We have been developing and managing software for healthcare for over 17 years, a long time. We have seen many things change over the years, some good and some not so good. What has stayed consistent is inefficiencies still exist. Specifically, we focus the majority of our time building and developing applications surrounding medical coding. We have a solid understanding of the word “workflow” and how it relates to coding, billing, and reimbursement. There has been a strong push in healthcare for technological advancements like electronic medical records, interoperability, big data, e-health, telehealth and more. With these improvements, we have seen significant consolidation in the industry too. We have seen some good solid changes in the industry over the last couple of years.
Revenue cycle management or RCM is the financial process that healthcare facilities and physician practices use to track patient care episodes from registration and appointment scheduling to the final payment of the outstanding balance.
The top 5 healthcare inefficiencies that still exist today include:
Paper Medical Records: Physician practices, medical coding companies, and billing companies need to eliminate paper if it still exists within the revenue cycle. Paper medical records may exist at the point of patient care; we see this within hospitalist medicine and anesthesia medicine, and should be scanned as soon as possible. Eliminating inefficiencies associated with handling costs, storage costs, coding and billing complexities, compliance costs, and more. Search Google for companies that can solve that pain point for you, “medical record scanning services,” there hundreds of businesses that provide such a service. Please, make sure you chose a service that compliments how you manage your revenue cycle management team. Implementing an electronic data capture process can be tricky, do your research and bring in a vendor or partner if needed. We have success with implementing a scanning program onsite at a facility and working with a part time employee to scan documents. We have also had success with electronic print (e-print) capture process. We set up programs to index the patient medical records; this solves a lot of problems in hospitalist medicine and anesthesia medicine practices.
Medical Coding: Your practice should not be doing ICD-10 coding or any medical coding in Excel or directly on the medical record itself. That is utterly inefficient, lacks oversite, control and efficiency. You may think that works for your physician practice, medical coding office or medical billing company, but there are businesses in the market which will drive change through efficiency. We know exactly when and what a medical coder is doing for each chart they touch. We track time, accuracy, efficiency, actions, and more. There is no reason you should not have robust oversite, control, and monitoring for your medical coders. Any outsourced physician coding and billing company should explore options here.
www.aviacode.com Medical coding services and medical coding software, ICD-10 compatible
Procoder 10, Aviacode’s medical coding software looks pretty slick. Procoder supports ICD-10 (diagnosis) and CPT/HCPCS (procedure) coding. It has built-in edits and integrates patient history and demographic data to present with the medical record. Aviacode medical coding company has medical coders in-house or provides your practice with the software needed to keep coding in-house and streamline the revenue cycle management.
www.flashcode.com Medical coding software, ICD-10 compatible Flash Code is an ICD-10 coding software product. Compatible with provider medical coding and anesthesia medical coding.
This software solution may be worth the look.
Medical coding software, ICD-10 compatible EncoderPro is an ICD-10 and CPT software program. Optum360 has some packages including coding books and training resources. We come across some medical coders that work with the encoder product and seem to enjoy it.
Medicode is a Medical coding software, ICD-10 compatible
3M Medicode is an ICD-10 and CPT software encoder program. The list of clinical coding software suite includes:
3M™ Medicode™ Classification Encoder ICD/OPCS
3M™ Dialect™ Terminology Encoder SNOMED CT® Clinical Coder
3M™ RemoteCode™ Devolved Coding Facilitation Module
3M™ Pareto™ Computer-Assisted Coding Module
3M™ OpC™ Outpatient Coding Module
Lack of electronic data interfaces: Aka data entry. This is any industries worst nightmare. Define the pain points internally within your organization and when possible seek opportunities to leverage technology to eliminate data entry. We see growing number companies who outsource data entry to outside companies or overseas. Why? In some specialties it is challenging to capture a full patient census for patient medical records and demographic data, meaning that data entry is an integral part of the revenue cycle. This can be challenging for outsourced physician staffing groups who perform their medical coding and billing.
Find a technology partner. Let your physicians be physicians. Let your medical coders code. Let your billing team work medical claims.
We are confident that as the healthcare industry continues to transform, without a proper technology arm, organizations will not be able to compete.
Ben Bohlen is the operations/client lead at LightSpeed Technology Group, makers of VeriDOCS coding and revenue cycle workflow system. LightSpeed works with coding, billing and physician groups throughout the US and abroad. Handling emergency, hospital, anesthesia medicine, and other specialties. He is driven to provide clients with meaningful and relevant results.