denial due to
missing
patient information
18. Our HEALTHCARE - RISK MANAGEMENT
Risk
Secondary
Insurance
eligibility
verification not
carried out
Mitigating
Risk
• Rigorous audit
• Completion of secondary verification
Delayed correction
and resubmission
of rejections
• Clear defining of KPI for rejection management process and
assigning
responsibility
Payment posting
unapplied balance,
Backlog, Posting
errors
• Defining guidelines, KPI and TAT
• Rigorous audit
19. • Client to make periodical quality feedback meetings in the initial stages of
project execution to provide their key inputs for the Our Healthcare’s
team to improve on their delivery
Delay in Client feedback
• Clear expectations about the scope of the project to be set for Our
Healthcare
• Revisit the project timelines & cost based on the changes requested
and agreed upon
Delay due to lack of clarity or
changes in the requirements
• Transaction audit to minimize errors; reduces denial due to missing
patient information
Missing information / Key-in
errors, Increased denials
Risk
Mitigating
Risk
Our HEALTHCARE - RISK MANAGEMENT
20. Our HEALTHCARE - RCM TRANSITION STAGES
Day 1
Need to create logins
for EMR/PM
Need to create login
for clearinghouse
Face sheet to be updated by
the Physician to setup an
account
Day 3
Team Introduction
Introduction of team over
the call and going over
agreed SLA/SOW
Information Sharing
Protocols to be shared for all
Scope of Work, Insurance
Contract, Insurance logins and
Current Issues
Day 5
GO LIVE
The assigned team will start
working on the day to day
claims and payments
Q & A Session
Question and answer
session with client to clarify
any issue
21. • Strong project leadership for both
• Foster win-win partnership
• Client’s involvement in approving key deliverables like project plan, process
documents, etc.
• Maintain key current subject matter experts until knowledge is transferred and the
key
processes are stable
• Availability of key client personnel for training if required
• Accurate identification of desk procedures and processes is critical
• Effective governance structure
• Seamless communication
RCM TRANSITION SUCCESS FACTORS
22. GOVERNANCE
Core Delivery Team
Steering
Committee
Director - Finance Account Manager
Front End Support
Staffs
Back Office Support
Staffs
Project Manager
Coders Callers
QA Specialist
Delivery Manager
Client Our Healthcare
The Project Governance framework will be setup between Our Healthcare and Client to cover all aspects
of the overall engagement that includes time, cost, quality, risk, scope, communication and compliance.
Our Healthcare will take ownership of resource deployment required for the project.
Cash Posters
23. QUALITY ASSURANCE AND CONTROL
Productivity without quality does not yield anything. Quality is an important aspect to sustain
growth and retain existing clients. Quality Control & Assurance processes helps us meet our
client’s expectations and Service Level Agreement (SLA) as well as deliver on time. Quality is
a race without a finish line. Our Healthcare has adopted an uncompromising approach
towards quality to meet and exceed client’s requirements. Our daily quality audit activities,
corrective and preventive actions ensure that we evaluate our agents’ work on all relevant
criteria and bring the quality level to meet client’s expectations.
• Daily audit to minimize error rates an denial risks
• Root cause analysis on errors
• Taking Corrective and Preventive actions
• Process improvement
• Feedback and Reporting
• Facilitating training
• Monitoring of weekly/monthly productivity reports
24. COMPLIANCE
As a Medical Billing and Coding company we work with lot of Protected Health Information.
Our Healthcare understands and takes compliance very seriously. We have well defined
process in place to avoid compliance risks while carrying out regular operations. All the staffs
are educated on compliance regulations and encouraged to proactively report any compliance
issues to the management team.
• Implementation of policies to cover compliance aspects
• Written policies for risk areas
• Proactive compliance reporting
• Integrity of Data Systems
• Action list for changes in rules and regulations by regulatory authorities
• Compliance evaluation framework
• Continuing Education on Compliance Issues
• Periodic audit and review mechanism to address potential compliance risks
• Incident reporting for data security violation
• Compliance awareness among the employees and reward on compliance
reporting
25. Delivery Structure
Our Core delivery team structure has been planned and structured to enforce
better governance and control during each phase of the project.
