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Insights to guide your practice. 

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9 Medical Practice Performance Metrics to Report on During Your Next Meeting

by Kaitlyn Houseman on June 23, 2016

Tracking metrics in your medical practice can result in improved efficiency, profitability, and yield better results across your entire practice and revenue cycle management operations. Choosing what to measure and what to report is as important as deciding to start tracking measurements in the first place. In this post we will cover the 9 metrics that not only measure your RCM performance but the entire pulse of your medical practice.

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Topics: Revenue Cycle Management

5 Surefire Ways For Your Practice to Avoid EHR Adoption

by Nicole Laucks on June 16, 2016

If you’re not using an Electronic Health Records (EHR) system yet, you will be soon. Adopting an EHR for your busy medical practice can be a daunting undertaking. You may have heard horror stories about other practices implementing a system. How can you be sure that your EHR adoption isn’t going to go wrong as well?

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Topics: EHR

Are You Exempt from MIPS? How Advanced APMs Differ From APMs

by Jeff Jones, CPHP on June 15, 2016

Some interesting discussions have emerged since the MACRA proposed rule was announced. One that is acquiring a lot of attention is the eligibility requirements of Advanced APM entities. Under the proposed rule only Advanced APMs will qualify for the 5% annual lump sum payment and be exempt from MIPS. In this post we will dive deeper into what it takes to become an Advanced APM and what happens if an APM entity does not qualify as an Advanced APM.

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Topics: Revenue Cycle Management, Merit Based Incentive Payment System, Incentive Programs

How to Turn Your Patients Into Brand Advocates

by Kaitlyn Houseman on June 10, 2016

Managing a busy medical practice is at times a daunting task. You need to be professional and at the top of your game, managing the financial side of the practice, diagnosing and taking care of patients, keeping the operational side of the business well-oiled, and, yes, you also have to provide superior customer service.

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Topics: Marketing

It's Not You. It's Them. 7 Signs Your EHR is a Terrible Fit

by Nicole Laucks on June 8, 2016

By now, you’re probably using an EHR in your practice. That doesn’t necessarily mean you’re happy about it, though. Finding the right EHR for your practice is tough but successfully implementing an EHR can be even more difficult to achieve. EHR dissatisfaction could stem from a number of areas so how do you know if your EHR frustrations are the result of individual users, a poor implementation, or EHR functionality?

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Topics: EHR

What is an Advanced Alternative Payment Model?

by Jeff Jones, CPHP on June 7, 2016

The MACRA final rule details how Alternative Payment Models (APM) will enhance or replace some of the current fee-for-service payments. While the criterion may seem simple in theory, additional details help clarigy the difference between an Advanced Alternative Payment Model and an Alternative Payment Model.

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Topics: Revenue Cycle Management, CMS, Incentive Programs, MACRA

Is Your Documentation Ready for the End of the ICD-10 Grace Period?

by Kaitlyn Houseman on May 31, 2016

Clinical documentation is at the heart of every patient encounter. It needs to be meaningful, and to be meaningful, it needs to be clear, accurate and timely. Clinical documentation isn't just critical for patient care, it is also used to share critical information with other providers while optimizing the claims process. However, with implementation of ICD-10 from October 2015, provider clinical documentation became much more complex: There are now nearly 70,000 codes, up from nearly 14,000 in the ICD-9.

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Topics: Revenue Cycle Management, ICD-10, Coding

MACRA: New Opportunites for Medicare Providers with Alternative Payment Models

by Jeff Jones, CPHP on May 26, 2016

With the repeal of Medicare's sustainable growth rate formula also came the opportunity for physicians to eventually leave the traditional Medicare fee-for-service system behind. The shift from fee-for-service to value based reimbursement is a new opportunity for physicians but with it comes some challenges in understanding how it will work. The final rule, released on Oct. 14th, details how Alternative Payment Models (APM) will enhance or replace some of the current fee-for-service payments with a patient-level payment not related to volume or intensity.

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Topics: Value-Based Reimbursement, Incentive Programs, MACRA, Alternative Payment Models

What You Need to Know About the MACRA NPRM

by Jeff Jones, CPHP on May 25, 2016

The Centers for Medicare and Medicaid have released the notice of proposed rule-making (NPRM) for the Medicare Access and CHIP Reauthorization Act. The proposed rule was released in late April and the final rule is schedule to be released in the fall of this year (2016). Here is a breakdown of the MACRA NPRM if you haven't yet had the time to read the entire 962 pages.

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Topics: Revenue Cycle Management, CMS, Merit Based Incentive Payment System, Incentive Programs

[Infographic] The Impact of Nursing Leadership Styles on Patient Outcomes

by Tim Wayne on May 20, 2016

Between declining reimbursement, new incentive programs, and keeping pace with the competitive industry of healthcare, healthcare managers and leaders are in a constant struggle to become more efficient and effective. Healthcare is becoming increasingly complex, and juggling these modern day challenges while still being a good leader and providing effective care for patients can be challenging to say the least.

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Topics: Revenue Cycle Management, Medical Business, Patient Engagement

A Simple Guide to Understanding PQRS Measures and Specifications

by Jeff Jones, CPHP on May 19, 2016

In 2016, providers are able to select from a large number of measures to submit PQRS data. However, understanding PQRS measures and specifications can be overwhelming. And since the measures you choose have a large impact on your quality and cost scores, deciding on the right measures to report should not be taken lightly. Here we will guide you through how to better understand PQRS measures and the specifications for measures.

 

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Topics: PQRS, Incentive Programs

Survey of Physicians Shows Declining Satisfaction with Electronic Health Records

by Kaitlyn Houseman on May 17, 2016

A new report from AmericanEHR Partners and the American Medical Association (AMA) based on a survey of physicians, shows that compared to five years ago, more physicians are reporting being dissatisfied or very dissatisfied with their EHR system. The survey on Physician Use of EHR Systems 2014 found that close to, or more than half of all respondents, reported a negative impact in response to questions about how their EHR system improved costs, efficiency or productivity.

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Topics: EHR

Managing the Revenue Cycle: 7 Areas for Improvement

by Kaitlyn Houseman on May 12, 2016

Did you know that an underperforming revenue cycle causes US doctors to leave around $125 billion per year on the table? Being successful in the healthcare industry requires not only outstanding patient care but also an efficient revenue cycle management process. While some practices excel at both, others are struggling to develop an RCM process that is efficient and profitable.

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Topics: Revenue Cycle Management

Switching EHR Vendors? Here Are 6 Must-Have EHR Features

by Adrienne Schrimpf on May 11, 2016

Ten years ago, electronic health record (EHR) systems started gaining traction, and that was before things like Meaningful Use and PQRS motivated physicians to adopt an EHR. Back then, the government had minimal involvement in EHR adoption, and much of it was actually driven by smaller practices looking for ways to streamline processes and get a better handle on patient data. 

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Topics: EHR

Top 20 Most Popular EMR Software Solutions

by Kaitlyn Houseman on May 7, 2016

EHR systems assist medical practitioners in the creation, storage, and organization of electronic medical records, including patient charts, electronic prescriptions, lab orders, and evaluations (just to name a few common features). But what is the most popular electronic health records (EHR) software?

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Topics: EHR, Practice Management, EHR Training

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